Facelift

Over time, as the skin loses its elasticity and begins to sag, wrinkles begin to develop along the eyelids and forehead, deep creases appear beside the mouth, along with jowls at the jawline and loose folds and fat deposits along the neck, Facelift is the procedure to address those issues.

These aging symptoms can be further exacerbated by the sun and the general stresses of daily life. The facelift also referred to as rhytidectomy, is a cosmetic surgery procedure designed to counteract the signs of aging in the mid to lower face and neck. During surgery, the muscles are tightened and excess fat and skin are removed in order to restore a more youthful and refreshed facial appearance.
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Facelift Best Candidate

Candidates for facelift surgery are generally healthy, do not smoke, and have realistic expectations for the outcome of the surgery. They are typically looking to improve sagging in the midface, deep creases below the eyes and between the nose and mouth, jowls, and areas of loose skin and fat beneath the chin and jaw.

The best results are achieved on patients whose skin has some elasticity. Patients should be aware that the facelift does not address the brow area or eyelids, which can be better treated with a brow lift or eyelid surgery.

The most important preparation for a facelift is to avoid all blood thinning medication and supplements. Stop taking aspirin, Advil, Naprosyn, Motrin, and herbal medications such as St. John’s wart and vitamin E in excess of 400 mEq.

The Procedure

Dr. Miller and Dr. Steinbrech perform facelift surgery on an outpatient basis at their JCAHO Accredited office-based surgery facility at Gotham Plastic Surgery of New York City. General anesthesia or IV sedation may be used and surgical times average two to three hours.

The incisions for the facelift are concealed in areas in front of and behind the ears and in the hairline.

A traditional full facelift address the face, jowls, and neck by lifting and repositioning the muscles and deeper tissues, removing excess fat and trimming excess skin.

Patients requiring less extensive rejuvenation around the eyes and mouth, including nasolabial folds and other deep creases, may be candidates for the limited-incision facelift. This procedure involves short incisions at the temples and around the ear, and possibly in the lower eyelids/and or under the upper lip.

The Recovery

New York Facelift Anti-Aging ProcedureAfter surgery, some amount of swelling and bruising is common. Patients may experience some discomfort, especially a feeling of tightness or tension in the areas of the face and neck. Bandages are applied after surgery. Drainage tubes may also be applied at the incision sites to collect excess fluids but these are generally removed on the day after surgery. Stitches and/or surgical clips are removed after one week. Patients generally find that they can return to work after two weeks, though healing will continue for six to nine months.
 
 
 

SMAS Deep Plane Facelift

FAQ

Question:

I’m interested in a facelift. I really want a very natural look… I don’t want to have that windswept look. Are there some techniques that are better at achieving a natural look?

Answer:

Facelift techniques that involve repositioning skin and deeper tissues up and slightly back (as opposed to straight back) can avoid the windswept look.

Question:

What tools and techniques do you implement to make sure I won’t have a plastic surprise look after my facelift?

Answer:

The most important component is repositioning the tissue upward and not backward. The pulled look comes from an overly stretched lift with the main direction of the pull toward the back of the heard, and not upwards.  A consultation with the doctor will help determine what the final look will be.

Question:

I’ve been doing my research on a facelift versus a mini facelift. What are the pros and cons of each?

Answer:

The difference between a facelift and a mini facelift relates more to the length of the incision than anything else. Patients with a lot of extra skin need the longer, extended “full” facelift, while those with minimal skin excess require shorter “mini” scars, hence the term “mini facelift.”

Question:

What can I do to prepare for my upcoming facelift? Are there any special regimens, supplements, or products that might help me achieve better results (or help me recover)?

Answer:

The most important preparation for a facelift is to avoid all blood thinning medication and supplements. Stop taking aspirin, Advil, Naprosyn, Motrin and herbal medications such as St. John’s wart and vitamin E in excess of 400 mEq. A full listing of supplements to avoid is listed on my website.

Plastic Surgery from Head to Toe

At Gotham Plastic Surgery, we create custom treatment plans that combine minimally-invasive techniques and advanced technology to help patients achieve the best version of themselves. Our unique NatraFace™ approach addresses both restorative and transformative changes.

Gotham’s expert physicians perform advanced surgical and non-surgical procedures that smooth the skin around the eyes to give patients a refreshed look. Our custom NatraEye™ technique combines the use of chemical peels, lasers, eyelash enhancement, and injectables with precision procedures, including:

Our esteemed surgeons utilize the NatraNose™ technique to bring together innovative artistry and unparalleled skill to deliver results that look natural, improve nasal function, and help achieve each patient’s aesthetic goals.

Regardless of your aesthetic goals, Gotham has the skill and technique required for the breast procedure that suits you. Whether adding symmetry or restoring the breast following a mastectomy, Gotham provides patients with enhanced feminine contours and improved body proportions.

Patients from all over the world have undergone amazing body transformation at Gotham, enjoying slimmer bodies with satisfying contours. Our advanced physicians apply their skill and expert technique to precisely sculpt other areas of the body, including the cheeks, chin, buttocks, hips, love handles, knees, upper arms, thighs, and even the neck.

Known for our flawless techniques and a range of skincare options, Gotham Plastic Surgery has all the tools necessary for complete, natural, and comprehensive rejuvenation. As part of a customized treatment plan, these procedures can be performed standalone or in combination with surgical procedures for even more impressive results.

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Trust the Experts

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

The Plastic Surgery Podcast

Dr Miller
Episode 36: Do You Have to Break the Nose for Rhinoplasty?

Dr Philip Miller

  • Episode 36: Do You Have to Break the Nose for Rhinoplasty?

    2 min
  • Episode 35: Do You Have to Stay Overnight After Having a Rhinoplasty?

    2 min
  • Episode 34: Don't Have a Rhinoplasty!

    2 min
  • Episode 33: Endonasal or External

    1 min
  • Episode 32: Are You a Candidate?

    2 min
View all Podcasts
Plastic Surgery w/ Dr. Miller

Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

View in App Store >
Plastic Surgery w/ Dr. Steinbrech

Plastic Surgery w/ Dr. Steinbrech

"Men’s Plastic Surgery" is an app created by renowned plastic surgeon Dr. Steinbrech, board-certified by the American Board of Plastic Surgeons under the American Board of Medical Specialties. With this app, you can peruse specials, check out unique promotions, view before and after photos, and join our private social media community.

View in App Store >