Facelift

Tired of looking older than you feel? Find out how to turn back the clock a decade or more with a signature Facelift by Dr. Kassir.

As seen on

plastic surgery nj

Book your consultation today &
get $100 towards your first treatment!

best plastic surgeon NJ

About Facelift

by Ramtin Kassir, M.D., F.A.C.S.

Want to look as young as you feel? Are you looking for a natural looking facial rejuvenation?

Facelift Surgery is designed to reverse the visible signs of facial aging, including the formation of jowls, which obscure the jaw line, the occurrence of a double chin and the appearance of vertical bands of the skin and muscle in the front of the neck. Dr. Kassir is a leading expert in facelifts in NYC and NJ. Patients travel from national and international destinations for Dr. Kassir's facelifts. Click here to see examples of patients who have had facelifts by Dr. Kassir and their stories.

What is a facelift?

Facelift surgery, also known as rhytidectomy, is a plastic surgery procedure performed to improve the neck laxity, jowls, and the midface. As a person ages, the midface begins to go downhill, producing the smile lines" or "laugh lines. The lower face then begins to show jowling, near the chin and the neck muscles sag, producing banding and redundancy. These three areas can be improved with the facelift procedure. The facelift does not improve the skin texture or quality.

Modern facelift techniques involve resuspending the deep connective tissues of the face and allow the face and neck skin to be elevated and produce a natural rejuvenation. These techniques avoid the "plastic" or stretched appearance so common with facelift surgeries in the past. The surgery is typically performed without the need for general anesthesia and a 1 to 3 week recovery period is usually necessary after the procedure.

What can Facelift Surgery do?

Facelifts, technically known as rhytidectomies, rejuvenate the mid- to lower face and neck. Facelifts are most effective for NJ and NYC patients who want to correct:

  • Midface sagging
  • Deep creases under the eyes
  • Deep creases between the nose and mouth
  • Jowls due to loss of muscle tone
  • Sagging areas of fat
  • Loose skin and fat under the chin and jaw

Are you a good Facelift surgery candidate?

The best candidates for facelift surgery are:

  • Wish to improve one or more of the signs of aging indicated above
  • Are men or women whose faces have begun to sag, but whose skin still has some elasticity
  • Are generally healthy
  • Are considering a facelift for personal reasons to improve their image and appearance

Recovery from Facelift Surgery

The most important thing to remember after a facelift is patience. The body takes time to heal, and your face will look worse before it looks better. Your face may feel tender and tight after the surgery, and there will be discomfort, swelling, and bruising. Dr. Kassir can prescribe painkillers to alleviate the pain, and antibiotics to fend off infection.You should be up and about in a few days, and be sure to walk around 3 to 4 times a day to increase circulation, and prevent blood clots. The bruising and swelling will subside and you should be fine in about 2 weeks. Full recovery however may take 1 to 4 months. Do not bend over or lift heavy objects until Dr. Kassir gives the all clear. Also stay away from saunas, steamrooms, alcohol, aspirin, and ibuprofen. If Incisions were made in the mouth consult Dr. Kassir on what to eat until your recovery is completed. Sleep with your head elevated for example on a pillow, and as still as possible. If you experience any extreme pain, excessive redness, or elevated temperature contact Dr. Kassir immediately.

After your rhytidectomy facelift surgery, Dr. Kassir will wrap the incisions in light bandages. On the next day your hair can be carefully washed and a week later the sutures will be removed.

At first, you may experience swelling, numbness, bruising, and a feeling of tightness or tension in the face and neck. Recovery will be noticed usually within 3-6 weeks, and sensation typically returns to normal within a few months. Scars become less red, raised, lumpy or itchy in time.

Many NJ and NYC facelift surgery patients return to work by the second week and some resume normal activities by day five.


What are the different types of Surgical Facelifts?

The SMAS Facelift is the traditional facelift which pulls up the SMAS layer and is effective for those with jowls and skin laxity.

The Deep Plane Facelift is a modification of the traditonal facelift that works more effictively on the midface areas such as nasolabial folds.

The Endscopic Facelift is a minimally invasive technique using small cameras to guide insturments and allows for lifting the midface and brow.

The Midface Lift is a procudure to specifically targert the areas of aging in the midface; the areas between the cheekbones.

The Mini Faceliift is related to the traditional facelift but involves smaller incisions behind the ear and focuses on adjusting the skin.

The Tissue-glue Facelift is a technique that uses fibrin, a safe biological agent, to close inscision as opposed to sutures.

More Facelift Information

One of the most common procedures in plastic surgery is the facelift. According to the American Society of Plastic Surgery 124,000 facelifts were perfomed in New Jersey in 2012, and in New York facelifts were up 42 percent from 2000 to 2011. Our skin is constantly changing, and the older we become the more our skin cells break down, and divide slower. The dermis, or lower layer of the skin, begins to grow thinner as well. The dermis is comprise of different types of tissue, including elastin and collagen. While the elastin provides elasticity for the skin, the collagen keeps the skin taut. Over time these proteins begin to break down, and results in the loss of elasticity in the skin and deeper tissue. The skin begins to sag as well as the muscle and tissue composition under the skin change, and leads to wrinkles. Although a facelift can lead to younger looking face with a better jawline, neck and midface, it cannot completely erase the signs of age, or fix all problems such as sagging eyelids, eyebrows, or skin discoloration. These problems can be fixed with other procedures for example, an eyelift, browlift, or chemical peel. The procedure of a facelift takes time for recovery, and has minimal risks.

Since every patient is different, the procedure will be different for everyone as well. Dr. Kassir will examine the skin, and explain the procedure to you. Smokers will be asked to stop smoking for a week or two before the surgery, and a few weeks after as well. Smoking is not advised since it inhibits blood flow to the skin, and can interfere with the healing process. Patients are also asked to avoid aspirin or other medications that increase bleeding.

The facelift surgery can be performed in Dr. Kassir's office or accredited surgical center. The patient is usually given a local anesthetic or sedative for the facelift procedure. An incision is made around the temple along the hairline, and goes down to the earlobe. An additional incision is made underneath the chin to tighten the skin of the neck. The skin is then separated from the muscle and fat, and the fat may be trimmed or sucked out via liposuction. Dr. Kassir then takes the SMAS (Superficial Musculoaponeurotic System) and repositions it at a higher, more youthful level. Tightening and reposition the SMAS in this manner gives the jawline a sleeker look, and firms the neck. The skin is then pulled back over the area of the incision and the excess skin is removed with a laser or knife. The incision is then closed with stitches, sultures, or tissue glue.The stitches are placed within the hairline so they are hidden. The surgery takes about 2 to 4 hours depending on the extent of muscle and tissue work. There are other methods to achieve a younger looking face, that require less time for recovery, such as the K-lift™ or liquid facelift with restylane, perlane, belotero, radiesse, juvederm, scultpra, artefill, or fat.

Many other types of facial lifts are favorable including the mini-lift due to its short recovery time, the S-lift and the K-lift™ which focuses on the lower part of the face (neck and chin), mid-facelift which includes small incisions in the hairline, above the ear, and inside the mouth, and the Tissue-glue facelift which uses tissue glue to seal the incisions made. Some non-surgical techniques are also available with lower costs and fewer risks. Thermage or thermacool uses radio frequency to activate the body's natural collagen, and causes the skin to tighten and contract. This technique is best used for slight wrinkles, and the results can last from six months to two years. Ultherapy uses sound waves to achieve facial and neck tightening. Another alternative is the ThreadLift or FeatherLift, which involves inserting a needle with a surgical thread (or a non-absorbable sulture) into the skin. The thread is then pulled tight, and the muscle and tissue tightens with it. This technique leaves no scars, and the thread remains in the body. Some risks of facelifts include infection, scarring, reaction to anesthesia, hematoma, damage to facial nerves, necrosis, and alopecia at the incision site. These risks are minimal, and the procedure results in a younger looking you

What Does a Facelift Cost?

The average cost of a rhytidectomy (facelift) can range from $7,000 to $25,000, depending on what's being done and the problems being addressed. The cost of revision and corrective facelifts are higher. This encompasses the anesthesia, the fee for the facility, and the remainder is the surgeon's fee. Having more than one procedure at the same time, such as a browlift or eyelid surgery, may also be cost saving since the cost for the anesthesia and facility are being paid.

Are Facelifts Safe? 

Facelift surgery or rhytidectomy is a safe procedure if performed by experienced surgeons. Dr. Kassir performs many facelift surgeries per week and also corrects “botch” jobs.  That's why it's so important to pick your surgeon carefully and be an informed consumer. Be sure to direct any questions towards Dr. Kassir. It is normal to feel anxious or nervous about your new look. Afterwards you will have some swelling and bruising, and in a few weeks you will enjoy a rejuvenated look! Be patient. If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment. The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. Be sure to follow Dr. Kassir's instructions on how to take care of yourself after surgery.

Do you Need a Facelift?

Signs of an aging face:

1. Wrinkly skin: Over time your skin's natural collagen and elastin begin to breakdown, which causes wrinkles, lines, folds, and a sagging look. A facelift can help with the sagging skin, but problems such as lines and wrinkles can be better addressed with injectable fillers, and good skin care.

2. Sunken eyes: As fat under the eyes starts to descend, your face develpoes a more sunken look. This looks like a loss of volume around the cheeks, and can be fixed most efficiently with a blepharoplasty, small amounts of fat grafts, or injectable fillers as a non-surgical option. Your blepharoplasty can be performed at the same time as your facelift.

3. A saggy jawline: When the jawbone loses density over time, there is less of a structure for the skin to hang on to, therefore the skin begins to sag. To correct this, the loose skin must be excised and the remaining skin must be tightened by a facelift.

4. Bone changes: With time then density of the bones in the face begin to reabsorb. This makes the eyes appear sunken, the jawline becomes less defned, and the cheeks appear flatter. A facelift can help with these changes.

5. Loss of volume: As your face begins to lose fat, the skin begins to droop. The more fat that is lost, the more pronounced folds and lines are. Fat can be taken from a different areas and added during your facelift to add more volume. Fillers can also be injected either before or after your surgery to gve your face more volume.

What to know before you have facelift surgery:

1. Your facelift expectations need to be realistic: A facelift is designed to make your face look refreshed, younger, and fix any laxity. A facelift can't always eliminate every wrinkle and line, and doesnt mean you will look 20 years old again. Dr. Kassir explains that the goal is to create a younger version of yourself that gives you a "rested" and "natural" look. Dr. Kassir fequently reverses and undo's the "windblown", "pulled", and "Hollywood" look.

2. You will have scars after a facelift: Although techniques have improved throughout the years, a facelift still leaves scars. Dr. Kassir makes incisions along the sidburn and ear so they are hidden by the hair, and inside the ear canal. With most patients, scars improve over time and blend in.

3. There is some downtime after a facelift: It may take 10 days to a couple of weeks until you are ready to resume daily activities, and a few months until all of the swelling goes down. With most patients bruising is slight, and pain is minimal. Most patients report that although they barely have pain, there is a bit of tightness involved that will go away the more you heal.

4. Know what can and cannot be fixed with a facelift: A facelift is meant to restore a youthful shape to your face, but it will not improve the look of brown spots, fine lines, or the position or shape of your eyelids and eyebrows.


You should pick facelift surgery if:

1. You want long-term results: Unlike other age-reversing treatments like lasers and injectables (which don't address lack skin), the results of a facelift are very long-lasting.

2. There is loose skin: Loose skin  at the jawline and on the neck creates the look of a double chin or a "turkey waddle". Microliposuction can eliminate unwanted fatty areas, but loose extra skin needs to be excised.

3. There are lines and folds: Over time facial expressions cause the skin to crease and fold which causes lines. Although fillers can help eliminate these lines and folds, lax skin needs to be addressed with surgery.

4. You imagine how you would look with a facelift : If you pull your skin back and see how it would look tighter, a facelift is the only was to get long lasting, elevated results.

Are you a candidate for a facelift?

If your face is oval, you may benefit from a facelift. Hollowing in the temples and cheeks is common because of extra fat in the cheeks, which dissapates over time. Fillers and/or fat fill out hollowing; a mid-facelift helps with sagging.

If your face is round, you may benefit from a facelift. The cheeks and lower face may sag. A lower facelift, which targets the lower part of the face, is the best option. The cheeks can be resculpted by injecting fat and/or fillers.

If your face is rectangular or square, you may benefit from a facelift. loose skin and sagging jowls on the lower part of the face tend to be the biggest problems. A traditional facelift is likely the most effective solution as it addresses jowling and lax sking.

If your face is heart-shaped, you may benefit from a facelift. The forehead and upper eyes are most affected. Since the cheekbones are higer than square faces with flat cheekbones, hearts-shaped faces tend to ages slower.

Facelift: Questions & Answers

Why is there still problems with my chin post-facelift?

Patients having jowl problems post-surgery usually have their problems addressed quite fully with fat injections. Glandular problems and exposed glands can also be addressed by the excision of skin.

How effective is an endoscopic lift vs. midface lift?

Endoscopic facelifts, though not being as mainstream as open surgery, are minimally invasive procedures which presents many advantages to younger people who are not in need of a major surgery. It has a very limited effect on the neck and jowl region, but allows patients to have a lower risk of potential nerve damage and is very effective in dealing with minor facial deformities such as cheek sagging. It cannot, however, be used to perform neck lifts or major operations which would normally require a facelift procedure. Therefore, for people who are in need of a facelift but do not require or want the invasiveness of open surgery, endoscopic surgery is a good option.

Opinions on Acculift vs Fillers?

I remain quite distrustful of these gimmick procedures, especially when they claim to replace the need for fillers and face lifting procedures. Until scientific evidence is provided which shows that these procedures actually have a better effect, I would stick with tradition.

Can I have another facelift 7 years after my first?

It is certainly possible and safe to have another facelift only 7 years later, however it may not be necessary to go that far. You may only need to have a Mini Facelift or use injectable fillers (perlane, restylane, radiesse) to supplement the Facelift as you continue to age.

What differentiates plastic surgeons from otolaryngologists?

Generally, plastic surgeons are trained in general surgery followed by more in-depth training of actual plastic surgery whereas ENT training starts with general surgery and is followed to be ENT training (which includes facial and neck reconstructive surgery). Again, it is best to find the reputation of the doctor in terms of facial surgery and examine before and after photos to evaluate their work.

Is the facelift procedure different for a patient with sleep apnea?

Patients who have severe sleep apnea and require a CPAP machine should be monitored 24 hours in a hospital following the facelift to avoid a severe apnea episode.

How do I treat my parotid fistula post-facelift?

The best treatment for this would probably be the use of a Scopalamine patch and having a patient keep a very bland diet until saliva output decreases. Again, however, this problem is usually very temporary and the patient should remain calm.

Is puffy loose skin normal post-facelift?

Generally, as I tell my patients, the first couple of weeks following surgery are the worst in terms of appearance as the swelling and bruising are beginning to come in full force. It is probably best to wait before considering options like volume injections or laser resurfacing around the mouth.

What can be done about my droopy smile?

Fillers can be used on patients who are having droopy corners on their mouths when they smile.

Does a facelift address the eyes and neck?

Facelifts generally do not include the eyes and neck and instead encompasses the reposition and tightening of facial tissue around the cheeks and the very upper neck. Necklifts and blepharoplasties (eyelid surgeries) are considered entirely separate procedures.

Can I have a neck lift following a platysmaplasty?

Patients looking to have a revision neck lift following a platysmaplasty may have lost significant elasticity in the first procedure, but can still have the neck lift done in a relatively short period of time.

What is the Segmental Stepwise facelift?

I would remain wary of such “gimmick” procedures which promise much but actually provide little.

What are good solutions to correct bottom-heavy faces?

Possible procedures include:
• Suction of the neck and jaw line to remove your submental fat pocket and define your neck/face junction
• A short scar face lift with neck liposuction

What are some non-invasive procedures for the chin and neck?

To be frank, there are very little procedures, besides the facelift, which can be done for patients demanding significant improvement in the neck area. Certain procedures like liposuction or laser/ultrasound treatment can be somewhat useful, but are very short-term and offer little when compared to a face/neck lift.

What can I do if I have uneven scarring after a facelift?

You should be examined by a certified facial plastic surgeon who will be able to perform a scar revision surgery for you. There are suturing techniques that can be used to help prevent this from happening.

Can neck sagging be treated with a facelift?

Often, patients dealing with neck sagging can have their issues addressed without a facelift procedure. Liposuction and neck skin resection may be all that is needed, but again consult with your plastic surgeon about your option.

How do I know if my surgeon will do a good job?

When trying to find a good surgeon for a facelift, it is best to find one with a good reputation and to also consult with them to find the best possible surgery for you. Looking at before and after photos can also be helpful.

Can I have bone grafting done during my facelift?

It is definitely possible for patients to have bone grafting procedures done concurrently with the facelift. Yet, I would not recommend having the bone grafts taken from the face itself as altering contours of the face can do some serious damage for the facelift as a whole. I would recommend places like the elbow or the hip for better bone harvesting.

Why do I still have jowling post neck and chin lift?

Generally, after a face and neck lift, one would expect any jowling before surgery to be gone. However, it all depends on the extensiveness of the facelift and whether the deeper SMAS tissues responsible for jowling were addressed at all. Again, though, patients must remain patient even months after the procedure before they start making judgment calls.

Can hyperpigmentation be corrected post-facelift?

In cases of darkening of the skin following surgery, the usual causes lie with laser treatment. To alleviate these symptoms, hydroquinone products could be used carefully or Restylane filler could be used in the dark circles.

Can upper eyelid and facelift surgery be done under oral sedation?

Oral sedation works with good local anesthesia of the area being operated on. IV sedation does increase the risk slightly but will improve your overall comfort during the procedure.

What are good solutions for younger patients, other than facelifts?

For younger patients wishing to change their inherent facial structure, the facelift would probably not be the option to go for. Instead, non-invasive methods, like fillers, would be a far superior first line of treatment. Consulting with their specific plastic surgeons and obtaining a detailed exam and treatment plan would be the best option at this point.

Why should I have a facelift as opposed to less invasive procedures?

If patients are truly serious about long-term results, the facelift is probably the best option. Granted, some facelifts are more small-scale and less invasive than others, meaning less downtime and longevity, but, in general, facelift techniques which repair facial contours and rearrange muscles in the face are more long-lasting and provide for more satisfying results.

What does bulging several months post-facelift indicate?

Bulging after a facelift may be the result of several symptoms which require a more comprehensive face-to-face exam.

Will my dentures affect my facelift?

Patients who wear dentures normally should definitely wear them during the operation as they add additional volume to the face and allow the surgeon to get a better idea of how you present yourself to the world. Again, it is best for the surgeon to have a good picture of the patient’s normal daily face in order to best address their normal concerns.

When does muscle weakness recover post-facelift?

Generally, muscle weakness, if temporary, takes within 3-6 months to fully recover.

How can I treat heavy brows and nasolabial folding post-facelift?

Low brows can generally be treated with neuromodulators like Botox and nasolabial folds with fillers like Juvederm. Yet, partial MACS Lift surgery could also be an option. Consult with your plastic surgeon about your options.

What is the Swelling and Numbness after a facelift like?

Swelling and numbness are normal and expected post-procedure but they vary with the type of facelift procedure. Numbness may last for up to 1 year and will steadily dissipates month by month. Swelling may be extensive for the first three days but will steadily begins to disappear over a several week period. Some Tingling sensations are normal for up to 6 months. In the case of excessive swelling some oral steroids may help reduce swelling. Dr. Kassir avoids using drains or heavy bandages meaning that most patients tend to have minimal swelling,

Can an S-Lift help with jowling?

Generally speaking, the S-Lift is not a fully adequate procedure to use when patients want to address jowling. The S-Lift is more of a procedure which lifts the skin and does not frequently touch the deeper SMAS layers of muscle and fascia which control jowling. Perhaps a more invasive facelift is needed to address jowling.

My doctor is giving me a half-priced facelift. Should I do it?

As with most surgeries, it is probably best to remain wary of “discount” facelifts. Unless the doctor is a Board Certified Plastic Surgeon, it is not a good idea to undergo surgery.

Fillers haven't helped me. Do I need a facelift?

Just because the use of fillers was unsuccessful does not automatically mean that a patient requires a facelift. Flat cheekbones can corrected with fat injections and other areas can easily be corrected with microliposuction.

How can I deal with lateral sweeps post-facelift?

Patients dealing with lateral sweeps across their face should definitely wait for time to hopefully heal things. It is probably not the best option to select fillers and patients should instead look for other methods like massage which do not interfere with lift.

Is the neck area cut during a facelift?

Generally, it is the neck lift procedure which relies on the incision around the neck to tighten and remove excess skin in the area. Doctors may cut there during a facelift as well if they deem it necessary.

What is the general format of a facelift?

A traditional facelift is an extensive procedure which involves an incision near the hairline that extends behind the ear. During this procedure, excess skin is cut and the remaining skin is pulled and sutured. This surgery is more frequently used for those with excessive neck fat and it corrects skin laxity in the lower face.

What can I do about swelling and pulling around my earlobes post-facelift?

Patients should remember that swelling following facelift surgery is extremely common, but should also take care not to touch the areas around the earlobes too greatly because results may be altered tremendously. If pulled earlobes are a major concern, patients should talk with their surgeon immediately.

Should I have a facelift or a hemi-facial spasm surgery first?

The best route, in my opinion, would be to do the latter surgery before the facelift.

Are raised sideburns a concern post-facelift?

Generally, most facelift operations are made to have scars that look as inconspicuous as possible. Scars, in an effort to avoid raised sideburns, may be placed horizontally along the top of the ear.

Can nerve damage be cured by facial exercises?

After a facelift, it is probably best for patients to wait at least a year before making any judgement calls. Facial exercise at this point are useless.

What are the surgeon's incision techniques for facelifts?

The reason why surgeon use different incision techniques mainly boils down to training and experience. The best surgeons, as implied, will attempt to create the shortest scars possible while being able to manipulate the skin and deeper tissues.

How can I fix my droopy cheeks?

Without photographic evidence, it is difficult to actually prescribe a line of treatment for patients. However, for droopy cheeks, I would say that the best method of treatment would be a cheek lift. Consult with a plastic surgeon about this and patients who have had this done.

Did I get unsatisfactory results from my MACS Lift?

What patients must remember is that MACS Facelift only yield good results on a certain handful of patients. It is a surgery which produces fullness in the cheek area, but may require a lower eyelid lift in order to reduce bunching from the underlying tissue. However, patients should wait several months before making any judgement calls.

Any recommendations for facelift surgeons in South Florida?

The ASPS website has a physician locator feature that will provide a list of qualified surgeons. It is probably best to consult with several surgeons in order to find the one that best meets your needs.

How can I address my lower cheek fat loss?

Lower cheek fat loss is probably best addressed without the use of invasive procedures especially if recovery time is a concern. Fat grafting could be an option, but again there is the possibility of major downtime and more procedures needed to be done in the future. Probably the best option would be to fill the cheeks with Perlane or other fillers to address volume problems.

Will staple removal combat tightness in the skin?

Generally, tightness in the face is more related to returning nerve sensation and tension on the skin post-op. Therefore, removing staples would probably do very little in terms of alleviating tightness in the face.

What are cost-effective facelifts?

Many patients with minimal jowling and slight neck skin excess will do great with a mini facelift provided that the procedure takes care of the SMAS. If patients have excess jowling and neck skin then a traditional facelift is probably in order. Again, price should probably not be the guide and patients should do their research when selecting a surgeon and procedure.

What is facelift acupuncture?

Personally, I do not approve of unproven, “gimmick” procedures like facelift acupuncture especially because they offer no elevation of the face.

How can I address jowling without scarring?

Generally, jowling is best corrected with a full facelift. However, the scars, depending on the skill of the surgeon to make them inconspicuous, are usually not as noticeable as patients may believe and can be hidden by the earlobe and hairline.

When can I chew gum post-facelift?

It is probably best for patients post-surgery to refrain from repeated facial movements (chewing gum , etc.) for about 3 weeks.

Will swelling stretch the skin appreciably?

Generally, swelling within the first few weeks of surgery, though seeming like a lot, will not stretch the skin to any appreciable degree. The results of the facelift will largely remain intact.

Is Beverly Hills the only place to get quality plastic surgeons?

Though it may seem like all the best plastic surgeons are in the Beverly Hills area, there are plenty of other surgeons throughout the country who can probably do the same work for a cheaper price. Most board-certified plastic surgeons are perfectly capable, but patients must make sure to check credentials and certifications beforehand.

Can facelifts treat neck banding?

Banding in the neck can generally be treated quite adequately with a facelift. Most likely, patients would require a lower facelift designed to tighten the neck muscles and to redrape the skin.

If I'm dealing with skin laxity post-facelift, is a revision necessary?

Patients who are still dealing with skin laxity post-op especially after a period of many weeks are usually in need of a revision facelift surgery. Excess fluid present in the neck could also be a problem and could be easily drained and the skin could be redraped behind the ears.

Are there any vitamin treatments which would help with my facelift results?

Consulting with the plastic surgeon may be the best idea when dealing with vitamin supplements. However, a proper intake of Vitamins A, C, E, etc. may be required.

How effective is a Ultrasound facelift?

Ultrasound facelifts send energy through the skin to stimulate cells to produce collagen. This adds some amount of volume to the skin and tightens. Ultrasound facelifts such as Ultherapy are not as effective as traditional Facelift. With multiple sessions Ultrasound facelifts can yield some decent results in areas such as the brow, neck, and chin.

Can buccal fat pad suspension help with jowling?

The buccal fat pad is located in an area superior to the fat around the jowls and thus will have very little impact on jowling if suspended. The true method to treating jowls consists of an SMAS Lift possibly combined with fat resection.

How do I combat excess fat after a maxillofacial surgery?

Patients who have excess fat above and below the platysma post-maxillofacial surgery could have many of their problems with a neck lift combined with a platysmaplasty designed to remove this fat and sew the platysmal muscle next to the hyoid bone.

How long do PSP Facelift and MACS facelifts last?

The effects of these surgeries can last up to 10 years. As with any facelift the results don’t last indefinitely because skin continues to sag, and muscle continues to get weaker. Exactly how much sagging occurs depends upon your genetics and facial structure.

When is the minimum age for a facelift?

A facelift is not done based on age, but rather based on the symptoms of a patient. Generally speaking, skin laxity is the number one issue for which a facelift is necessary, an issue which is rarely present in younger patients (who more often have problems relating to volume loss).

Will sagging occur post-op?

Generally, the results of a brow and facelift are expected to last for about 5-10 years, but can vary due to the patient’s health and lifestyle (smoking, exercise, etc.). However, after the surgery, the patient will continue to age normally and should not have any distortions with the aging process.

What should I look for in a revision plastic surgeon?

Surgeons doing revision surgery generally should be more experienced in order to ensure a low complication rate. Make sure to examine before and after photos before deciding on a surgeon.

What can I do about scleral show?

People who have severe concavities in their lower eyelid can often find that procedure designed to lift and tighten the lower lid will help. Midface lifts are usually not needed in this case.

How can men cover facelift scars?

The main areas for men to hide facelift scars would be in front of the ear and behind the ear. Sideburns could be especially helpful in hiding more prominent scars and the hairline should help with the less conspicuous ones. Makeup can also be used to hide the redness of the incisions after about one week.

What Can I do about the laxity under my eyes?

Two good options to address laxity under the eyes while avoiding changing eye lid shape are the Lower Lid Lift, and Cheek Lift. The Lower Lid lift is a procedure that removes excess skin, and the Cheek Lift actually lifts cheek tissue. You can also address it with injectable fillers (Perlane, Restylane, Radiesse), energy devices (Ulthera, Thermage, Radiofrequency) and lasers (CO2 laser resurfacing like Fraxel).

When will I look "normal" after a facelift?

Generally, patients should be looking at a healing time of 2 months or so following a facelift for results to begin to normalize.

What does a MACS facelift/PSP facelift cost?

Depending on the patient, a MACS/PSP Lift is expected to fix the jowl line and trim excess skin in the submental region. Yet, nasolabial folds are generally not fixed with this procedure and must be treated with the use of fillers.

Where can I start looking for good plastic surgeons?

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com).

What is your opinion on endotine periorbital lifts?

Endotine, for me, does not have a useful role in facial rejuvenation. It is a foreign body and creates unnecessary scarring and inflammation. The best option would be to consult with a plastic surgeon trained in problems of facial aesthetic surgery.

What non surgical options can are available for jowling?

Energy devices such as ultrasound (Ultherapy) and radiofrequency (RF) can improve jowling. Injectable fillers can also camouflage jowling by creating a straighter jawline.

Did my doctor mess up my fat transfer?

Irregularity following a fat transfer, especially one done very poorly, can be common. Patients, however, should be wary of worrying too much and should let time go by a little before making any calls.

How can pixie ears be corrected post-facelift?

Generally, pixie ears can be easily corrected by elevating the remaining lobe and closing off the scar area.

Should I do fractional laser resurfacing before or after a facelift?

Patients deciding between doing either one of these procedures before the other can do any of these first, as long as the two procedures are separated by a period of 6 months. Laser treatment should probably be done later though as a way of combating the wrinkles which may appear after the facelift.

How should I handle myself post-op?

As soon as movement is possible, try to walk frequently (3-4 times per day) in an effort to boost circulation and avoid the development of deep venous thrombosis (potentially fatal blood clots in the veins of the leg). It is also important to avoid lifting heavy objects until approved by your surgeon and avoid steam rooms and saunas as well as niacin-containing medicines (and possibly foods) for a while due to their tendency to cause facial flushing. Also avoid consuming alcohol or aspirin-like products (e.g. Ibuprofen) without the surgeon’s approval.
Also, expect to return to work within two weeks. Any major events should be within one to four months of surgery.
In an effort to avoid swelling, it is advisable for patients to sleep with their heads elevated, either by sleeping on two pillows or using a wedge-shaped foam pillow. Keeping the head still during sleep is important as well so as not to pull on delicate sutures on the face. Sleeping on a recliner would most likely be the best option to avoid patients rolling over and disrupting facial changes.

How long is recovery post deep-plane facelift?

For an invasive surgery like a deep-plane procedure, the swelling will usually last for several weeks to several months. Patients should expect to out of work for at least 2 weeks and should plan on having someone take care of strenuous activities and tasks where bending is needed.

Is it better to have different surgeons for different procedures?

It may seem like a better idea to have different specialist treat different aspects of the face, but patients must remember that surgeons can often specialize in several different things, meaning that different procedures can be done all at once. Again, consultation is probably key, so see which surgeons you feel comfortable with.

Can you differentiate between a mini facelift and a full facelift?

A mini facelift, as suggested by the name, is less invasive than a full facelift and relies mainly on lifting the jowl area and providing minimal tightening of the skin. A full facelift, however, goes deeper affecting the SMAS layer under the skin, repositioning facial contours, tightening the neck muscles, etc.

Contact Jaime to find out more. Click here or call 973.692.9300

Dr. Ramtin Kassir © 2018

Top Plastic Surgeon in NJ | Plastic Surgery NJ

Click to contact us

Disclaimer: This site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. For more information about plastic surgery, contact Dr. Kassir.