When the time comes to pursue a surgical change, you deserve an option that feels right for your body, your comfort, and your lifestyle. Our in-office procedures offer the precision of surgery with the ease of local anesthesia, allowing you to heal faster, feel more at ease, and avoid unnecessary hospital costs. Every treatment is performed by a world-class surgeon in a safe, supportive setting. Your surgery shouldn't feel scary. We want you to feel confident and cared for from the very beginning.
Pitt Aesthetic Surgery brings together a team of nationally recognized leaders in aesthetic care. Our surgeons, Drs. Isaac James, J. Peter Rubin, Jeffrey Gusenoff, and Guy Stofman offer unmatched expertise in facial rejuvenation, body contouring, and advanced surgical techniques. We’re known for delivering authentically beautiful results, personalized treatment plans, and a patient-first approach that reflects years of training, research, and surgical excellence. Every decision we make centers around you: your goals, your comfort, and your confidence.
These are surgical procedures that can be performed in the office procedure room under local anesthesia. This means you don’t need to go to sleep for surgery and you can avoid general anesthesia. Because you won’t have to pay operating room facility or anesthesia fees, it also allows us to provide these procedures at much lower cost.
This approach offers patients more control, comfort, and peace of mind, often with a shorter recovery period and less disruption to daily life. While the setting is more relaxed, our commitment to surgical excellence never changes. We use the same meticulous techniques, testing, and planning protocols that we would in a traditional hospital OR.
Each in-office procedure is carefully selected to deliver excellent results with less downtime and more comfort. Here are some of our most requested in-office surgical options available at Pitt Aesthetic Surgery:
Our Department of Plastic Surgery at the University of Pittsburgh is internationally recognized as a pioneer and leader in fat grafting. Naturally, this is one of our favorite procedures to perform. Facial fat grafting transfers your own fat to restore volume loss seen with aging or to augment areas where you are deficient. Unlike hyaluronic acid fillers, fat grafting is permanent. It creates a soft, extremely natural look and feel that other techniques simply can’t match. We are now able to perform this procedure comfortably wide awake, using local anesthesia.
Slim and contour the area beneath the chin using a small cannula. We can provide a specialized nerve block to avoid discomfort with tumescent solution. With proper patient selection, this quick, in-office treatment redefines the jawline with powerful results and minimal downtime.
Tightens the platysma muscle, recontours the neck, and redistributes excess skin through a small discreet incision under the chin. Ideal for patients with early signs of aging without the need for a full facelift.
Helps to define your cervicomental angle and jawline using the MyEllevate system. The suture suspension refines and supports the neck, creating an elegant, refreshed, natural look using only small needle access sites and no incisions. Dr. Isaac James was involved in the first study demonstrating the safety and effectiveness of this technique, bringing unmatched insight and expertise to every procedure.
Buccal fat reduction is powerful when done properly. It reduces excess fat from the lower cheeks through small incisions inside the mouth. This simple procedure creates a slimmer, more elegant look with minimal pain and rapid recovery. We will create a precise and custom plan tailored to your anatomy to avoid the excessively hollowed or gaunt appearance that can happen with excessive buccal fat removal.
Shortens the distance between the nose and upper lip to create a fuller, more youthful smile. When performed properly and matched with your facial proportions, this creates subtle, beautiful results.
Removes droopy extra skin on your upper eyelids. Scars are hidden in your upper lid crease and are typically nearly invisible when healed. This can be performed safely and comfortably in our office setting at a fraction of the cost.
In appropriate patients, this technique elevates heavy brows and smooths forehead lines using small, strategic incisions above the brow.
In patients where orbital fat is not a major contributor to lower lid bags, lower blepharoplasty can be performed wide awake under local anesthesia. Gently tightens and rejuvenates the lower eyelids using a conservative skin pinch and fat transfer to the cheeks, avoiding the need for deeper orbital fat removal.
In cases where only a small amount of fat needs to be removed, we can often perform liposuction in the office under local anesthesia. The result is refined contour in your trouble spots with faster recovery and lower cost.
Minimizes or removes visible scarring through careful revision techniques for both facial and body scars.
Performed with compassion and privacy, this in-office procedure refines the labia for improved comfort and confidence.
Patients choose in-office procedures for many reasons:
Whether you're a busy professional, a parent, or someone looking for a more flexible surgical experience, these treatments provide exceptional outcomes with fewer barriers.
Good candidates are typically healthy, non-smoking adults with specific cosmetic concerns, such as excess neck fat, eyelid heaviness, or facial volume loss. We'll review your goals, individual anatomy, medical history, and any medications to determine whether this approach is right for you. Some treatments may not be suitable for individuals with certain conditions, but we'll always provide honest recommendations and work with you to help you achieve your goals.
Scheduling your consultation is the first step. We'll evaluate you holistically, walk through your goals, review the appropriate procedures, and outline all necessary pre-treatment steps. We believe in patient education, and our team will explain what to expect, help you prepare with detailed instructions, and answer any questions, whether over the phone, through email, or in person.
On the day of treatment, you'll be welcomed into a calm, private space. Local anesthesia is administered with great care to minimize discomfort, and the procedure itself is usually quick and comfortable. Our team will stay by your side from start to finish, ensuring you're fully supported and informed throughout.
Most patients return to their daily routines within a few days. We provide clear aftercare instructions, incision care guidance, and follow-up appointments to monitor healing. Results often appear gradually over the first few weeks, with swelling and bruising resolving quickly. If questions come up post-procedure, we're always here to provide support.
Pricing is based on the procedure, materials used, and whether treatments are combined. Because these are office-based procedures, you'll typically avoid high hospital or anesthesia fees. We'll go over costs during your consultation and provide a clear breakdown. Financing is available through CareCredit, and we're happy to send more details by email upon request.
We're here to answer your questions, provide the information you need, and help you take the next step. Book your consultation online or give us a call at 412-932-7826. We'll make sure you feel confident and well cared for every step of the way.
Yes, more patients are choosing in-office procedures because they're safe, convenient, and effective.
Absolutely. These procedures use proven techniques under local anesthesia, performed by expert surgeons in a controlled environment.
Yes. Many patients choose to combine treatments, like a lip lift and chin liposuction, for a more comprehensive result with one recovery period. During your consultation, we'll review whether a combination of treatments will be right for you.
