Skip to content

Facelift Surgery – For a Younger Looking You

As a renowned facial cosmetic surgeon with precision artistry, 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. He has dedicated his career to performing full, extensive facelift surgery for the best results possible, but with quicker recovery techniques such as using local anesthesia with LITE™ intravenous (IV) sedation.

In Dr. Prasad’s experience, when a facelift 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.

A full facial analysis with Dr. Prasad will help determine the specific procedures you may need to achieve your renewed look that complements, not changes, your unique facial character, and realizes your aesthetic goals. To set up a consultation with Oculofacial plastic surgeon Dr. Amiya Prasad, you may contact us by phone or email. Our offices with full surgical suites are located in Manhattan, New York City, NY and Garden City, Long Island, NY. We welcome patients from all over the world for aesthetic facial rejuvenation.

  • What is a Facelift?
  • Facelift Recovery
  • Are you a candidate for a Facelift?
  • FAQ
Facelift Patient Before and After - front view
Facelift Patient Before and After - front view
before and after facelift surgery on 50 yrs old female patient left quarter view
DR. PRASAD’S FACELIFT STYLE IS ABOUT RETAINING UNIQUE FACIAL CHARACTERISTICS, BUT LOOKING NATURAL AND CONSIDERABLY YOUNGER.
Facelift Patient Before and After in three-quarter view
DR. PRASAD’S FACELIFT STYLE IS ABOUT RETAINING UNIQUE FACIAL CHARACTERISTICS, BUT LOOKING NATURAL AND CONSIDERABLY YOUNGER.

Celebrity tabloids revel in evaluating celebrity facelifts, often commenting on the quality of the facelift, and whether there is a drastic alteration to the appearance. This popular type of analysis and commentary raise some important questions. What is the goal of a facelift? Do people want a whole new face? Do they want to go from their sixties to their twenties in one fell swoop of the scalpel? It is important to understand the problems facelifts address to answer these questions.

In human society, we all make quick decisions about people based on their faces.

Ralph Waldo Emerson

19th Century American philosopher and poet

What is a Facelift?

Facelift surgery, or a rhytidectomy, is a well-known procedure used to lift the sagging skin, muscle, and soft tissue of the face. Over the past century, the procedure of facelifting has undergone many changes. Techniques which were standard as far back as the late 1990s have been redeveloped to ensure safety and quicker recovery.

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.

During Dr. Amiya Prasad’s years of training as an Oculoplastic surgeon, and as a cosmetic and reconstructive facial plastic surgeon, Dr. Prasad came to realize that “aging is less about lines and wrinkles and more about general deflation or overall facial volume loss”.

Terms such as “deep plane facelift”, “SMAS facelift”, “high SMAS facelift” or mini face lift can result in confusion about which procedure is right for you.

Today, most people do not wait until they look “old” before pursuing cosmetic surgery. They want to keep the face they have, but with an enhanced appearance that still looks natural. The goal is to look refreshed and youthful, while still retaining the unique characteristics of your face. Facelift surgery is now routinely performed under local anesthesia with LITE™ sedation as an outpatient procedure in our accredited operating rooms, and with significantly reduced downtime and quicker recovery.

Hi my name is Dee, I’m 72 years old. I came here to see Dr. Prasad because I’m interested in having a facelift an eye job because of the fact that I don’t feel 72 years old. I’m very active. I’m still working. There are times at work where people look at me and say “Oh you look so tired and you haven’t slept.” But I do sleep, I have a good night sleep and I still look exhausted. I’m just became a grandmother at the age of 70. I love to keep with the little girl. They’re twins. When we’re out, everybody knows I’m their grandmother but there are times when they look and say “Oh, you look so young.” But the last couple of years, I think gravity has taken a toll. I’m looking forward to taking this journey with my daughter. I don’t want people to see only a difference when I go back to work but to say that I look well rested. They think I took a mini vacation and that’s exactly what I want them to think.

My name is Violet. I’m here at Dr. Prasad’s office because I’m interested in having some facial rejuvenation work done. I have recently lost my job and I’m back in the market place looking for a job and it’s tough out there. I’ve had very great experience but I’m up against candidates that are a lot younger. And I really want to look my best and feel my best. I think it’s great that most of the boys want you to have 15 years or more experience but they want you to look a little bit younger. So, that’s why I’m here for one reason is that I chose Dr. Prasad because he’s not only an excellent surgeon and a super specialist, since I’m having my face and eyes done, it is so important I think that you have a surgeon that’s also an artist, someone who understand that balance of the face. Also in my case, I’m in my 50s. I don’t want to look like I’m to be 20 or 30. I just want to look the best of my age. My mother’s also going to get some facial work done and we both chose Dr. Prasad because she’s in her 70s, I’m in my 50s, we have different needs and Dr. Prasad understands amazingly the differences and the details. He has those subtleties and the mastery and I wouldn’t entrust my face to anyone but him. I just wanted to go and have this journey with you because it’s important to me. I said to do it together. I said you there for me and I’m there for you. And I’m looking forward to everyday that we do the recording and take this journey and show people that it can be done. And it’s nothing to be afraid of.

We were so close. Most people think we’re sisters anyway but you know, what you want to get done, what I want to get done it’s a little bit different and it’s great that we’re using Dr. Prasad because he looks at you and knows what you want. He looks at me and knows what I want and we have similar features which is interesting. He knows exactly how to do the difference and I like that. And I’m looking forward to that and I think it’s great that we’re doing it together. I also like the fact that you are doing it because you are so talented and you can’t find a job. And when I think about people that and you come home and you feel down and looking at your face and then looking at your brain, wow, she can really bring something to this company. And you always feel come home and you always got turned down only because of only the way you look and I think that’s so unfair. I’m not doing it for that purpose, I have job and I love my job and want to keep working for another 10 years if I could but i just want to look as good as I feel. I’m the same weight as I was 40 years ago and I love to be outdoors. You know how I love gardening. You know that I have these grandchildren, we have two twin girls. I love playing with them. I want to be active with them. I think the worse is when people say, you look tired. That gets to me because you know, when you sleep and you feel great and “Oh you look so tired.” All of a sudden you feel tired.

It’s a few minutes before I go into surgery. I got to Dr. Prasad office about 9:30 and they got an IV in me and Valium. I feel relaxed. I’m looking forward towards the surgery. It feels great that they made every accommodation for me to feel relaxed and positive. This is how I look now and the next time you see me, I’ll be all bandaged up and on my way to recovery. I’m looking forward to it. It’s 10 days after my cosmetic surgery with Dr. Prasad and I’m in his office for a follow-up. I feel great. I can’t tell you how wonderful it is for the whole experience. No pain with minimal swelling. I still have a little bruising in the right side of my neck over here a little behind my ears. But I don’t have make-up on at all right now so this is great, I know if I put a little cover-up on, I’ll be able to go out. You won’t even be able to notice it. But it’s been amazing. I can’t believe it’s only 10 days after. It healed so quickly, he did such a great job. I’ve seen other photos of men and women who have had cosmetic surgery and done and their face has been puffed and swollen for a lot longer.

I’m just so shocked I never had that and I guess that’s one of the reasons why I chose Dr. Prasad because he has a technique where there’s a little swelling afterwards and that makes a great difference with the recovery. As far as the procedures i have done. I had my uppers and lowers done. I had necklift and a facelift. The best thing was when I came to Dr. Prasad, I told him what I wanted to achieve, I wanted to look younger. I want to look like I wasn’t tired. I didn’t want to look 20, I wanted to look good for my age. And was great is that he recommended what I should get to get the effects that I wanted which I appreciated. It wasn’t that I walked in and needed a facelift or I needed eyelift. He really tailors and customizes what he thinks you want to achieve.

He listens to what you want and then he makes his recommendations which is really great. That’s why he’s a super specialist and when it comes to the face, I would never go anywhere else but to Dr. Prasad. It’s the face and the eyes that you look like yourself just better and with a great doctor. The stay feel wonderful. They make you feel great. I feel like I’m in spa than in a doctor’s office. So it’s been a great experience.

Exactly 6 days ago, I had my procedure. I had upper and lower lid surgery. I had a face and chin lift. Today I’m at Dr. Prasad’s office and his staff checked all the stitches. Felt like nothing. Felt a little bit of pulling, that was it. I feel really good. through the whole 6 days, I’ve had no problem. I didn’t even have to take a Tylenol except for a two days later, the way I was sleeping, I bothered my neck a little bit. Other than that, I feel great. Every time come, I get a bigger smile in my face because I realize how great I look.

Even bruised, I still feel terrific. I can’t tell you how wonderful it feels. And the staff and Dr. Prasad, there’s no words that I can tell that I’m 72 years old and I feel terrific. Hi it’s been now 4 months since I had my procedure. When I came to see Dr. Prasad, I was concerned because I didn’t feel old but I looked old. I was 72 years old and I still work and I enjoy going to work and I enjoy what I’m doing but people kept thinking I was tired. I explained to him how I felt. I didn’t want to look 20-30 years younger, I just wanted to look the way

I felt and he did everything I could ever imagine. I get compliments that I don’t look tired anymore. A couple of good compliment when people come up to me and say “You look like my age.” Well, I say “How old are you.” And they say, “I’m 58.” And I say “We’re about the same and the truth is I’m 72 and I don’t feel like it.” When my daughter and I did this together, the procedure, she had hers done a week prior to mine and at least we were together and we kept notes, we did videos, we logged everything. I had no pain maybe a little numbness once in a while by my ears. That’s it and it’s been 4 months. I couldn’t be any happier. I’m so pleased. Wait till you see my daughter.

It’s been 4 months since I had my cosmetic surgery. I’m extremely happy with the results. I recently seen a girlfriend of mine whom I haven’t seen in approximately 14 years. She was visiting from Los Angeles and she couldn’t believe that I didn’t age. She said “You didn’t age one bit.” And she was looking for tell-tale signs of facelift which she could find and I was really happy about it. I did tell that I had a little bit of Botox and Restylane but she just couldn’t believe how good I looked but I actually had a lot of help from Dr. Prasad. I feel like I look like myself. I don’t have a face that looks very stiff or artificial. Sometimes I see people who had some cosmetic work done and they lose a lot of their expressions and character so I feel like I look like myself when I look at the mirror, I just feel that I look like a better younger version of me. The other great part of it is, is that I have been out of a full-time job over a year and I have been job interviewing and I’m with people who are a lot younger than me. I’m in my 50s and I recently got a very good job offer. And it culminated so perfectly between getting the cosmetic surgery, uplifting my spirits. Obviously projected in my image and having a career going and I’m 50 something.

I feel amazing. I feel so good for 72. I have the energy. It goes with the face. And I get compliments that people think that I’m in my 50s or my 60s and that’s really a good feeling. This is my daughter and we went through this together and it is the greatest journey. I can’t imagine my side in going through this with her. And of course what can we say about Dr. Prasad. No words can express how grateful we are. It was interesting to see her right after surgery, so smoothly. We recovered so quickly and so fast without incident it was amazing. Just to see how great she looks, she always looked her age but he had a tired look about her and she looked in the mirror and didn’t feel great about it. So she looks great.

I feel really refreshed and young. It’s nice to have my jawline back as far as definition. The most important thing is to find a really good surgeon because there’s a lot of people out there. I did a lot of research and go online and there’s sad stories in realself.com. Women who skimped on a facelift won’t leave their house afterwards because the scars and it got deformed and it’s really sad information out there but I really did my research and I knew Dr. Prasad and I figured when it comes to face and eyes, it’s so important with the surgeon you go with because this represents to the world for the rest of your life with your face and eyes. We’re so happy. We love him.

Facial Aging

The mid-face has a certain amount of fat that gives volume to the face, and brings the youthful suppleness that distinguishes a 20-year-old face from a 40-year-old face, even if the person has no other signs of aging.

When the fat found in the middle of one’s face begins to disintegrate, the shape and contour of the face changes – it becomes saggy and wrinkled due to the loss in volume. The facial fat pad located under the eye socket (orbit) changes shape, and gets smaller or moves to a new position. Mid-face implants can make a very dramatic difference in a person’s appearance. Usually, this procedure is performed along with a facelift or eyelift but it can certainly be performed on its own.

Benefits of Facelift Surgery

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

Facelift illustration by Prasad Cosmetic Surgery
THE GOAL OF DR. PRASAD’S FACELIFT IS TO LIFT SAGGING SKIN AND TISSUE TO CREATE DEFINITION IN THE LOWER AND MID FACE – YOUNG FACES ARE NOT TIGHT, BUT WELL-DEFINED WITH YOUTHFUL VOLUME.

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 through the musculature and soft tissue.
  • Improve the contour of the face.

 

A Proper Facelift

The most important thing to remember is every facelift needs to be customized to the individual. Every approach to a facelift procedure must be individualized to properly address each unique concern a patient has, and to yield the best results possible.

Factors such as bone structure, looseness and elasticity of skin, ethnic/racial background, and state of health are all important to determine the type of facelift to be performed, and the extent of surgery needed. Not only will these factors have an effect on the success of the procedure, but also impact the longevity of the procedure. The best practice to protect your investment in a facelift is to do what you would ordinarily do to maintain good skin health, even if you decide not to get surgery: get plenty of sleep, stay out of the sun, exercise regularly, and eat healthily.

The facelift incisions that Oculoplastic surgeon Dr. Amiya Prasad executes are much smaller than standard facelift procedures of the past. Another very important difference is the level of anesthesia used and the downtime necessary. For most face lift procedures, Dr. Prasad uses local anesthesia with IV sedation, which reduces the downtime to 4-7 days. Procedures are performed in Dr. Prasad’s Joint Commission-accredited, state-of-the-art operating suites within the Manhattan and Garden City locations.

 

Three Types of Facelift Incisions

There are three different types of incisions that Dr. Prasad uses:

Short Scar Facelift

The short scar incision starts where the ear attaches to the face at the top, then extends along the inner edge of this connection, then finally swings around and behind the earlobe. The short scar facelift is ideal for younger patients, generally in their 40s to 50s, or in some case for people experiencing premature aging challenges who want to lift their mid-face, but still don’t need extensive lifting in the face and neck.

Short Scar Facelift incision diagram
Short Scar Facelift patient Before and After results - three-quarter view
Short Scar Facelift patient Before and After results - three-quarter view

 

Facelift

Even though this scar is larger than the short scar procedure, they are generally not visible and tend to heal very well. Dr. Prasad also uses extracellular matrix (ECM) for advanced wound healing to further diminish any visible signs of the facelift incision, which if often combined with laser treatment and platelet-rich plasma (PRP).

Facelift incision diagram
Facelift patient Before and After surgery
Facelift patient Before and After surgery

 

Face and Neck Lift

The face and neck lift is recommended for older patients who need more extensive lifting of the skin and soft tissue. The incision is larger though still located in front and behind the ear. While all facelift incisions also lift the neck, this longer incision lifts the neck and underlying tissues more extensively for the benefit of older patients.

Face and neck lift incision diagram
Face and Neck Lift patient Before and After surgery - three-quarter view
Face and Neck Lift patient Before and After surgery - three-quarter view

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 necklift. 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.

The Decision

I’m Rose Scalia, I’m 63 years old, I’ll be 64 in April. I’ve worked in the real estate industry most of my life in human resources. I’m also an adjunct professor in New York University. And I did some research prior to coming to Dr. Prasad. I looked into those past facelifts.

The facelifts that I’ve found, a lot of pressure when they needed to make the sale. You never really get to meet your surgeon who is basically assigned to you on your surgery day and I knew then I’ve wanted to meet my surgeon. I wanted to know who was doing my face. Your face is your cover and that’s very important to me. So, I did some research and I found Dr. Prasad and actually through my hair dresser, a friend of mine who had her eyes done. So networking was key to me. And knowing the best who can do the best and really listen to you.

I decided, well, I’m going to come to Dr. Prasad for the consultation. So I needed to tell you about part of it. I was welcomed to an office which I just aesthetically distinguished and pleasant. And I met with Nicole, the receptionist who made me feel quite welcomed which was very important in the welcoming process. And then I was preceded with Anya who would go over the details and what was needed and how we would proceed and meet with Dr. Prasad.

Dr. Prasad came in and my first impression is a smile. A smile is so welcoming and it makes you feel warm and greeted and caring. And so I knew then that that was the first thing that I liked about Dr. Prasad. He asked me what I would like to do. And I said, well, I precede myself as having this tired look. And I actually just want to get that tired look and make myself, again, match my inner energy that I had. So what I found what, which was very important to me, is that when you have a doctor that listens to you, takes time to listen to you which is extremely important for me.

Most importantly, he provides options: maybe you do need something else, maybe you don’t need something else. But those options are important and what he sees within your face. So, given the fact that he has just wonderful platter of credentials, board certified, the artistry in him. And I’ve even know that he studied art. He can precede with style and looking at the person’s face and really doing such a unique job or work or whatever it is that makes you unique and he looks at something in your face that perhaps can be enhanced.

You know when I had the wattle and so forth, it just made me feel that the traditional approach to surgery is wonderful and I’m not negating that. But the personalization that I had and I felt whatever treatment and what I received and the education from Dr. Prasad elevated us to the next level because of his artful insight. That impressed me the most and I decided to put myself in the hands of Dr. Prasad and his team.

 

The Experience

My fear was not of the surgery but it was fear of the anesthesia that they would use. I did not know what they would use. And when they explained to me that it was the anesthesia or the sedation really of a colonoscopy then I understood for those of you who may have had a colonoscopy. It’s a very light sedation. They give a few pills or medication to just make you feel calmer and it works. I was just very calm. I wanted to actually take a nap and they bring to the operating room and you lie down and you’re so comfortable. They give you the warmth and everything you need and they start to tell you the process. And by that time, you’re almost going to a nap and when the sedation was applied which was extremely light, I was pleasantly pleased. I believe the surgery took possibly about 2 hours and he takes his time with the prep, the surgery and the post.

The Results

Everybody expects and the expectations are: is there great pain? What do you feel? How do you feel? I need to be bluntly honest. I woke up, I was laughing with the wonderful nurses. Jeff and Gloria who take very good care of you, are very attentive and when I woke up, I even asked was it over. That’s how much I really didn’t feel a thing. When I did feel, was a just a soreness around the ears, a soreness not even pain. If you follow Dr. Prasad’s orders and what you need to do after the surgery, you will be absolutely fine. But I walked out, I was capable of walking out of my own but he had his staff walk me out which was so kind. And then, when I went back on a Sunday, which he took his time and out his family time to remove the bandage, I was pleasantly surprise. He always mentioned that there could be bruising. There was slight bruising. The stitches were so tiny that they were behind the ear that you can’t even see them. You need to follow the directions, keep them clean. And if you follow those directions, the outcome is quite amazing.

The Pageant

Well, it’s been one year since I underwent facial rejuvenation with you Dr. Prasad and your professional team who make feel so comfortable one year ago. And I was looking tired and that’s the reason why I chose to do facial rejuvenation because I didn’t want that tired outlook especially when I knew I was retiring and close to retirement. Just four months ago, at the age of 64, I retired and I call this my rejuvenation phase. A time to go out and accomplish opportunities you would never think or have time to think when you work.

So, on April 27 of this year, I entered the Miss New York Senior America Pageant. Well, I won Miss Congeniality. My platform was very important to me. My platform was “Make your age work for you”. And we need to be at the top of whatever we do and look best in all situations. I really need to say I want to thank you Dr. Prasad and your professional team and helping make my age work for me.

deep plane facelift patient before and after surgery results - three-quarter view
deep plane facelift patient before and after surgery results - three-quarter view
deep plane facelift patient before and after surgery - left profile view
THE DEEP PLANE FACELIFT TIGHTENS THE SOFT TISSUE OF THE SMAS MORE, AS WELL AS LIFTS THE SAGGING NECK, WHICH IS APPROPRIATE FOR OLDER PATIENTS, AND FOR LONGER LASTING RESULTS.
deep plane facelift patient before and after surgery - left profile view
THE DEEP PLANE FACELIFT TIGHTENS THE SOFT TISSUE OF THE SMAS MORE, AS WELL AS LIFTS THE SAGGING NECK, WHICH IS APPROPRIATE FOR OLDER PATIENTS, AND FOR 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 face lift. 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.
before and 1 week after Short Scar Quick Recovery Facelift
THE SHORT SCAR FACELIFT IS IDEAL FOR PEOPLE WHO WANT TO ADDRESS LIMITED SAGGING OF THE FACE AND TISSUES, BUT ARE TOO YOUNG FOR EXTENSIVE LIFTING PROCEDURE.
before and 1 week after Short Scar Quick Recovery Facelift
THE SHORT SCAR FACELIFT IS IDEAL FOR PEOPLE WHO WANT TO ADDRESS LIMITED SAGGING OF THE FACE AND TISSUES, BUT ARE TOO YOUNG FOR EXTENSIVE LIFTING PROCEDURE.

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 jawline 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 Platysmaplasty
A PLATYSMAPLASTY ADDRESSES VISIBLE PLATYSMAL BANDS IN THE NECK AREA BY REMOVING OR TIGHTENING THE PLATYSMAL BANDS FOR A SMOOTHER CONTOUR OF THE NECK.
Before and after Platysmaplasty
A PLATYSMAPLASTY ADDRESSES VISIBLE PLATYSMAL BANDS IN THE NECK AREA BY REMOVING OR TIGHTENING THE PLATYSMAL BANDS FOR A SMOOTHER CONTOUR OF THE NECK.

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 patients when compared to general anesthesia. Dr. Prasad has observed faster healing process, and greater ease in recovery in using local anesthesia for facelift surgery.

How To Choose A Facelift Surgeon

Dr Prasad performing Surgery
DR. PRASAD TAKES EVERY PATIENT’S COMFORT, SAFETY, AND RESULTS WITH EACH FACELIFT PROCEDURE, WHICH IS WHY HE DOES THEM WITH LOCAL ANESTHESIA SO PATIENTS AVOID THE NAUSEA AND EXTENDED RECOVERY OF GENERAL ANESTHESIA, AND DON’T REQUIRE AN OVERNIGHT STAY TO RECOVER.

“For me, the intersection of functional and aesthetic surgery is a great source of personal and professional reward. It drives my passion. On one end of the spectrum, oculofacial surgery may improve how my patients see the world. But equally important, oculofacial surgery offers enormous potential to change how patients are seen by the world.”

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 surgeon’s’ 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 and facelift surgery by being a clinical instructor in face lifting surgery as well authoring his highly regarded book, “The Fine Art of Looking Younger”.

Dr Prasad's Consultation room in NYC New York
Dr Prasad's reception in Manhattan NYC
FACELIFTS ARE DONE AT DR. PRASAD’S SURGICAL SUITES AT MANHATTAN, AND GARDEN CITY, LONG ISLAND, TO PROVIDE PATIENTS MORE PERSONALIZED COMFORT THAN A HOSPITAL OR SURGERY CENTER.

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, and used for most facelift 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 FaceliftMACS FaceliftDr. Prasad’s Facelift
4 hour procedure2-4 hour procedure2-3 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 anesthesiaGeneral anesthesia often usedLocal anesthesia (Intravenous sedation as needed)
Large scar behind ear-Sometimes requires loss of hairline in that areaIncision scar next to outer corner of the eyelid can be long and obviousSmaller 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 period2-3 week healing periodOn average 1 week healing period
Risk of plastic appearanceCheeks look round and puffy.Natural appearance

 

Dr. Amiya Prasad is a Board-certified cosmetic oculofacial plastic and reconstructive surgeon, specializing in the eyes and face. He has been practicing for over 20 years, and is 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 tightened 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 After surgery - Front view
Facelift and neck lift Patient Before and After surgery - three-quarter view
EVEN A FULL FACE AND NECK LIFT CAN BE DONE WITH ADDED PROCEDURES TO MAXIMIZE RECOVERY TIME AND MINIMIZE TIME SPENT IN THE OPERATING ROOM – THIS LADY HAD HER AN EYE LIFT, CHIN LIFT, AND VOLUME AUGMENTATION DONE AT THE SAME TIME AS HER FULL FACE AND NECK LIFT.
Facelift and neck lift Patient Before and After surgery - three-quarter view
EVEN A FULL FACE AND NECK LIFT CAN BE DONE WITH ADDED PROCEDURES TO MAXIMIZE RECOVERY TIME AND MINIMIZE TIME SPENT IN THE OPERATING ROOM – THIS LADY HAD HER AN EYE LIFT, CHIN LIFT, AND VOLUME AUGMENTATION DONE AT THE SAME TIME AS HER FULL FACE AND NECK LIFT.

Dr. Prasad performs a technically more “involved” facelift because it involves multiple layers of the face. In addition, a facelift which involves more than just the skin lasts longer.

Once the skin has been cut and has been separated from the deeper tissues, the heavy lifting part of the procedure begins. The deeper tissues are a bundle of muscle and connective tissue and other materials called the SMAS, or the sub musculoaponeurotic system. This muscle bundle is lifted and will serve as the scaffolding upon which the rest of the lift will depend. If necessary, liposuction is performed around the chin, neck and jowls.

The last step is to lift the skin over the new facial muscular structure and then remove excess skin as necessary. This type of multilayer facelift is most likely to yield a more natural appearing face. Remember, the best facelift is the one that leaves people wondering why you look great but with absolutely no idea that you got a procedure.

Facelift Recovery
– Dr Prasad’s Innovative Method

The Quick Recovery Facelift was designed by Oculoplastic surgeon Dr. Amiya Prasad for the person with a busy 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, but also 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 LITE™ sedation, the Quick Recovery Facelift is a 2 to 3 hour procedure. An incision is made typically in 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.

Facelift patient before and after results

Are You a Candidate for a Facelift?

The longer I live the more beautiful life becomes. If you foolishly ignore beauty, you will soon find yourself without it. Your life will be impoverished. But if you invest in beauty, it will remain with you all the days of your life.

Frank Lloyd Wright

Architect and Poet

Facial aging, which is a combination of volume loss and descent, varies from person to person depending on their genetics, 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-years-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. Some people in their 40s to 50s may have no or limited skin laxity, but are losing facial volume can opt for the Y Lift®/ structural volumizing. This specialized procedure places fillers at deeper level than traditional filler application, for stronger support at the bone level,versus dermal/soft tissue placement where only limited amount can be placed before looking doughy. Structural volumizing at the stronger bone and muscle level also significantly lifts skin and soft tissue without surgery.

Patients who understand both the possibilities and limitations of face-lifting 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, volume augmentation, or another procedure more appropriate for their unique needs and time of life.

before and after deep plane face and neck lift
deep plane face and necklift
deep plane face and neck lift patient before and 4 weeks after surgery
USING LOCAL ANESTHESIA WITH LITE™ IV SEDATION ENABLES PATIENTS TO RECOVERY QUICKLY FROM EVEN EXTENSIVE DEEP PLANE FACE AND NECK LIFTS, AND ENJOY THE RESULTS OF THEIR REFRESHED, YOUNGER LOOK FASTER WITH MINIMAL RECOVERY TIME, AND LONG-LASTING RESULTS.
deep plane face and neck lift patient before and 4 weeks after surgery
USING LOCAL ANESTHESIA WITH LITE™ IV SEDATION ENABLES PATIENTS TO RECOVERY QUICKLY FROM EVEN EXTENSIVE DEEP PLANE FACE AND NECK LIFTS, AND ENJOY THE RESULTS OF THEIR REFRESHED, YOUNGER LOOK FASTER WITH MINIMAL RECOVERY TIME, AND LONG-LASTING RESULTS.

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. 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 patients 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, so they are welcome to come in as often as they need to address any concerns. During follow up visits, our patients are often so excited about their results they often ask about other procedures such as Hydrafacial, Restylane, Botox®/Dysport®, Radiesse, PRP and other services our office provides.

deep plane face and neck lift patient before and after 4 weeks recovery
deep plane face and necklift patient before and after 4 weeks recovery.
deep plane face and necklift patient before and after 4 weeks recovery.
DR. PRASAD ASSURES HIS PATIENTS OF COMMITMENT AND QUALITY OF HIS WORK WITH REGULAR FOLLOWUPS, AND AN OPEN DOOR POLICY FOR ALL HIS PATIENTS FOR ANY CONCERNS.
deep plane face and necklift patient before and after 4 weeks recovery - patient side view
DR. PRASAD ASSURES HIS PATIENTS OF COMMITMENT AND QUALITY OF HIS WORK WITH REGULAR FOLLOWUPS, AND AN OPEN DOOR POLICY FOR ALL HIS PATIENTS FOR ANY CONCERNS.

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. Surgical procedures to enhance the eyes and brows such as eyelifts, eye bags reduction, and eyebrow lift can be performed at the same time as a facelift.

 

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

Yes. Dr. Prasad uses the latest fully ablative and fractional CO2, erbium, and YAG lasers 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 the 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.

before and after lower face enhancement of mandibular notch and mesolabial fold
JOWL IMPROVED WITH INJECTION – NO SURGERY
before and after 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.

 

Procedures to Accompany a Facelift

The face lifting procedure can accompany other procedures, such as a neck lift, an eyebrow lift or eyelid lift, or a fractionated or fully ablative laser. A neck lift raises the loose skin from the jawline to the lower part of the neck. Although a facelift does not include lifting of the eyebrows or eyelids, it can be accomplished by having an eyelift or brow lift done at the same time. An eyelid rejuvenation technique can complement the facelift by achieving a desired shape and balance to the face. Depending on skin type and depth of treatment, a particular laser can also help achieve remarkable results when combined, with little downtime. The heat and laser technologies diminish the appearance of wrinkles, scars (such as acne scars), and discoloration (such as from sun damaged skin) while it smooths and tightens the surface of one’s skin, and boosts collagen production for up to six months.

 

State of the Art Facilities in New York City

Prasad Cosmetic Surgery Garden city Office, reception area
PATIENT COMFORT AND ATTENTIVENESS ARE PROVIDED IN PRASAD COSMETIC SURGERY AND MEDI SPA IN OUR MANHATTAN, AND GARDEN CTY LOCATIONS.

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.

Patient Reviews on Facelift Surgery

A Heart felt Thank You Goes to Dr. Prasad and His Staff. I am very happy with the result my eyes are wide and open few wrinkles and laughs lines are still there and what I enjoy the most is a nice contour of the chin and facial profile. If my face remains with lines these are my character lines and I can live with that. Reviewer: Mandatember
Facelift patient review: I went to Dr. Prasad for help, I opted for a full facelift and eyelift. The results are astonishing!
Face and neck lift patient review
Facelift patient review: Great Facelift, Great Result, Look at Least 10 Years Younger - New York NY.
Outstanding - Garden City, NY. I had a face and necklift with Dr. Prasad. The man is a genius! I did not want to look like I had work done. The results are astonishingly beautiful yet natural! Reviewer: pb3615
I Look 20 Years Younger, at Least! - New York, NY. I had a neck and facelift by Dr. Prasad. The man is a genius. I look like a young girl now, only naturally. If you are going to do this, only go with the best, and the best is Dr. Amiya Prasad.

Commonly asked questions

 

How much is 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, depending on the extent and type of facelift procedure, and accompanying procedures. 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 and persuasive testimonials have resulted in many people wasting money time and even be worse off than when they started. The latest laser and heating devices can tighten skin, but exceeding a safe amount of exposure to the skin in attempt to replace surgical lifting can damage and thin the skin, and also compromise the health of the essential fat layer beneath the skin responsible for youthful suppleness.

We do offer the Vampire Facelift® and the Y Lift®, but these procedures do not replace surgical facelifting. The Vampire Facelift® using a hyaluronic acid filler and platelet-rich plasma (PRP) does have a moderate outward lifting effect, but it still meant for patients in their 30s and 40s who are not yet candidates for a surgical facelift. The procedure is more of subtle volume enhancement and skin quality improvement. The Y Lift® is a deep volume enhancing procedure, where the placement of cosmetic fillers on bone and underneath the muscle lifts skin away from bone structure, but it does not vertically lift skin, or tighten soft tissue. The Y Lift® is also a procedure meant for people who are still too young to be candidates for a facelift as skin and soft tissue laxity is not yet their major issue, but volume loss is their primary concern.

Can I do something before I schedule my facelift?

Yes. With the understanding that a non-surgical 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 procedures include the Vampire Facelift®, the Y Lift®, facial fillers such as Restylane, Juvederm, and Radiesse, and wrinkle treatments like Botox® or Dysport®. During consultation, Dr. Prasad will help guide you with the options best suited for you.

Appointment Request