Facelift: 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.
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.
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.
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 . If you would like to know more about the Neck lift procedure, see here.
Before and After pictures here.
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.
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
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.
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
The patient is unconscious and breathes with the aid of a respirator.
Higher rate of surgical and anesthesia related complications.
Longer recovery times due to the systemic effects of prolonged general anesthesia
Generally associated with more swelling and bruising from events such as severe coughing spells after tube is removed from the throat.
Nausea and vomiting after surgery due to the use of opioid medications such as high dose fentanyl
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 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.
Click to see more about the Quick Recovery Facelift and how it compares to the traditional facelift
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 :
- Submalar and cheek implants
- Non-surgical options with facial fillers such as Restylane and Juvederm.
- 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.
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 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 question
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 to choose a facelift surgeon
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 Diplomate 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”.
Dr. Prasad continuously receives praise for his style of consultation where he spends a lot of time meeting with his patients and learning about the details of their desired results. His surgical technique and artistry has resulted in people coming from around the world for his facelift surgery.
Do facial exercises address sagging?
No. Facial exercises cannot change the support tissue called the “SMAS” (superficial musculoaponeurotic system) or the skin. Paradoxically, people come to have injections like Botox and Dysport to relax muscles responsible for the formation of wrinkles.