Facelift  – For a Younger looking you

As an Oculoplastic surgeon, Dr. Amiya Prasad’s approach to facelifts, mini facelifts, and all other cosmetic procedures is to maintain the unique facial characteristics of the individual so they still look like themselves, but about 10 years younger.

In Dr. Prasad’s experience, when a face lift is done well, a person will get a lot of comments about how great they look, but not get any comments about having had cosmetic surgery.

Facelift Patient Before and AfterFacelift Patient Before and After

What is a Facelift?

Facelift, also referred to as rhytidectomy, includes different types of procedures that lift and tighten the sagging skin and deeper tissues (SMAS – superficial musculoaponeurotic system) in the cheek, jawline and neck area. Different procedure terminology can be confusing.

Terms such as “deep plane facelift”, “SMAS facelift”, “high SMAS facelift” or mini facelift can result in confusion about which procedure is right for you. As a specialist and Oculoplastic surgeon with extensive experience, Dr. Amiya Prasad will customize the procedure to your needs.

Benefits of Facelift Surgery

Although aging is inevitable, having a face lift surgery can improve your appearance so that you can look 10-15 years younger. An artistically performed facelift can boost your self-esteem and confidence both socially and professionally.

Facelift illustration-Prasad Cosmetic

A facelift procedure will:

  • Restore sagging or loose skin of the face or neck resulting in improvement in the jawline and neck definition.
  • Tighten the facial structure under the skin.
  • Improve the contour of the face.

What is a “SMAS”?

The term “SMAS” is an acronym for “Superficial Musculo Aponeurotic System”. This is commonly referred to as “the muscle” which needs to be tightened. Another way to think of it is as a foundation for the skin to provide the structure needed for the skin to be properly redraped.

The term “facelift” refers to the surgical lifting of sagging SMAS and skin from the upper cheek area to the jawline and part of the neck.

Is a facelift the same as a necklift?

No. The term “neck lift” refers to surgery to define the area from the jawline to the middle part of the neck, also referred as “lower facelift”.When the muscle under the neck called “the platysma” is weak or separated, a procedure called a “platysmaplasty” or “corset platysmaplasty” is performed to help restore the contour under the chin.

Often a face lift procedure is a combination of facelift and neck lift. The incisions are made from the temple area to behind the ear so the face and neck can be lifted effectively.

Dr. Prasad’s facelifts include the SMAS and the space below the SMAS, often referred to as the deep- plane facelift. Tightening the SMAS and the platysma for a deep plane facelift are often necessary to achieve better and longer lasting results.

deep plane facelift before and after left three quartersdeep plane facelift before and after

Less extensive procedures where the neck doesn’t require extensive lifting can be done with a shorter incision, referred to as a short scar facelift, also known as mini facelift. Short scar facelifts are appropriate for people who want to lift a sagging jawline, but don’t have skin, deep tissue or muscle laxity at the neck.

Platysmaplasty – Limited Neck Lift

An isolated or limited neck lift can be performed where the muscular bands, or platysmal bands, at the neck are addressed by a procedure called a “platysmaplasty” and/or “submentoplasty”. The procedure aims at raising the loose skin from the jaw line to the lower part of the neck.

Different methods can be used for a neck lift. This can be done with a facelift procedure, but can be performed separately as well .

Before and After pictures here.
Platysmaplasty - Neck lift

Unique Expertise in the Deep-Plane Facelift

The deep-plane facelift refers to a procedure that goes into a deeper layer beneath the skin and beneath the SMAS. Performing a facelift from this deep tissue area often results in a longer lasting facelift.

While some cosmetic surgeons claim exclusivity and expertise with the deep-plane facelift, it is actually a well established technique practiced by experienced cosmetic surgeons who perform all types of facial surgeries. In contrast to many cosmetic surgeons performing the deep-plane facelift using general anesthesia, Oculoplastic surgeon Dr. Amiya Prasad performs the deep-plane facelift using local anesthesia with his sedation method called LITE™ IV sedation.

This approach makes the surgical experience much easier on many patients when compared to general anesthesia. Dr. Prasad has observed faster healing process, and greater ease in recovery.

How to choose a facelift surgeon

Dr Prasad-Facial Surgery-Facelift.png

People considering facelift surgery search tirelessly to find “the best”. Several “top doctors” and “best doctors” directories are advertisements and manipulated by the selection process and ballot stuffing.

Certain professional organizations will claim their board certified doctors are superior to other doctor with certifications from competing organizations.

As stated by the American Board of Medical Specialties (ABMS), “there is no certification that guarantees performance or outcomes”. Choosing your surgeon requires more than knowing that the surgeon passed an exam.

In fact, no board certification measures a surgeons artistry, technical skills and ethics.

In addition to knowing that your surgeon has appropriate training and more than a few years of experience, here are some questions which you can ask yourself at the time of a consultation:

  • Does the surgeon spend more than a few minutes with you?
  • Do you feel the surgeon is an effective communicator and understands your concerns?
  • Have you seen the surgeon’s own before and after photos?
  • Do you know that facelift surgery can be performed without general anesthesia?
  • What is your impression as to the sincerity of the staff and their enthusiasm for the surgeon’s face lift results?

Dr. Amiya Prasad is a “super specialist” Oculofacial Cosmetic Surgeon and is a Diplomat of the American Board of Cosmetic Surgery (Board Certified).

Dr. Prasad has established his exceptional position as a leader in Facial Rejuvenation surgery including eyelid surgery and facelift surgery by being a clinical instructor in facelifting surgery as well writing his highly regarded book, “The Fine Art of Looking Younger”.

Consultation room-NYCReception area-Office-New York

Facelift Recovery – Dr Prasad innovative method

The Quick Recovery Facelift was designed by Oculoplastic surgeon Dr. Amiya Prasad for the person with busy and modern lifestyle. After some time, Dr. Prasad found that patients who sought a face lift had hesitance because they didn’t want to appear unnatural or show obvious signs of surgery.

Patients also did not want the long period of recovery and did not want an ineffective “short cut” procedure. Dr. Prasad’s Quick Recovery Facelift was developed to provide his patients with minimal risk, maximum gain, and quick recovery.

Performed under local anesthesia and light sedation, the Quick Recovery Facelift is a 2 to 3 hour procedure. An incision is made typically increase between ear and face and slightly around the earlobe through which the surgery is performed. The patient will be able to return home about 1 hour after the procedure with only a small bandage and antibiotic ointment. Recovery time is about 1 week.

Quick Recovery Facelift

Why choose the Quick Recovery Facelift?

For patients who seek a better alternative to other face-lifting procedures available, the Quick Recovery Facelift has many advantages compared to a traditional face lift.

  • The Quick Recovery Facelift is performed under local LITE™ Anesthesia, which is safer than general anesthesia used for most face lift surgeries.


  • The Quick Recovery Facelift produces a shorter scar as the incision is a lot smaller and does not go to the temple. Because of the way the incision is made, hair loss is minimal (if any) and the sideburn is preserved. With the Quick Recovery Facelift, the patient goes home on the same day of surgery. A traditional facelift usually involves an overnight hospital stay with a private duty nurse.


  • A traditional facelift can result in a slanted or pulled look. The Quick Recovery Facelift restores the natural relationships of the skin, tissue and muscles of the face, resulting in a natural, youthful appearance that will last long.


“Quick Recovery Facelift” vs. “The Traditional Facelift” & “The MACS Facelift”

Traditional Facelift MACS Facelift Dr. Prasad’s Facelift
4 hour procedure 2-4 hour procedure 2-3 hour procedure
Typically performed in hospital or operating room with overnight stay. Performed in a hospital or operating room with an overnight stay. Performed in state of the art office suites. Go home about 1 hours after the procedure.
General anesthesia General anesthesia often used Local anesthesia (Intravenous sedation as needed)
Large scar behind ear-Sometimes requires loss of hairline in that area Incision scar next to outer corner of the eyelid can be long and obvious Smaller scar found typically in crease between ear and face and slightly around the earlobe (customized to the degree of loose skin)
Large bandage over face that need to be changed periodically. Drains left in for the first few days. Large bandages on the head and neck until the day after surgery. Small bandage and antibiotic ointment. Drains not necessary. Comes off in under a week.
4 week healing period 2-3 week healing period On average 1 week healing period
Risk of plastic appearance Cheeks look round and puffy. Natural appearance

Dr. Amiya Prasad is a certified Cosmetic Oculofacial Plastic Surgeon, specializing in the eyes and the face. He has been practicing for over 16 years and is also a member of the American Society of Plastic and Reconstructive Surgery.

MACS Facelift vs Quick Recovery Facelift

The MACS (minimal access cranial suspension) facelift was a popular choice in the mid 2000’s because it promised limited invasiveness and a short access scar, which would result in faster healing. A short scar unfortunately limits how much the neck can be addressed. Many people who have the MACS or other “short scar” facelifts feel over tight and still have significant loose neck skin.

The goal of a facelift or face and necklift is to improve the appearance of the jawline and neck and create a natural appearance which is long lasting.

Dr. Prasad’s customizes his face and neck lift procedures so the client gets the best results that go with traditional surgery but with the benefits of a shorter recovery time seen with procedures such as the MACS lift.

Facelift Patient Before and AfterFacelift Patient Before and After

Are you a candidate for a Facelift?

Facial aging, which is a combination of volume loss and descent, varies from person to person depending on their genetic, skin type and environmental factors such as stress or sun exposure. We had patients from age 37, having a short scar facelift, up to 87 year old.

A facelift improves one’s appearance and can boosts one’s self-esteem, however it is not for everyone. Good candidates have:

  • Sagging or loose skin on the face or neck
  • Good overall health
  • Skin elasticity and suppleness
  • Strong bone structure
  • Realistic expectations

Some patients might be able to reach their aesthetic goals with a less invasive procedure, such as a chemical peel, microdermabrasion, or the Micro Fractional CO2 Laser Treatment .

Patients who understand both the possibilities and limitations tend to be happier with the results that can be achieved by a facelift. A proper consultation with Dr. Prasad will help determine if you are a candidate for a facelift surgery.

deep plane face and necklift before and after 2 weeksdeep plane face and necklift before and after 4 weeks

How is the Facelift procedure done

Dr. Amiya Prasad performs all facelift procedures under his own approach using local anesthesia with LITE™ IV sedation for his patients;a great advantage for busy people who want to improve their appearance and confidence without having to take weeks to recover.

Make the right choice about the type of anesthesia

Facelifts are extensive surgical procedures that last for hours, and most cosmetic surgeons perform facelifts under general anesthesia. The term “general anesthesia” means

  1. The patient is unconscious and breathes with the aid of a respirator.
  2.  Higher rate of surgical and anesthesia related complications.
  3.  Longer recovery times due to the systemic effects of prolonged general anesthesia
  4. Generally associated with more swelling and bruising from events such as severe coughing spells after tube is removed from the throat.
  5. Nausea and vomiting after surgery due to the use of opioid medications such as high dose fentanyl

Facelift Recovery

By using his Quick Recovery method for Facelifts, Dr. Prasad’s patients are able to return to their normal lifestyle faster than the more common facelifts performed under general anesthesia. The recovery time for most patient is about 1 week, with overall less downtime than traditional face lift methods.

Patients generally feel good afterwards and rarely have any significant discomfort. Typically, our patients return to work in about a week after facelift surgery. The typical bruising and swelling associated with our facelifts is minimal and our patients are often surprised about having no significant pain or discomfort.

Risks of facelift surgery

Facelift surgery has risks typical of any surgical procedure including bleeding, infection, and undesirable results. During your consultation, Dr. Prasad will review the risks and benefits of facelift surgery with you.

Follow up

Follow up care is a very important part of the long term benefits of facelift surgery. We see our patients on a specific schedule after surgery for about 1 year.

We have an “open door” policy with our patients in that they are welcome to come in as often as they need to in order to address any concerns. During follow up visits, our patients are often so excited about their results that they often ask about other procedures such as Hydrafacial, Restylane, Botox/Dysport, Radiesse, PRP and other services our office provides.

deep plane face and necklift before and after 4 weeks right three quartersdeep plane face and necklift before and after 4 weeks right three quarters
Can I do other procedures at the same time as a facelift?

Yes. Our patients will often choose to combine their facelift with other procedures to help them look even better. Procedures such as cheek implants, chin implants as well as fractional CO2 laser can be done at the same time as a facelift.

Procedures to enhance the eyes and brows such as eyelifts, eye bags reduction, and eyebrow lift can be performed as well.

Can I have laser skin resurfacing at the same time as a facelift?

Yes. Dr. Prasad uses the latest Micro Fractional CO2 Laser Treatment to improve the appearance of wrinkles, scars (such as acne), and discolorations (such as from sun damaged skin) while it smoothes and tightens the surface of one’s skin, and boosts collagen production.

Facelift as the Foundation for Volume Enhancement

Facial aging involves sagging and descent of the skin, including volume loss from diminishing bone, muscle, fat and soft tissue of the face. Since the foundation of the skin is sagging, fillers often can appear unnatural when placed. The term “pillow face” has been used to describe many people who get “overfilled” because their skin is so loose. The facelift surgery restores the foundation of the face so additional weight and volume from fillers can be placed more strategically.

Many patients who undergo facelifts also opt for long and short term solutions for volume enhancement techniques to get the optimum result in their facial appearance. Volume enhancement can include procedures such as :

  1. Submalar and cheek implants
  2. Non-surgical options with facial fillers such as Restylane and Juvederm.
  3. Other methods include fat grafting to areas such as the sides of the mouth to reduce lines and creases that form in facial aging.

A common issue people often confuse with facelifts to address the jowl area is the mandibular notch, which is located at the edge of the jaw. Volume is lost in this area with aging, and the skin tends to dip inward, leaving a notch in the jawline. This is treated with a placement of a facial filler like Radiesse can give a smooth, continuous contour to the jawline. Some people choose to have a more long term solution such as a pre-jowl implants.

lower face enhancement of mandibular notch and mesolabial fold

jowl improved with injection – no surgery

It is important to understand that adding fillers to sagging skin and tissue can lead to unattractive or amorphous results, colloquially referred to as “pillow faces”. If you desire to look better before having your facelift, Dr. Prasad will place the facial fillers in an artistic way so the face looks more structured and balanced.

State of the Art Facilities in New York City

Prasad Cosmetic Surgery-Review Garden city-Office

Prasad Cosmetic Surgery has two locations in New York where we can perform facelifts in our own surgical facilities: Manhattan and Garden City, Long Island. Our facilities are Joint Commission Certified, and designed for your safety, comfort and convenience.

Commonly asked questions

How much does a facelift cost?

The term refers to a range of procedure, full facelift, short scar facelift and/or neck lift. It is also often associated with volume enhancement methods with fillers or eyelift surgery to remove eye bags if necessary .

The cost is determined individually. Insurance does not cover any costs related to facelift or any cosmetic surgery.Contact our patient coordinator to arrange your consultation.

Are there any facelift alternatives ?

Many “revolutionary” procedures and devices claim to be produce facelift results without surgery. They do not. Clever (and expensive) marketing combined with manipulated photos (Photoshop) and persuasive testimonials have resulted in many people wasting money time and even be worse off than when they started.

The latest heating devices are not only failing to deliver results but are actually causing the skin to lose youthful fat and accelerating the aging process.

Can I do something before I schedule my facelift?

Yes. With the understanding that a nonsurgical procedure does not replace a properly performed facelift, Dr. Prasad will customize a solution which can help you look better.

Some of these non-invasive procedure include the Vampire Facelift, facial fillers such as Restylane, Radiesse as well as Botox or Dysport. During the consultation, Dr Prasad will help you decide which solutions are best for you.

How much does a facelift cost?

The term refers to a range of procedure, full facelift, short scar facelift and/or neck lift. It is also often associated with volume enhancement methods with fillers or eyelift surgery to remove eye bags if necessary .

The cost is determined individually. Insurance does not cover any costs related to facelift or any cosmetic surgery.Contact our patient coordinator to arrange your consultation.

Facelift – Questions and Answer by  Dr. Amiya Prasad, M.D.


What results can I expect from a Face Lift?

What is the best alternative to a face lift?

Why Does One Typically Have to Stay Overnight After a Face and Neck Lift?

Is It Advisable to Consider a Facelift with an Oculoplastic Surgeon?

While Reviewing Post Facelift Photos on Surgeons Websites I Have Noticed a Few Variations in Outcomes?

Can facelift, nose Job, upper Blepharoplasty and fat transplant at the same time?

Im Scheduled for a Facelift in June/July. What Else Would You Recommend For Facial Symmetry?

I Tie my Hair Up to Give Myself a Psedo Face Lift. Would an Actual Lift Give the Same Look?

Where Can I Find a Facelift Surgeon Who Will Actually Address my Entire Face?

Face Lifting and Fillers to Pump Up My Face?

Several Asymmetries, What Can Be Done?

Extended Recovery After Facial Surgery, Is Swelling and Distortion Normal 3 Months Post-Op

Face/Cheeks Falling Apart (I am only 17)?

Why Do Some Doctors Say to Expect Feeling Depressed After a Full Face and Brow Lift?

How Long Does a Facelift Last?

What is a liquid facelift?

What Are the Pros and Cons of a Face Lift?

Facelift While Botox or Fillers Still Active?

When is a Face Lift the Best Choice?

Will I Need a Facelift to Fix my Neck?

Differences Between Traditional Facelifts Depending on the Surgeon

Do I Need a Facelift? What Happened to Me? I Look 20 Years Older

Face Lift to Reshape the Face

is 26 is Too Young for Mid Face Lift?

Do I Need a Facelift at 35?

Male, 40: Ready for a Facelift?

What is the Minimum Age for a Facelift? Do You Need to Be a Certain Age?

Why Are So Many Plastic Surgeons Opposed to Facelifts at a Young Age?

Would Getting a Facelift in Your 40's Guarantee That You Would Need One in Your 50's?

Can One Safely Take Fish Oil and EFA Pre and Post Op Facelift?

It is Safe to Take Amoxicillin 875 Mg Week Before Facelift Surgery?

Is It the Nicotine Itself That Constricts Blood Vessels?

Is It Unwise to Chew Gum After Facelift Surgery?

What Types of Medication Are Routinely Given for Swelling and Pain After a Brow Lift and Full Eye,face and Neck Lift?

What Can I Do About my Very Uneven Face?

Do You Have to Lose Weight Before Getting a Facelift?

Facelift Vs. Fat Injections to Look 5 Years Younger?

How Long Does Tightness Last After Facelift?

What is Best Procedure for Mild Sagging in Lower Face and Below Eyes?

Can a Face-lift Help Wih Malar Bags and Sagging Skin at 40?

Do Microcurrent Face Lifts Work?

What is the Best Procedure to Lift the Midface?

Are my Slanty Eyes After Midface Lift Permanent?

Why Such Conflict of Opinions on Deeplane Facelifts Being 'Natural' or 'Windswept Look'?

Can You Have a Mid-face (Check) Lift After a Traditional Face Lift or Are There Conflicting Issues?

Asymmetrical Face - Makes Me Appear Angry, Please Help Me to Pinpoint the Problem Areas?

Who Has the Most Risk of Scarring After Surgery? (Age-wise)

What is the Minimum Number of Face and Brow Lifts a Doctor Should Have Performed?

Facelift Scheduled in March. Is It Normal to Have Alot of Anxiety?I Have a Great Doctor....but the General Anesthesia Scares Me!

Why Do Surgeons Choose One Incision Technique Over Another?

Could my Facelieft 8 Years Ago Be Causing my Headaches?

Will Insurance Help with Facelift?

My Mother is 80 Years Old and Wants to Have a Facelift. Is She Too Elderly for Plastic Surgery?

Aftercare For Facelift and Upper Eyelid Surgery for a Patient With Severe Sleep Apnea?

On a Deep Plane Facelift...is Facial Nerve Injury Risk Very High?

How Long Does the Quicklift Last?

How Long After Having a Bad Cold is It Safe to Have a Facelfit?

What Can I Do About My Long Face?

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