Do you look older than you feel? Are jowls starting to appear while your chin vanishes? And what is that hanging below your jawline? What can you do about it?
People in NYC and Long Island who are considering facelift surgery want well-defined cheekbones, an even neck, and a pronounced jaw. They want to avoid the well-documented consequences of rhytidectomy (facelift), like hair loss around the temples, visible scarring, and ear deformity.
A facelift – also known as a Rhytidectomy, is a procedure designed to improve the most visible signs of aging. Done properly, a facelift removes excess skin and fat, tightens underlying muscles and the overlying tissues (superficial facial system), and re-drapes the skin of your face and neck. A facelift corrects a sagging neck line, the appearance of jowls, the deposit of fat along the jaw line and neck, and a deepening of the lines between the nose and corners of the mouth (nasolabial folds).
Aging of the eyes and brow due to wrinkles and frown lines, must be treated by separate procedures, like forehead lift or eyelid surgery (blepharoplasty). These can be done simultaneously with your facelift. Another procedure done concurrently with a facelift is rhinoplasty (nose surgery).
The outcome sought from a facelift is a youthful look that endures for several years. New Yorkers want to reset the clock on their facial appearance, looking 8-12 years younger. An additional facelift procedure (secondary facelift) may be considered after aging process continues, but will not be necessary for many years.
Dr. Kevin Tehrani has been providing facelifts in the NYC and Long Island areas with natural results for decades. In NYC and Long Island, as well as the entire New York area, you have several options when choosing a surgeon for rhytidectomy. The more you know about the procedure and the options available, the better equipped you will be to make an informed decision. When choosing Aristocrats Plastic Surgery and Medaesthetics, we want you to feel 100% comfortable with your decision, so we invite you to visit us for a complementary consultation at either our NYC or Long Island offices.
“Joanne is the absolute best. Dr. Tehrani is very professional. Had a great experience and I was able to receive the outcome that I wanted. Pam is amazing and has been very helpful through the process. Everyone is very friendly and very helpful.”
At our NYC and Long Island cosmetic surgery centers, your facelift will be a procedure where your input is important. From the moment you call us, our qualified staff will ensure concise understanding of our process and what to expect. During your initial visit, you will have the full attention of your personal patient coordinator, a professional nurse, and your plastic surgeon, Dr. Tehrani.
While at either NYC or Long Island locations, you will be administered a physical examination, and will be asked why you want a facelift. If found to be a suitable candidate, your goals, treatment options, and various procedures will be discussed. If you have photos of similar results you wish to achieve, bring them. This will help Dr. Tehrani understand your desired look and share with you a reasonable outcome.
You will be apprised of all risks, benefits, and what to expect during recovery. It is also a time to share your concerns and ask any questions you might have. This is an important decision and you will not be rushed, or your time cut short.
Advantages of the Multilevel Facelift Technique
Dr. Tehrani prefers the multilevel facelift technique, which involves tightening the loose skin and repairing the sagging of the deeper layers of the face. This will apply less tension to the skin avoiding a “pulled” or “unnatural” appearance. Most patients considering rhytidectomy express concern their surgery will look obvious and artificial. The multi-level approach is an effective way to prevent this.
Who is a Candidate for a Facelift?
Consideration must be given to facial bone structure and skin elasticity in planning and performing a facelift. Candidates include men and women whose faces and necks have started to sag – usually between the ages of 45 and 70. They typically have sagging under the chin, jowls, and prominent cheek lines.
Exceptions include patients who age prematurely and begin to consider facelift surgery at a younger age. Therefore, more consideration is given to actual appearance than chronological age.
Some patients may be candidates for more limited procedures, like a minimal incision facelift or a neck lift, which tightens the neck only. This can be done with a limited scar.
Ideal candidates include non-smokers and patients with realistic expectations.
What To Expect From Facelift
At your initial consultation at either our NYC or Long Island office, you will discuss your concerns about your appearance with Dr. Tehrani. He will review your medical history and conduct a physical examination. If you are a good candidate for surgery, he will explain how the procedure will be designed to correct your areas of concern. Every facelift is tailored to your specific needs.
Dr. Tehrani may request that you visit your primary physician for any necessary lab work and x-rays. Precise preoperative instructions are provided, and all necessary prescriptions are given to you in advance of your surgery. All aspirin, aspirin-containing products, and anti-inflammatory products must be stopped at least ten days before and for ten days after surgery.
You will be provided with a complete list of which medications to avoid. Tylenol may be taken during this time, and we will also give you a list of vitamins and homeopathic preparations to take prior to and after your surgery to promote healing and limit bruising.
Facelift is an outpatient procedure usually done under general anesthesia. In some cases, however, local anesthesia with intravenous sedation may be used. Dr. Tehrani and our anesthesiologists will help you make this decision.
In the past, a standard facelift was the only option. This one-dimensional operation involved simply removing excess skin and tightening it. Consequently, the facelifts were often obvious with unnatural pulled look.
With more attention given to the deep underlying tissue that are affected by age and gravity, Dr. Tehrani will rely less on pulling the skin tight and more on repositioning of tissue to provide a less surgical and more natural outcome.
The operation takes 2-3 hours. Incisions are usually begun above the hairline at the temples, extending in a natural line inside the cartilage at the front of your ear, and continuing behind the earlobe to the lower scalp. If the neck needs tightening, a small incision may also be made under the chin. Scars are generally hidden under your hair or behind the ear.
Facial skin is lifted, fat may be trimmed or suctioned, underlying muscle and membranes are tightened, and excess skin is removed. The skin is elevated from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin as well to improve the contour. The underlying muscles are tightened, the skin is tightened, and any excess skin is removed. Great care is taken to avoid a “pulled” appearance or a change in your natural expression. The incisions are then closed with fine stitches.
At the completion of the facelift, a bandage of cotton and linen is applied to your face and neck, and you are awakened and taken to the recovery room.
You will spend 1-2 hours in the recovery room. When you are fully alert and ready for discharge, we recommend you stay in an aftercare facility for a 2-night stay so that care can be provided to you around the clock by licensed nurses. Some of our patients prefer to be cared for at home, however. In that case, we can arrange for a private nurse.
Recovery from a Facelift
The following morning, all bandages are removed in our office, and after we examine you, we apply a lighter facelift bandage. We will give you instructions for caring for your incisions and stitches, which will be removed in 7-10 days.
Most facelift patients have no pain after a facelift, while others describe the pain as minimal. We will prescribe medication, although many patients stop needing it after the first day. Sleeping with your head elevated can significantly reduce swelling and bruising.
There may be mild to moderate bruising and swelling for approximately one week after a facelift. Makeup may be applied after one week. Most patients return to work and social activities after two weeks. Strenuous physical exercise is avoided for 2-3 weeks after a facelift.
“I have been to the office on several occasions. It’s refreshing to know that I have never had to wait longer than just a few minutes to be seen. Dr. Tehrani and his team are excellent in doing what they do. My questions/emails have always been answered promptly. I would highly recommend to anyone considering plastic surgery or injectables.” – Anonymous
Choosing Your Facelift Surgeon
The first and most important decision for facelift surgery is choosing the right surgeon. For facelift in NYC, you must ask:
- Is your surgeon board-certified?
- How much experience do they have?
- Where will the surgery be performed? Is it accredited?
- Did they show me before and after pictures?
- What procedures do they offer?
- Do they listen to your concerns and input?
These questions are important for your personal peace of mind. You must have confidence in your plastic surgeon, and comfortable with the entire staff. Pay close attention on how you are treated during your initial visit. Is the staff friendly, did you meet with your surgeon?
Why Dr. Tehrani For Your Facelift
As a graduate of SUNY Downstate Medical Center where he became Chief Resident in General Surgery during his time of residency at New York’s Beth Medical Center, Dr. Tehrani continued his education and studies at Kansas University Medical Center. Here he pursued a postgraduate degree in plastic and reconstructive surgery and served as Chief Resident as well.
He holds the academic position of Assistant Clinical Professor in the Department of Surgery at SUNY Downstate Medical Center. His vast knowledge in plastic surgery provides instructional courses in aesthetic surgery and laser applications. He has presented lectures at national and international symposiums and has been published in leading peer-reviewed scientific journals, cementing his standing as a premier New York plastic surgeon.
Awards and Certifications:
- Board Certification from American Board of Plastic Surgery
- Fellow of American College of Surgeons
- Included in Top 10 Plastic Surgeons in NY
- Included in RealSelf Top 10
- Member of American Society of Plastic Surgeons
- Member of American Society for Aesthetic Plastic Surgery
- Certified Expert Injector
Call For Your Complementary Facelift Consultation
NYC and Long Island Offices
Call today if you are interested in any of our aesthetic procedures. You can contact us for your complementary consultation for facelift in NYC at 212-439-9900 for our Manhattan office, or for our Long Island office 516-498-9790.
Facelift: Before and After Photos
*Individual results may vary