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There’s no stopping the inevitable signs of aging from appearing on the face: conditions like wrinkles, folds, sagging skin, drooping fat, and more. However, you can reset the clock on an aging appearance with a surgical facelift that not only tightens stretched-out skin, but also remodels fat deposits, and adjusts the connective tissue below the surface for a naturally lifted, rejuvenated appearance that can last for many years.
What is a Facelift?
A facelift is a plastic surgery procedure that treats the telltale signs of facial aging and offers complete facial rejuvenation. Facelifts improve the appearance of patients with excess skin, sagging skin, excess fat, and skin laxity in the face and neck, as well as jowls and platysma muscle banding.
The goal of facelift surgery for Dr. Steven Wallach’s Manhattan patients is to create a more youthful appearance by lifting sagging facial tissues and elevating them to a more youthful position. In addition, some patients may benefit from facial fat grafting to fill in facial soft tissue deflation or volume loss.
Facelift surgery procedures can accomplish this in one significant but natural-looking treatment. Following a facelift, minimally invasive facial rejuvenation procedures can be used to treat the concerns that a facelift does not treat. This can be accomplished with laser skin resurfacing, chemical peels, and skincare products that reduce the appearance of signs of aging.
Who is a Good Candidate for A Facelift?
A good candidate for a facelift in New York City is a healthy patient who has facial signs of aging, including cheek fat descent, jowling, and loose and excess skin or sagging skin in the face and the neck. Ideal candidates have no underlying medical conditions that would put them at risk for serious complications from surgery, and it’s best to be well-informed about the procedure itself and the results you can expect to obtain.
No two facelifts are alike, because no two people are alike in their skin condition, anatomy, and goals from the procedure. This is why Dr. Wallach uses a variety of techniques to tailor each surgery to the individuals unique needs and desires, ensuring the lasting results are both seamless and beautiful.
The SMAS refers to the superficial musculo-aponeurotic system, a connective tissue layer below the skin and above the facial muscles. After the skin is elevated after the incision is made, the SMAS is treated. Treatment of this layer can be done in several different ways. Commonly it is incised, elevated, and pulled back to provide facial tightening in a deeply natural appearance. The level at which it is cut will determine what area will be best treated.
By adjusting the SMAS layer, Dr. Wallach is better able to sculpt the overlying skin for the most natural-looking results from facelift surgery. Rather than just lifting and trimming away excess skin, this technique reconnects key parts of the skin with the underlying structure of the SMAS, preventing the dreaded “pulled” appearance.
The mid-facelift is a procedure that focuses on the cheek and lower eyelid junction. The goal is to elevate the cheek fat pad and treat the lower lid region. This can be done as an isolated procedure using only a lower eyelid incision. The soft tissue around the cheek is freed and secured to the temporal fascia of the face. A support procedure for the lower lid is also performed at the same time. Commonly, mid-face treatment is performed during other facelift procedures such as in an SMAS facelift.
A mid facelift is a great technique for those who have sagging or diminishing fat pads in the cheek, leading to the appearance of sunken eyes, hollow cheeks, or jowls along the jawline. With a mid facelift, Dr. Wallach can lift the skin and secure the fat pad for a smoother, more youthful mid-face contour.
A mini facelift is a popular way to enhance facial appearance with a shorter recovery time compared to traditional facelifts. Mini facelifts address the signs of aging like wrinkles and sagging skin on the lower face.
The mini facelift procedure includes removing excess skin from the chin and neck area and then tightening the remaining tissue, giving patients better chin and neck definition. When compared to the full facelift techniques, the mini facelift is minimally invasive and offers facelift patients natural-looking results with minimal scarring. Since mini facelifts are less invasive, Dr. Wallach can even use local anesthesia for your specific cosmetic surgery procedure.
If you have excess skin or sagging skin in your lower face, you should schedule a consultation with Dr. Wallach to discuss whether a mini facelift procedure is right for you.
A common concern among New York facelift patients is whether the scars from the procedure will be visible long-term. Fortunately, Dr. Wallach provides multiple incision location options, all of which are easily concealed in the hairline and around the ear. These incisions allow him the best access to both visualize and adjust the facial tissues in your desired treatment area.
Otherwise known as a “short scar” approach, this incision is usually confined to the region from the base of the earlobe to the sideburn area. This is most commonly used by Dr. Wallach for mini facelift techniques where the SMAS can be addressed.
This incision does not permit adequate re-draping of loose neck skin, and so it is not a good technique to use for patients that require an extensive lower facelift or neck lift. It is a good choice for those patients in New York that need some jowl and cheek elevation with minimal need for neck work. In addition, it is a quicker facial plastic surgery procedure, so it may be better for patients who are not candidates for longer facial plastic procedures.
The traditional facelift incision extends from the forehead to behind the ear, concealed in the hairline of the patient.
Dr. Wallach often uses modifications of traditional facelift techniques to camouflage the incision and preserve the hairline so patients look more natural. This often includes a side-burn incision, an incision hidden behind the tragus, or ear notch, called a retrotragal incision. Rest assured that no matter which incision pattern is determined right for you, the resulting scar will be practically invisible.
For those who aren’t good candidates for a facelift, or who aren’t ready or don’t yet need surgical intervention, there are non-invasive facial rejuvenation options that can benefit them. Although a surgical facelift is the gold standard for turning back the clock on your appearance, our non-surgical options are helpful for many as well.
The liquid face lift is a marketing phrase that refers to a non-surgical procedure that incorporates both facial fillers such as Restylane™, Restylane Lyft, Juvederm, Revanesse, Radiesse, or Sculptra along with using neuromodulators like Botox™ or Dysport.
As our knowledge of facial aging has evolved, these products for facial rejuvenation have become more important. The filler materials can be used to fill areas of volume loss, most commonly the cheeks, as well as soften the appearance of folds and wrinkles around the nose and mouth. Neuromodulators suppress the activity of muscles in the face that contribute to wrinkles that appear when making facial expressions such as smiling and frowning.
All of these benefits can be achieved temporarily with non-surgical injections with the expert medical injectors trained by Dr. Steven Wallach. The key in using these products for facial rejuvenation is to not overdo it. Too much product can make someone look as unnatural as someone who has had too much facial plastic surgery!
Skin Resurfacing and Skincare Products
There are numerous laser and light-based regimens offered in Manhattan that can improve skin quality. For instance, Erbium laser peels, either microlaser peels or deeper peels, can benefit some by improving fine lines, brightening skin color, and evening tone. Thermascan laser treatments for NYC facelift can also help with pore size and skin tightening.
Intense pulsed light (IPL) procedures can help tighten skin, treat sun spots, and generally even the skin tone. BBL-ST is another light-based system used in New York that can tighten the skin. High-quality skincare products are also a great complement to these procedures to help keep skin healthy, hydrated, and luminous between treatments.
Many facelift patients are mainly concerned with the appearance of their face, but others often benefit more from a more comprehensive surgical rejuvenation, including procedures that naturally complement the youthful refreshment that accompanies a facelift. These include, but aren’t limited to, a neck lift and a brow lift.
A neck lift refers to the treatment specifically of the neck. Neck lift incisions are commonly placed under the chin where they are scarcely visible. There are multiple concerns in the neck that may warrant treatment, including:
- Excess fat
- Excess skin
- “Banding” appearance
Excess neck fat can occur in multiple places throughout the neck, leading to puffiness, fullness, or a double chin that can either be removed via liposuction or surgical excision.
A common concern among people seeking neck rejuvenation is loose skin that gives people a so-called “turkey neck” as they age. This excess skin can be surgically removed for a trimmer, tighter appearance to the neck.
Platysma bands form vertical bands of muscle from the lower neck to the chin, and can be seen either at rest or when in motion. Platysma bands can be treated during a neck lift to reduce the appearance of neck banding permanently.
Because a facelift only address the lower two-thirds of the face, many people also add a brow lift procedure to the surgery to address signs of aging around the eyebrows and on the forehead. Concerns that can be addressed with a brow lift include:
- Resting “angry” appearance
- Sagging skin
- Deep wrinkles of the forehead
Adding a brow lift is a natural complement to facelift surgery and Dr. Wallach may be able to use the facelift incisions to also address the concerns in the brow and forehead. Additional modified incisions may be needed to best visualize and adjust the tissue beneath the skin.
Dr. Wallach’s Approach to Facelift Surgery
It is very important when performing facial rejuvenation plastic surgery to avoid unfavorable results that make the face appear unnatural or “worked-on.” Dr. Wallach, a board-certified plastic surgeon, works on the deeper layers of the face to provide a highly natural “lifted” result. The deeper tissues of the face are mobilized to recreate the soft tissue for a youthful appearance. Just as important, he does not “pull” on the skin, which can result in a distortion of the final appearance.
Stem Cell Facelift
Don’t be fooled by seemingly miraculous treatments that can achieve the results of a facelift without any incisions or downtime. A “stem cell facelift” is a marketing ploy. There is actually no such thing as a stem cell facelift, but some surgeons market this phrase as fat grafting to the face either separately or in conjunction with a facelift. Stem cells are found within fat graft harvest specimens. So technically there are stem cells involved, but there is no scientific evidence that stem cells offer any benefit over a traditional facelift.
Learn More About Facelift NYC
If you would like more information about Dr. Wallach and his success with New York City facelift surgery procedures, we invite you to contact us at our Manhattan office at (212) 257-3263 or by filling out our online contact form to request additional details. For more information regarding facelifts or other facial cosmetic surgery procedures, visit our blog.