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What is a facelift?
Your Guide to Facelifts
Many people desire to reverse signs of aging on their skin, and a facelift is arguably the most transformative procedure to accomplish this.
Your skin fundamentally changes as you age, producing less collagen and elastin (the proteins responsible for skin structure) and changing based on its environment.
Excess sun exposure and other lifestyle factors can directly affect your skin’s appearance. Some patients prefer to refer to this as a cheek-neck lift.
Like any aesthetic procedure, a facelift is never a one-size-fits-all process. This surgery is very nuanced, and to get the best results, you’ll need to understand your options for a facelift and work with an expert.
What is a facelift?
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At its core, a facelift is a procedure where a plastic surgeon “lifts” the face by separating under the skin and muscle and re-suspending the tissues. The result is a drastic improvement in the cheeks, jawline, jowls, and neck skin.
Many patients combine a facelift with a blepharoplasty (eyelid rejuvenation), brow lift, and/or lip lift for complete facial rejuvenation.
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What a Facelift Can Treat
Jowls
Extra neck skin
General facial laxity
Sagging cheeks
Nasolabial folds
Marionette lines
Facial volume loss
Now that you know what a facelift is, it’s important to note that there are several facelift types.
Types of
Facelifts
Deep Plane Facelift
Learn MoreA deep plane facelift is the most common facelift Dr. Pearlman performs. Experts consider this the most natural-looking facelift because it rejuvenates muscle laxity and tightens skin in one procedure.
The deep plane facelift will also help address flattened cheeks and deep nasolabial folds that might not be addressed in a standard SMAS facelift.The results appear natural due to the elevation and resuspension of both the muscle and skin tissues.
Mini-Facelift
Learn MoreAlso known as a “short flap” facelift, a mini-facelift rejuvenates the lower half of the face and is ideal for patients with minimal sagging and excess skin in the lower face along the jawline.
SMAS Facelift (Rhytidectomy)
Learn MoreA SMAS facelift gets its name from a layer of tissue beneath the skin—superficial muscular aponeurotic system. This facelift technique lifts and tightens underlying musculature before trimming excess fat and skin.
Male Facelift
Learn MoreA male facelift differs from a female facelift in the incision that is not as easily covered by hair. Dr. Pearlman works with men’s unique anatomies to create a surgical plan to create the most natural results possible.
Neck Lift
Learn MoreA neck lift is a part of a facelift. Also known as a lower rhytidectomy, a neck lift surgically tightens your neck by addressing the platysmal bands, removing excess skin, reduces fat deposits, and eliminates banding. A neck lift can be performed alone without addressing the jawline and has shorter incisions than a facelift.
Non-Surgical Facelift
Learn MoreWe don’t consider any procedure a true “non-surgical facelift,” as minimally invasive procedures simply cannot have the same level of results as surgery.
Though nothing fully substitutes the results of an expert surgical facelift, we do offer several options if you are looking to get some improvement without surgery.
Liquid Lift
We can use facial fillers and neurotoxins to achieve a “liquid facelift” by using specific formulas that work well to fill in the cheeks and other areas of the face, giving a small lift and refreshed appearance.
FaceTite and Morpheus8
FaceTite is a minimally invasive procedure that uses radiofrequency energy to contour the jawline and neck and tighten skin. We can combine FaceTite with Morpheus8, an RF microneedling technique, to significantly improve skin laxity. Another treatment option is ultherapy. We can find the best treatment or combination of treatments for you during a consultation.
Recovery
Facelift Recovery Time
The recovery period after a facelift depends on the type of facelift you receive and other factors. Typically, mini-facelift patients return to their normal routine after a week and a half. The healing period after a deep plane facelift goes up to 2-3 weeks.
If you would like to have your results fully healed before a big event such as a family wedding, Dr. Pearlman recommends at least 2 to 3 months or more for full recovery. However, you should feel comfortable at most events after 3 to 4 weeks.
Our team will provide you with detailed information on what to expect after a facelift. Unless you receive a mini-facelift, we require all of our facelift patients to stay overnight in our facility with our nurse. Our team provides in-depth recovery guidelines and facelift recovery tips.
Facelift Recovery
Step 1.
After surgery, we often use drains in the neck to prevent any fluid from accumulating under the skin. We usually remove these drains the morning after surgery before the patient returns home.
Step 2.
Six days post-op, we remove sutures in front of the ear where the skin is thinner.
Step 3.
Eight days post-op, we remove the sutures along the hairline where the skin is thicker.
Step 4.
Approximately a week and a half post-op, most bruising has gone away. Until this point, you can cover such bruising with makeup.
Step 5.
Two weeks post-op, most patients can return to work if they don’t mind that some swelling is still present.
Step 6.
At 2-3 weeks post-op, most patients are presentable for social situations.
Step 7.
Between 3 weeks to a month, patients can resume almost all functions.
Facelift Before & After Results
Choosing the Right Surgeon
With any work on the face, patients should always choose a board-certified facial plastic surgeon to get the best facelift results. Dr. Pearlman spent his entire medical residency and fellowship training in cosmetic and reconstructive surgery, specifically on the face.
He became intimately familiar with the anatomy and surgery of the face, both inside and out. Now, having been in practice for over 32 years, Dr. Pearlman consistently delivers facelift results that last and look entirely natural.
To quote the American Academy of Facial Plastic & Reconstructive Surgery, “Trust your face to a Facial Plastic Surgeon.” Dr. Pearlman advises his friends and family to do the same in order to receive the best facelift results.
Top Rated Facial Plastic Surgeon
Dr. Pearlman
Get expert insight.
Ready to find out if a facelift is right for you? Try an instant virtual consultation or schedule an in-person consultation with Dr. Pearlman.
Frequently Asked Questions
Deep Plane Facelift
Facelift & Mini Facelift
Facelift Types
Male Facelift
Non-Surgical Facelift
Am I a good candidate for a deep plane facelift in NYC?
Patients of a variety of ages can benefit from a deep plane facelift. Younger patients who see the early signs of sagging and jowls can look years younger, while older patients can restore jawline definition, youthful cheeks, and smooth jowls and facial creases with a deep plane facelift.
How long can I expect my results to last?
A highly skilled and experienced facial plastic surgeon can make all the difference. With Pearlman Aesthetic Surgery, you can expect a beautiful and natural transformation that is long-lasting, with skin that looks many years younger until you get back to where you were when you had your facelift.
Will there be visible scars?
Deep plane facelift incisions typically heal with minimal to no visible scarring. A deep plane facelift does not create an unnatural tension or pulled look to the skin. Without tension on the incisions, they will heal to the point of being virtually invisible.
Are there risks associated with facelift surgery?
While they are rare, risks can occur with facelift surgery, as is the case of any surgery. Risks include hematoma (a collection of blood causing swelling under the skin), which can be treated promptly; nerve injury which is rare and can be treated with surgical intervention; hair loss near the incision site, which can be temporary; and very rarely, skin loss near incision site due to interrupted blood supply, which can be treated with medication, wound care and procedures to minimize scarring.
How long is the recovery period from a facelift in NYC?
After a mini-lift, patients can often return to work or their normal routine in about a week and a half. This goes up to two weeks for a deep plane facelift. However, for important functions such as your daughter’s wedding, Dr. Pearlman suggests at least two to three months or more for full recovery.
How long will the facelift results last?
A facelift is a permanent procedure, but that doesn’t mean it stops the aging process. You’ll continue aging like everyone else, but you’ll have bought yourself more time, and it will take years off your skin’s appearance with beautiful rejuvenation.
How much does a facelift in NYC cost?
The cost of a facelift in NYC varies greatly from patient to patient, depending upon multiple factors. Such factors include the technique Dr. Pearlman chooses to use, as well as the patient’s unique facial anatomy. In general, a facelift will range anywhere from $15,000 to $35,000. Dr. Pearlman will determine your personal facelift quote after a consultation with him.
I don’t want to look “pulled.” Will my facelift look natural?
The key to a natural-appearing facelift is to release and pull tightly on the muscle under the skin called the SMAS. Then the skin can be gently laid down and trimmed without tension. Patients who look “pulled” either had a skin-only facelift, too many facelifts, or the muscle and skin were not released and pulled in the wrong vector. It’s important to drape down the SMAS and skin along natural tension lines for a natural look, which is how Dr. Pearlman performs his facelift surgeries in NYC.
What questions should I ask during my facelift consultation?
To get the most out of your facelift consultation, Pearlman Aesthetic Surgery advises you to ask the following questions
- Are you certified by the American Board of Facial Plastic & Reconstructive Surgery?
- Do you have hospital privileges?
- Which facelift technique do you recommend for me?
- What can I expect for my follow-up?
- Am I genuinely a good candidate for this procedure? and ask for MANY before and after photos, ideally finding patients with similar signs of aging
Will there be scarring from the facelift surgery?
Though any major surgery will result in a scar, facelift scars are typically hidden by the hairline and the natural contours of the face and ear. Additionally, Dr. Pearlman employs a meticulous closure technique, resulting in a virtually invisible incision once fully healed. As such, facelift scars are generally not noticeable to the untrained eye and unless someone is inspecting your face very closely.
Am I a suitable candidate for a male facelift?
If you are experiencing obvious or advanced signs of facial aging, you are likely a candidate for a male facelift. You can try a quick experiment to determine if you’d benefit from a male facelift: Place your hands along the middle of your jaw with your index fingers pointing up and your thumb hooked under the jaw. Now pull your skin up towards the ears. Do you like what you see? If so, you’ll likely benefit from a male facelift.
Generally speaking, you’re a suitable male facelift candidate if:
- You look older than you feel
- Your skin looks worn, tired, and wrinkled
- You feel your appearance holds you back professionally or intimately, or makes you feel self-conscious
- You want to remove wrinkles, creases, a “turkey neck” or jowls.
- You understand that a male facelift will reverse signs of aging, but won’t prevent aging altogether
- You don’t smoke, or you’re willing to stop smoking before and after the procedure
- You’re in good mental and physical health
Am I a suitable candidate for a mini facelift?
Mini-facelifts are ideal for people with early signs of aging, such as early jowls and mild sagging of the skin. As such, you’re the ideal candidate for a mini-facelift if you’re in your late 30s to 50s , and you’ve started noticing signs of aging. Patients in their mid 50s on can also opt for mini-facelifts, provided they don’t have severe sagging and wrinkles.
You should consider a mini-facelift if you’re unhappy with your current facial appearance, look tired, or have jowls, wrinkles, sagging skin, or hollow cheeks. You should also be in good health, and you must stop smoking for at least a month before the procedure. Besides these general guidelines, Dr. Pearlman will examine your facial anatomy and discuss your cosmetic goals to determine if you’re a suitable candidate for a mini-facelift.
How do I know if I’m a suitable candidate for a SMAS lift?
You’re very likely a suitable candidate for SMAS facelift if you’re experiencing moderate to severe signs of aging, such as deep nasolabial folds, wrinkles, facial creases, sagging skin, etc. Place your hands along the middle of your jaws with your thumb hooked beneath the jaw, and then gently pull your skin upward towards your ears. If you like how taut and smooth your skin now appears, you should consider a SMAS facelift.
The SMAS facelift is most popular amongst patients in their late 40s and early 50s, but this procedure also helps patients who are younger.
Dr. Pearlman will carefully examine your facial anatomy and discuss your goals for the procedure to determine if it or another style of facelift would be most beneficial. But broadly speaking, you’re a suitable candidate if you:
- Have moderate to severe signs of aging, including facial creases, wrinkles, and sagging skin
- Want to look and feel a lot younger
- Are in good physical and mental health
- Don’t smoke, or are willing to stop smoking before and after the surgery
- Have realistic expectations about the procedure results.
What can a SMAS facelift achieve?
A SMAS Facelift, also known as a rhytidectomy, is a surgical procedure that restores a youthful appearance to the lower-half of your face, addressing problems such as sagging skin, excess fat, loss of volume, jowls, and other age-related cosmetic concerns. It creates a tighter and more youthful appearance by manipulating the SMAS muscle and tissues deep to the skin’s layers, making deep-seated modifications.
Dr. Pearlman is one of New York’s most esteemed facial cosmetic surgeons and he invests the time and care into a careful examination of your facial anatomy and a discussion of your cosmetic goals to curate the ideal SMAS facelift treatment plan for you.
What is a mini-lift?
The mini-facelift is generally used to treat early signs of aging, when you have minimal sagging and early jowls in your lower face and neck. This procedure is often called a “short flap” facelift because of the type of incision used, extending from the top of the ears, going down the small rectangles at the opening of the ears (tragus), and ending just behind the earlobes.
These hairline incisions are used as entry points to pull your skin upwards and trim away the excess skin tissues, resulting in tauter and smoother skin and a more youthful jawline. The mini-facelift tightens the SMAS, an area of musculature on the lower face, providing a youthful facial contour. The mini-facelift is ideal for young patients who don’t yet have heavy jowls or excessive sagging of the skin.
Am I a suitable candidate for a male facelift?
If you are experiencing obvious or advanced signs of facial aging, you are likely a candidate for a male facelift. You can try a quick experiment to determine if you’d benefit from a male facelift: Place your hands along the middle of your jaw with your index fingers pointing up and your thumb hooked under the jaw. Now pull your skin up towards the ears. Do you like what you see? If so, you’ll likely benefit from a male facelift.
Generally speaking, you’re a suitable male facelift candidate if:
- You look older than you feel
- Your skin looks worn, tired, and wrinkled
- You feel your appearance holds you back professionally or intimately, or makes you feel self-conscious
- You want to remove wrinkles, creases, a “turkey neck” or jowls
- You understand that a male facelift will reverse signs of aging, but won’t prevent aging altogether
- You don’t smoke, or you’re willing to stop smoking before and after the procedure
- You’re in good mental and physical health
Are more men getting plastic surgery?
Every year the surveys from the AAFPRS and ASPS show that men are getting more facial plastic surgery and significantly more minimally invasive procedures such as Botox and fillers.
Are there risks associated with facelift surgery?
While they are rare, risks can occur with facelift surgery, as is the case of any surgery. Risks include hematoma (a collection of blood causing swelling under the skin), which can be treated promptly; nerve injury which is rare and can be treated with surgical intervention; hair loss near the incision site, which can be temporary.
How long is the recovery period from a male facelift in NYC?
After a mini-lift, patients can often return to work or their normal routine in about a week and a half. This goes up to two weeks for a deep plane facelift. However, for important functions such as your daughter’s wedding, Dr. Pearlman suggests at least two to three months or more for full recovery.
How long will the male facelift results last?
A facelift is a permanent procedure, but that doesn’t mean it stops the aging process. You’ll continue aging like everyone else, but you’ll have bought yourself more time. Many years of time. The facelift procedure will take roughly a decade of age or more off your face.
How much does a male facelift in NYC cost?
The cost of a facelift in NYC varies greatly from patient to patient, depending upon multiple factors. Such factors include the technique Dr. Pearlman chooses to use, as well as the patient’s unique facial anatomy. In general, a facelift will range anywhere from $15,000 to $35,000. Dr. Pearlman will determine your personal facelift quote after a consultation with him.
I don’t want to look “pulled.” Will my facelift look natural?
The key to a natural-appearing facelift is to pull tight on the muscle under the skin called the SMAS. Then the skin can be gently laid down and trimmed without tension. Patients who look “pulled” either had a skin-only facelift, too many facelifts, or the muscle and skin were pulled in the wrong vector. It’s important to drape down the SMAS and skin along natural tension lines for a natural look, which is how Dr. Pearlman performs his facelift surgeries in NYC.
What questions should I ask during my facelift consultation?
To get the most out of your facelift consultation, Pearlman Aesthetic Surgery advices you to ask the following questions prepared by the American Society of Plastic Surgeons:
- Are you certified by the American Board of Facial Plastic & Reconstructive Surgery?
- Do you have hospital privileges?
- Which facelift technique do you recommend for me?
- What can I expect for my follow-up?
- Am I genuinely a good candidate for this procedure? and ask for MANY before and after photos, ideally finding patients with similar signs of aging
Will there be scarring from the facelift surgery?
Though any major surgery will result in a scar, facelift scars are typically hidden by the hairline and the natural contours of the face and ear. Additionally, Dr. Pearlman employs a meticulous closure technique, resulting in a virtually invisible incision once fully healed. As such, facelift scars are generally not noticeable.
What does a non-surgical facelift cost?
As your treatment will be custom-tailored to treat your individual issues related to aging skin, only a personal consultation will reveal what treatments will be most effective for you, and the costs involved. A non-surgical facelift is less costly than a surgical lift, but the actual cost varies, patient to patient, based upon need. The goal, which we consistently achieve, is a significant level of facial rejuvenation.
What is the cost of a liquid facelift?
We uniquely formulate each liquid facelift to meet your individual needs. Each treatment plan requires a different amount of syringes and types of fillers. Therefore, the costs will vary from client to client. We can give you a definitive quote for your treatment during your private consultation at our New York City offices. We can also help you secure the financing from a large array of trusted healthcare lenders.
What non-surgical treatments work best for facial rejuvenation?
Additional treatments for skin rejuvenation and resurfacing, or to restore even skin tone by addressing hyperpigmentation issues such as age spots and sunspots, can leave you looking years younger. As this is a customized process, knowing exactly what aesthetic procedures will produce the most beautiful outcome will require an in-person evaluation of your current skin condition.
Who makes the best candidate for a non-surgical facelift in NYC?
If you feel frustrated with looking tired and older than you feel, you may not need surgery to look years younger. The first step is to meet with us at our luxurious Park Avenue clinic where you can expect concierge-style service. We provide a full range of services and amenities, as our patients deserve a positive and pleasurable experience. Dr. Pearlman offers the most advanced anti-aging treatments available in the USA and will customize your non-surgical facelift for a look that is fresh, natural, and youthful.
About Dr. Pearlman
Dr. Steven Pearlman is a distinguished reconstructive and facial plastic surgeon in New York City. Operating out of our office on Park Avenue and with a wide range of professional credits, he is also an educator and humanitarian.
Dr. Pearlman is uniquely board-certified in both Facial Plastic & Reconstructive Surgery and in Head & Neck Surgery.
Pearlman Aesthetic Surgery
Through innovative, cutting-edge technology coupled with an intuitive understand of how to accomplish each patient’s unique objectives, our surgeons consistently deliver exceptional cosmetic surgery results.
Located on Park Avenue in Manhattan, Pearlman Aesthetic Surgery is your premier destination for refined, natural-looking results and premium care for everything from rhinoplasty and body contouring, to non-surgical options for facial and body rejuvenation.