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Excel Cosmetic Surgery Center has experienced doctors that provide a wide range of cosmetic treatments and cosmetic surgery services in Utah. Visit us at one of our two Utah cosmetic surgery centers for botox, eyelid surgery, acne treatments, and more. Note: some procedures may be carried out at an outpatient surgical facility or at a hospital. Dr. Engen consults with each patient to determine the best place for the cosmetic surgery to be performed and whether a local or general anesthetic will be used. Patients having a facelift usually spend three to five hours in surgery.