79 East 79th Street, New York, NY 10075

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Face Procedures

With plastic surgery, you can turn back the hands of time. Not only will you feel more youthful, you will also feel more vibrant. Please read more about some of the procedures we offer that can help you look and feel years younger.

The first thing people notice about you is your face. Whether it is your eyes or your smile, you are constantly aware of the impression you make on other people. When baggy eyelids, jowls, loose neck skin, and other evidence of aging become more noticeable, cosmetic plastic surgery may be the answer.

Dr. Schwartz is able to enhance or refine areas of the face and neck for both women and men using surgical procedures. Please read more about the procedures that we offer to make you look as good as you feel at his practice in New York City NY.


View Facelift Before and After Photos »

Facelift/Necklift in Manhattan, NYC

As we age, gravity, sun exposure and the stresses of daily life take their toll on our faces and necks. The cheeks begin to descend, and deep creases appear beside the mouth and nose. The jaw line slackens and becomes jowly, and the neck develops banding, loose folds and fat deposits. Heredity, sun exposure, smoking history, bone structure and the amount of facial fat all independently contribute to facial aging.

Facelift | Necklift | Manhattan | New York City (NYC)Dr. Schwartz strongly believes that facial rejuvenation should create a natural and “rested” look rather than the tightened, “done” look. The goal is to diminish the signs of aging without making you look like someone else. Facelifts and necklifts counteract the signs of aging by tightening muscle, removing fat and trimming excess skin, giving your face a fresher, more youthful look.  

Facelift surgery is most effective for patients who want to correct midface sagging, deep creases between the nose and mouth (nasolabial folds), jowls and loss of jawline definition, sagging areas of fat and loose skin and fat under the chin and jaw.

Facelifts can produce a dramatic improvement in appearance for patients in these areas.  A Facelift procedure will not rejuvenate the brow, eyelids and nose. Patients who want to improve these areas may consider combining a facelift with a brow lift or eyelid surgery (blepharoplasty).

Injectable soft-tissue fillers, fat injections and laser skin resurfacing can also enhance the effects of a facelift.

Candidates for Facelift

The best candidates for a facelift are women and men who have sagging facial and neck skin and a desire to improve their appearance. Facelifts are typically performed in patients over the age of 40 who are in good health. Candidates who smoke are at high risk for wound healing complications and are asked to stop prior to the procedure to avoid the vasoconstrictive effects of nicotine on the skin.  The best candidates have realistic expectations and are motivated by personal reasons, not by the wishes of others.

During your consultation at Dr. Schwartz's practice in New York City you will discuss whether a facelift is right for you.

Facelift Procedure - Techniques

Facelifts are typically outpatient procedures and may be performed with either  IV sedation/twilight or general anesthesia. The procedure takes about two to four hours. Patients generally return to work in approximately 10 days to two weeks, and may begin exercising at approximately three to four weeks post-op. The discomfort from this procedure is surprisingly manageable and is well controlled with oral pain medication.

The facelift technique utilized depends upon the patient's facial structure and the extent of correction desired This will be discussed in great detail during your preoperative consultations. The three most common incision techniques are:

  • Traditional “full” facelift and necklift: The "full" facelift for rejuvenating the face, jowls and neck includes fat sculpting, lifting and repositioning of muscle and deeper tissues and skin trimming and redraping. The incision begins at the temples and travels around the creases of the ear, around the earlobe, behind the ear and sometimes to the lower scalp at the hairline. Another small incision may be made under the chin.  
  • Limited-incision/mini-facelift: For limited rejuvenation of the lower face, this procedure does not include a full necklift.  Short incisions are made at the temples and around the ear, without extension behind the ear or into the hairline. This mini facelift is generally used on younger patients with good skin tone and minimal neck deformity.
  • Necklift: Necklift surgery can occasionally be performed alone. However, it is most frequently performed along with a facelift to provide harmony to the lower portion of the face. The incision is made around the earlobe and behind the ear to the lower scalp.

In all three methods, incisions are closed with fine sutures. Scars are hidden in the hairline and natural contours of the face and fade with time.

Recovery from Facelift

After your facelift/necklift, Dr. Schwartz will wrap the incisions in bandages and may place a small soft tube beneath the skin to allow swelling and fluid to be carried out from under the skin. The tubes will be taken out the next day, at which you may wash your hair. Sutures are usually removed within the first week.

At first, you may experience swelling, numbness, bruising and a feeling of tightness or tension in the face and neck. Most of these symptoms usually resolve within three to six weeks, and sensation typically returns to normal within a few months. Scars fade over the course of the next few months. Most patients return to work or socializing by the second to third week. Camouflage cosmetics can be used to minimize the appearance of bruising should you experience this.

Results of Facelift

Most patients do not notice significant recurrence of the sagging for ten to fifteen years, depending on how you age. The results are long-lasting, and your face will always look better than if you had never had a facelift. However, the results of a facelift do not last forever since we are not curing the underlying problems (the aging process).

Although uncommon, possible complications of a facelift include bleeding, infection, bruising, uneven swelling or discoloration, allergic reaction to the anesthesia, skin blistering (usually only seen in smokers) and temporary or permanent loss of sensation in the face. At his practice in New York City NY, Dr. Schwartz will discuss the risks and benefits of a facelift with you before your surgery.

If you are interested in learning more about a Facelift in New York City, call 212-737-9090 to schedule a consultation.

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