As we age, collagen breaks down in the skin and leads to an overall loss of elasticity. The loss of elasticity also occurs in the ligaments that connect the facial skin to the deeper layers of the face. This results in sagging and wrinkling, causing the face and neck to betray one’s true age. Minimally-invasive treatments are excellent for moderately and temporarily improving the appearance of deep furrows and enhancing the appearance of aesthetically pleasing features like the temples, cheekbones, and jawline. Patients with more advanced signs of aging or those seeking a greater degree of skin elevation may be candidates for surgical face and neck lifts. This traditional procedure provides maximal, durable lift of the skin to optimally restore the natural contours of your face and neck. The result? A complexion that looks as young as you feel.
Dr. Hooman Khorasani is a quadruple board-certified cosmetic surgeon who has spent over ten years helping patients banish unwanted signs of aging so that their outside appearance reflects their youthful spirit! This extensive experience coupled with Dr. Khorasani’s commitment to procedural perfection directly benefits each patient, as your individualized treatment plan is carefully customized to provide you with optimal cosmetic results.
To find out if a surgical face and neck lift can rejuvenate your appearance, visit Dr. Hooman Khorasani at our New York City practice. To request a consultation, text message us securely, or contact our Manhattan office by phone at 212-230-3378.
The main purpose of a face and neck lift is to restore a youthful jawline and eliminate sagging in the neck. A surgical face and neck lift involves reshaping the foundation of the face by carefully molding the layer under the skin, which is called fascia. Once the fascia is molded by strategically placed sutures, the redundant skin is redraped and the extra skin is trimmed off. This process eliminates sagging jowls, laxity in the neck and softens the nasolabial folds. To ensure maximal safety and comfort, this procedure, also known as a rhytidectomy and platysmaplasty, is performed in a certified operating room and requires the use of general anesthesia.
Manipulating the skin with surgical-level techniques allows for the most effective elevation and relocation. Consequently, the improvements in the signs of aging and profile contouring are both dramatic and durable. This procedure, therefore, wipes decades off your face and neck and sustains this reversal of time for up to ten years.
Although surgery does provide the most significant and long-lasting degree of lift, this procedure is associated with more risks and complications than less invasive treatments. Additionally, patients must be able to tolerate a two to four week recovery period following surgery. Thread lifts or energy-based skin tightening treatments may be more appropriate for risk-averse patients, as these therapies provide mild to moderate rejuvenation with negligible adverse effects and downtime. Please visit our Non-Surgical Face and Neck Lift and Skin Tightening pages to determine if these minimally-invasive procedures are more aligned with your aesthetic goals, lifestyle constraints, and health profile.
Surgical lifting does not address the fine lines, discoloration, or texture abnormalities associated with the passage of time. Patients seeking to comprehensively improve the wide array of age-induced skin changes may want to consider adding laser skin resurfacing to their face and neck lift to address the skin’s texture and quality. Please visit our Laser Skin Resurfacing page to determine if our modern laser therapies can help maximally rejuvenate and refresh your skin.
In addition, a facelift does not provide significant volume correction. Adding volume to the face can further enhance the cheekbones and camouflage under eye bags. This additional volume will result in a facelift that appears more natural and avoids the “pulled” look. To learn more about how to address volume loss and further improve your facial contour, visit our Face Contouring and Fat Transfer pages for further details regarding each of these innovative therapies.
Finally, a surgical facelift does not correct excess skin under the eyes, bags under the eyes, or puffy lower lids. These concerns can be rectified with an Eyelid Surgery called blepharoplasty, which you can read more about here.
Performing this highly-effective surgery requires the use of general anesthesia in a certified operating room to ensure your comfort and safety. Following sedation, Dr. Khorasani utilizes a traditional face and neck lift technique to provide you with maximal lift and contouring. This involves forming an incision that starts above the ears and terminates at the base of the neck. Artfully placed incisions ensure that there is minimal hair loss at the hairline.
As with any surgical procedure, scarring is unavoidable; however, this particular approach allows for the scars to be camouflaged within the hairline and the curvature of the ears. Furthermore, the incision sites are strategically placed so that the ear is not distorted. The substructure of the face is then molded and the skin is draped over the newly shaped youthful foundation and the incisions are closed with self absorbing sutures. The result? A refreshed, tight facial contour with scars that are appropriately hidden around the ear that even the most critical eyes will not visibly detect.
Expertly molding and lifting the skin usually requires approximately four to six hours to complete; however, please allocate an additional two to three hours to prepare for anesthesia and to fully regain consciousness from the procedure. In total, expect to be with us for approximately seven to eight hours on the day of surgery.
Surgical face and neck lifts are best suited for healthy, non-smoking patients seeking to significantly improve the appearance of saggy jowls and laxity in the neck. The ideal candidates are healthy patients between the ages of 55 and 70 years old. Performing this procedure on younger patients is unwise, as it is often difficult to produce a significant, meaningful change. Likewise, operating on elderly patients is not recommended. Older patients often have more health related issues, more pronounced laxity and a loss of volume that requires a more aggressive correction, resulting in an unnatural outcome. Finally, candidates must be able to tolerate general anesthesia and be willing to dedicate two to four weeks to the recovery process.
Patients wishing to non-invasively address mild to moderate signs of aging may be candidates for lifting with specialized threads or energy-based devices. Please visit our Non-Surgical Face and Neck Lift and Skin Tightening pages to ascertain if these effective, safe treatments can help renew your skin with minimal disruption to your regular schedule.
During your in-office visit to plan your surgery, we will verbally review with you detailed information regarding what to expect during your recovery and specific post-procedural instructions including how to clean and bandage the treated area. Don't worry if you can't remember everything! We will provide you with a written copy of these instructions and are available at any time to answer any questions or concerns you may have.
Immediately after your procedure, your face and neck will be dressed with a specialized bandage to minimize swelling and bruising. In most cases, a small tube will be temporarily placed to drain excess fluid from the surgical site. You will also be prescribed oral antibiotics to reduce the risk of infection. After the anesthesiologist has determined it is safe for you to leave, you will be discharged home. Please note that you will need to arrange for someone to pick you up from your surgery, as it is unsafe for you to manage by yourself for the first few days.
Although you are not required to stay overnight at a care facility, it is extremely important that you have someone to help you the first 72 hours after your procedure. We work with some excellent, in-home nurses who can provide you with assistance during this time. This is particularly helpful for patients who live alone and wish to keep their recovery private.
24-72 hours following surgery, you will return to our office so that Dr. Khorasani may remove your dressing, evaluate your incisions and, if necessary, remove the drainage tube. You will leave the office with a surgical compression garment and will wear it for 5 days. Subsequent visits will be scheduled based on your individual healing process. Please note that you will have self-absorbing sutures; therefore, you will not need to schedule a suture removal appointment.
Throughout this recovery period, please expect swelling and bruising of the face and neck that will require ten to fourteen days to resolve. Temporary numbness of the treated area may also occur. Discomfort during the first few days after surgery is usually effectively managed with Extra Strength Tylenol every four to six hours; however, we will also prescribe you a stronger pain medication that may be used if Tylenol is insufficient.
We understand this recovery time can be difficult. Our office staff is available for you at any time during this process to discuss your concerns. We are always here for you!
The improvement in your profile and deep wrinkles are visible immediately after surgery, but the maximal rejuvenating results may not be fully appreciated for three to six months.
Unfortunately, modern medicine is unable to halt the aging process. This enforces a time limit on the longevity of all cosmetic procedures, including surgical face and neck lifts; however, the results of this surgery are significantly more durable than other less invasive treatments. Overall, you can expect to enjoy your renewed face and neck for up to ten years after surgery.
Given the recovery period associated with this procedure, we strongly recommend scheduling your surgery at least three months prior to any major events. Additionally, please ensure that someone will be available to escort you from the operating site and remain with you for the first few days post-surgery.
Prior to scheduling your surgery, we will require blood work to ensure you are healthy and are medically cleared for this procedure by your primary care doctor. Additionally, if permitted by the prescribing physician, be sure to avoid any blood thinners (ibuprofen, aspirin, etc.) for at least seven days prior to treatment. Alcohol, Vitamin E and fish oil supplements should also be avoided during this time, as these products can thin your blood and can cause unnecessary bruising.
Dr. Hooman Khorasani is considered a national expert in the field of facial lifting. In fact he is the chief editor of the surgical textbook “Advanced Lifting,” which is dedicated to face, neck and eye lifts (in press, fall of 2020).
Dr. Khorasani is a triple board-certified, fellowship-trained cosmetic surgeon who used his expertise to lead the Division of Dermatologic and Cosmetic Surgery at Mount Sinai for over ten years. As a dermatologic surgeon with cosmetic fellowship training, Dr. Khorasani achieves excellent, natural results for his facelift patients. Repairing over 16,000 skin defects related to skin cancers has provided him with an unparalleled skin closure technique. His extensive research focus on scarring has uniquely positioned him in the field of scar treatment, including facelift scars. His dedication to clinical excellence and constant innovation has led to numerous accolades, multiple publications in premier medical journals, and the production of a widely-used cosmetic surgery manual.
He is considered an international expert in surgical and non-surgical face and body contouring and has spent the majority of his career training the next generation of cosmetic surgeons. Dr. Khorasani is the Chair of a global cosmetic education course dedicated to teaching the next generation of surgeons in advanced lifting procedures using cadaver models. For the past 9 years, medical professionals from all around the world attend Dr. Khorasani’s cosmetic course each spring, in order to gain hands-on experience in advance lifting.
Armed with this advanced surgical and academic competency, Dr. Khorasani carefully crafts a therapy plan for each individual that adheres to the highest standards of medical care and is optimized to produce the greatest results possible. Personalization is infused into every aspect of our practice, from the treatment itself to our highly-trained office personnel that are available 24/7 to answer any questions or concerns. Together as a team, we can help you say good-bye to wrinkly, saggy skin and hello to a firm, youthful profile!
Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 212-230-3378. For more information about how to get in touch:CONTACT US