Neal Deot, MD

03/03/2026

⬆️ Facial Balancing = ⬇️ Facial Strain

In patients with a prominent maxilla and a retruded chin, the perioral muscles often become hyperactive to compensate for skeletal imbalance. Excessive upper lip elevation contributes to a gummy smile, while the mentalis overfires to permit mouth closure when chin projection is lacking.

This case was treated by addressing the drivers, not just the appearance:
• Targeted Botox to the LLSAN to reduce excessive upper lip elevation
• Structural chin augmentation placed deep on bone to support the mentalis

By decreasing upper lip pull and restoring chin projection, muscular demand is reduced, allowing the lower lip and chin to relax naturally. The result is improved profile balance, reduced chin strain, and more harmonious smile dynamics — all without altering the nose or midface.

Loving this result! DM for consultations 📩

03/01/2026

Biggest Facelift Mistake?

Treating a three-dimensional aging process with a one-dimensional solution.

Lifting repositions tissue - however, it does not always adequately replace lost volume. This is where many results fall short.

Fat grafting is not an "add-on." It is foundational.

Autologous tat transfer rebuilds deep structural support, restores projection, and re-establishes youthful facial architecture in a way lifting alone rarely can.

Make sure volume loss is part of the conversation at your consultation.

02/27/2026

In-Office Upper Bleph & Lower Eyelid Skin Pinch (Post-op 1 Week)

Patients often come in bothered by upper eyelid hooding and skin bunching. An upper blepharoplasty is an elegant solution: through a hidden incision placed in the natural eyelid crease, redundant skin is removed to restore a cleaner, more defined tarsal show. This creates a brighter, more open upper eyelid while maintaining the patient’s natural eye shape and expression.

Lower eyelid crepiness is another common concern. While lasers and chemical peels can help with mild cases, patients with more significant skin laxity often benefit from a lower eyelid skin pinch. Performed through a camouflaged subciliary incision, this technique precisely removes excess crepey skin without disturbing the underlying fat pads, improving lower eyelid texture, tightness, and smoothness.

For this lovely patient, both procedures were performed together, comfortably in-office. You can already see the refreshed, youthful periorbital aesthetic—and this is only Week 1!

02/26/2026

Fat ≠ filler.

Autologous fat grafting is a biologic tissue transfer, not a temporary space-occupying gel. When performed with modern harvest, processing, and placement techniques, fat grafting allows precise restoration of facial volume while also improving tissue quality.

Microfat is used for structural volume replacement along the bone and deep fat compartments, while nanofat is further refined to deliver regenerative cells that improve skin texture, elasticity, and overall quality. Unlike hyaluronic acid fillers, fat becomes integrated into the surrounding tissue with neovascularization, making it a living, long-term solution.

🟡 Microfat is used for structural support and natural volume restoration
🟢 Nanofat is refined further to improve skin quality, texture, and regeneration

Advantages of fat grafting :
• 100% natural
• Permanent
• Improves skin quality (not just volume)
• Cost-effective long term vs repeated injections
• Lower risk of delayed inflammatory reactions

02/26/2026

https://youtu.be/Im6jZOnPhno?si=vAGzn4RRitlv7WEd

🎙️ Episode [9]: Dr. Neal Deot – Rebuilding Faces, Restoring ConfidenceIn this episode, we sit down with Dr. Neal Deot, a board-certified plastic surgeon and...

02/26/2026

https://youtu.be/0V2_s6KorwU

Dr. Neal Deot is a celebrity plastic surgeon known for his precision, refined aesthetic, and natural-looking results. In this conversation, he breaks down hi...