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Buckingham Center for Facial Plastic Surgery

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Buckingham Center for Facial Plastic Surgery

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Buckingham Center has renowned cosmetic surgeons specializing in facial plastic surgery. Edward D. Buckingham, M.D. received his B.B.A.

in accounting from Southern Methodist University in Dallas. He then attended the University of Texas at Austin and completed his premedical coursework achieving a perfect 4.0 grade point average. Dr. Buckingham received his medical degree from the University of Texas Medical Branch in Galveston and was elected to the Alpha Omega Alpha medical honor society as a junior medical student and served as the organization's vice-president and later president. Dr. Smith earned her Medical Degree from the University of Mississippi School of Medicine, where she graduated in the top 5% of her class as Cum Laude and was a junior inductee into the Alpha Omega Alpha Honor Society, where she served as vice president. She was also nominated by her faculty and peers to the Gold Humanism Honor Society, which recognizes role models who demonstrate excellence in clinical care, compassion, and dedication to service. While in medical school, she was also selected as a Medical Student Research Program Scholar, served on the ethics committee, acted as a peer tutor, and volunteered with several community outreach programs.

11/05/2026

“I want to try BOTOX® but I don’t know where to start.”

We hear it constantly, so here’s what actually happens.

You come in for a consultation first. Sarah Morse, RN, BSN talks through your goals, what the downtime looks like, how long results last, and what to realistically expect. Then a full facial assessment and a plan built for your face specifically.

At the treatment appointment, photos again, watching how you animate, and marking exactly where the product goes.

You’ll notice something around day four or five. Everything is fully in by two weeks, which is when she likes to see first-time patients back to see how it settled and fine-tune from there.

Three to four months on average, sometimes longer.

If you’ve been waiting for a reason, Botox Day is November 18th. Come see us.

💉 Sarah Morse, RN, BSN,
📍 Buckingham Center, Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

11/05/2026

Traveling from out of state to consult with double-board certified facial plastic surgeon, Dr. Erin Smith, this 54-year-old patient was looking to restore harmony to her features. Over time, natural tissue descent had broadened her lower face and created a heaviness around the eyes that made her look perpetually tired.

During her comprehensive evaluation, Dr. Smith noted structural laxity across the facial planes and designed a two-part approach: a temporal brow lift to elevate the outer eye area, paired with a deep plane lower facelift and neck lift to reposition descending volume back to its youthful origin.

Her three-month post-operative results speak for themselves. The deep plane technique sculpted a clean, continuous jawline and smooth neck contour, completely without visible signs of an incision. Her eyes no longer have a heavy appearance.

Her skin texture was already lovely; now, the underlying architecture matches seamlessly. Most importantly, she looks vibrantly refreshed while remaining entirely herself.

Ready for your full face rejuvenation? Call or go online to schedule your consultation with Dr. Smith to receive your custom surgical plan.

🥼 Dr. Erin Smith
📍 Buckingham Center in Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

11/04/2026

Under eye bags get blamed on rest, and sometimes that’s fair. But when they don’t improve no matter how much you sleep, something structural is going on.

The tissues supporting the eye change over time, and the fat around the eye can shift forward or become more prominent. Genetics matter too, which is why some people notice this in their twenties and others never really do.

So the assessment is the part that matters. Figuring out what’s actually causing your under eye concerns determines what the surgery looks like, and whether surgery is even the right call.

Done well, it smooths the transition between the lower lid and cheek without changing the character of your eyes. You look rested. You still look like you.

🥼 Dr. Edward Buckingham, .edbuckingham
🥼 Dr. Erin Smith,
🥼 Dr. Hudson Frey,
📍 Buckingham Center, Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

11/04/2026

Addressing a dorsal hump is technically straightforward; however, ensuring long-term structural integrity and aesthetic stability is the true challenge of rhinoplasty.

This consideration is central to structural rhinoplasty, which was the primary goal for this patient when she consulted Dr. Hudson Frey. While her immediate objective was the removal of her dorsal hump, she sought a surgeon with a deep understanding of underlying nasal architecture.

A comprehensive clinical evaluation revealed additional anatomical considerations, specifically mild asymmetry and inadequate natural support within the tip cartilages.

To achieve a balanced and enduring result, Dr. Frey established a secure internal foundation using autologous cartilage grafts prior to modifying the dorsum. This internal stabilization allowed for the complete reduction of the hump while precisely preserving the height and rotation of the nasal tip.

At three months post-operative, the patient presents with a refined, straight profile and natural facial harmony that maintains her distinct identity.

🥼 Dr. Hudson Frey
📍 Buckingham Center in Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

11/03/2026

While facial skin often receives consistent care, the hands, arms, and legs are frequently overlooked.

Over time, cumulative sun exposure manifests especially on the backs of the hands as flat, hyperpigmented spots.

We are pleased to expand our BBL HEROic™ treatments beyond the face to include the hands, arms, and legs.

BBL HEROic™ targets stubborn pigment, drawing sun spots to the surface where they naturally flake away to reveal brighter, more even-toned skin. It delivers the same powerful rejuvenation previously reserved for the face to areas where sun damage has gone unaddressed longest.

With sun exposure decreasing, fall offers the ideal timing to restore and even your skin tone.

🥼 Dr. Hudson Frey
📍 Buckingham Center in Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

10/30/2026

Most people who get their ears pinned have been thinking about it since grade school.

It’s one of the few things we treat that patients bring up with a very old story attached. Dr. Hudson Frey performs otoplasty, also known as ear pinning, which is the procedure for ears that sit too far forward from the head.

The incision goes behind the ear in the natural crease back there. From there it’s some combination of sutures to reshape the cartilage, sometimes removing a small piece of it, and often rebuilding the fold that should be curving the ear back toward the head in the first place.

Both ears takes a couple of hours. You will leave with a head wrap for that first night, then come back to see him the next day to take it off. From there a headband over the ears is worn for the first week and at night for a few weeks after. You’re at your final result around two months.

Other, more minor procedures performed are earlobe reduction and earlobe repair. The goal isn’t ears you notice. It’s ears nobody thinks about.

Dr. Frey's expertise as a double-board certified facial plastic surgeon in Otolaryngology and Faicl Plastic Surgery has given him experience and knowledge to provide his patients with optimal aesthetic outcomes for all ear concerns.

🥼 Dr. Hudson Frey,
📍 Buckingham Center for Facial Plastic Surgery, Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

10/29/2026

2 years. 1 consistent plan.

Nicole Elek built a plan for this patient in her late 20s. A slow plan, one layer at a time.

It started with skincare. Medical-grade Revision® and SkinMedica®, plus BBL™ and MOXI® treatments to even out tone and get the skin itself in good shape before anything else went in.

Then a little BOTOX® for the fine lines between the brows and across the forehead. A micro lip flip to show a bit more lip and soften how much gum shows when she smiles. Conservative RHA® 2 in the lips for definition and hydration.

For the cheeks, RHA® 4 for contour and Sculptra® placed deeper to get her own collagen working over time.

Real aesthetic transformations aren’t always made in a single appointment. This took 2 full years.

💉 Nicole Elek, RN, BSN
📍 Buckingham Center for Facial Plastic Surgery, Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

10/28/2026

Nobody ever says “my upper lip is too long.”

But it’s one of the quiet things that shifts with time. The space between the nose and the lip stretches a little, and the pink of the lip starts to disappear under it.

This patient came to Dr. Buckingham on the recommendation of friends who’d been here before her. She knew exactly what was on her mind: her neck, her lower face, and that upper lip.

A lip lift takes out a small piece of skin right where the nose meets the lip, which shortens the distance and lets more of the lip show again. The incision tucks up inside the nostrils, so once it heals you’d have to know where to look.

For the neck and jawline, a lower facelift with work on the neck muscles underneath, plus a bit of fat removed through a small incision under the chin to sharpen that angle.

At three months her incisions had healed well and she was thrilled. A little filler down the road will smooth the last spot near her chin, where the change comes from bone rather than anything the lift could reach.

Different problems, different tools. That’s usually how the best plans come together.

🥼 Dr. Edward Buckingham, .edbuckingham
📍 Buckingham Center in Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

10/28/2026

Some people get under eye bags at 25. Some never do.

It’s mostly genetics, which is why Dr. Erin Smith doesn’t treat this as an age question. She sees patients in their twenties with heavier bags than patients in their seventies.

What she’s actually assessing is three separate things. The skin, which thins and creases over time. The fat pads in the eye socket, which push forward with age and swell when you’re retaining water. And the volume along the cheekbone, which drifts down and leaves a shadow that makes the puff look deeper.

Milder cases often do well without surgery. Skincare, laser for skin quality, filler in the tear trough to fill the shadow so the puff stops catching light.

Heavier cases need more. Fat transfer takes volume from the abdomen or thigh and places it with a cannula, no incisions. Lower eyelid surgery goes in through the inside of the lid to smooth the fat or move it into the hollow.

Not an age thing. An anatomy thing.

🥼 Dr. Erin Smith
📍 Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

10/27/2026

The surgeon becomes the patient!

For years, Dr. Erin Smith managed her upper eyelid heaviness with BOTOX®.

It’s a reasonable approach. Lifting the brow does take some of the weight off, and plenty of patients stay with it for a long time. At a certain point, though, she decided surgery was the better fit for what she wanted.

So she booked an upper blepharoplasty with her partner, Dr. Ed Buckingham.

She had performed the same procedure on her own mom a few years earlier, which gave her a close look at the result before deciding on her own timing.

Here’s what the recovery actually looked like, since patients ask and the specifics are useful.

She used Pronox thoughout the procedure. Dr. Buckingham administered lidocaine to begin the procedure. It took roughly 20 minutes per side. The lidocaine was more comfortable than expected, more of a quick prick than a sting. Swelling climbed through day four, then began to settle. By one week there was minimal bruising and the stitches were out. By day ten she was fully back to her social routine.

One thing worth knowing is that dryness was the main side effect she experienced, which was successfully managed with saline drops several times a day.

She’s not at her final result yet, and the incision continues to improve each week.

🥼 Dr. Erin Smith,
🥼 Dr. Edward Buckingham, .edbuckingham
📍 Buckingham Center in Austin, TX
💻 https://www.mypatientvisit.com/onlinescheduling/ #/scheduler-v2/schedule?practiceid=krcqvl
📲 512-401-2500

Address

6420 Bee Caves Road
Austin, TX
78746

Opening Hours

Monday	7:30am - 4pm
Tuesday	7:30am - 4pm
Wednesday	7:30am - 4pm
Thursday	7:30am - 4pm
Friday	7:30am - 12pm

Telephone

+15124012500

Website

https://www.buckinghamfacialplastics.com/

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