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Facelift

Rhytidectomy – Facelift Surgery – Facial Rejuvenation Surgery – Manhattan (New York City)

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Overview

Dr. Aston is considered one of the preeminent authorities in the world on the subject of facial rejuvenation. Dr. Aston’s facelift procedures are designed to give the individual a natural, unoperated look with the shortest recovery time possible, and a result that is long lasting. New York Facelift Specialist Dr. Aston has performed several thousand facelifts, and is regarded by his peers as one of the surgeons who developed modern facelift techniques. Dr. Aston’s facelift is a highly individualized procedure, designed for each patient according to his or her anatomy. There are several techniques to reposition and restore the underlying foundation, including the fat and fascia in the face and the muscles in the cheek, jawline and neck.

ADDITIONAL INFORMATION

NO SINGLE FACELIFT TECHNIQUE IS APPROPRIATE FOR ALL PATIENTS. 

Dr. Aston uses the approach that is best for each patient’s anatomy.  In every patient he repositions the deep plane foundation, which consists of fascia, called the SMAS, fat and platysma muscle to restore tissues to their original position without stretching the overlying skin. Dr. Aston was one of the first surgeons to use the SMAS/Platysma technique (the platysma muscle is along the lower cheek, jawline and neck) and, he developed the FAME (finger assisted malar elevation) technique, which is a deep plane procedure to lift the upper cheek fat and skin as a single unit for specific patients. At the initial consultation Dr. Aston will tell you which of the procedures will give you the best and most natural result.

Many people lose facial fat volume as part of the aging process but people in their early 40’s and 50’s usually need volume redistribution rather than volume addition.  When people have loss of tissue volume in their face,  Dr. Aston will add fat, which is taken from another part of the body.

A facelift improves the appearance of the aging process from the corner of the eyes down to the collarbone. That includes the mid face, cheeks, jawline and neck. A forehead/eyebrow lift corrects sagging of the eyebrows and lifts from the corner of the eye upwards. Not all facelift patients need a forehead lift. For many patients, the eyebrows maintain an adequate position without anything being done for them. 

A full facelift incision begins in the temporal area above the ear, follows the contour of the cartilage of the ear, curves around the earlobe and continues up the back of the ear into the hair in a way that is not seen.  Dr. Aston maintains the hairline in the front and back of the ear, and the temporal and side burn area, in their original positions. With Dr. Aston’s technique, facelift scars are hidden.

For some patients, a short scar facelift is possible in which the incision begins in the temporal area above the ear, follows the contour of the cartilage of the ear and then curves around the earlobe and stops.  A short scar facelift works for an individual who does not have significant sagging of the neck. Through this short incision, Dr. Aston performs very sophisticated work on the deep plane foundation of the mid face, cheeks and jawline.

Some current media articles and advertisements compare non-invasive and minimally invasive facelift procedures to surgical facial rejuvenation.  The results obtained with non-invasive and minimally invasive procedures do not compare to the initial results, nor the long-term results, that can be achieved with surgery.

Bruising, swelling and recovery time varies from patient to patient.  A number of factors including the patient’s skin, general health, medications, as well as the procedure necessary to deliver the desired results, will influence the recovery time. Dr. Aston and his staff will advise you of the appropriate do’s and don’ts before surgery.  In general, most patients are over most of their bruising and much of their swelling 10 to 14 days after surgery. Many patients return to social activities, and/or work, 2 weeks after surgery and everyone returns to aerobic exercise 21 days post-op.  You and Dr. Aston will know that there is still some swelling to subside but your friends and colleagues will see you as significantly refreshed.

There is a place for filler substances and Botulinum toxins in the face, although they cannot lift and restore sagging tissues.

Patients frequently ask Dr. Aston at what age should I have a facelift? It is Dr. Aston’s philosophy that a patient, regardless of age, should not have a facelift until they have seen changes in the face, that are a result of the aging process, that they wish to have corrected. The primary causes linked to the aging process are 1) Genetics 2) Lifestyle - including factors such as sun damage 3) Smoking   4) Weight gain or loss.

People age at various rates and observe changes in their face differently. Some people see the early changes of aging, such as a little bit of sagging in the mid face and jowls along the jawline that troubles them a great deal.  That is why Dr. Aston performs facelifts on a number of individuals in the mid to late 40’s. Conversely, Dr. Aston has also seen patients in their 50’s who do not yet need surgical rejuvenation.

Patients frequently ask Dr. Aston how long a facelift will last. Once you have had a facelift, you will look better than nature intended for the remainder of your life. Mind you, 10 years after surgery you will not look as good as 4 to 5 years after surgery because aging does continue, but you will look better than if you had not had the procedure.

Secondary facelifts are performed 10 to 12 or even 15 years after the original procedure. This is not because the patient has returned to their pre-surgical condition but because they are seeing changes occurring with the passage of time and they wish to maintain a more youthful face.

The policy of our office is to preserve patient confidentiality. During your consultation, you will be able to view pre-operative and post-operative photographs of patients who have given us permission to show their photographs.  A few examples of of post-operative facelift of various age ranges are shown here. 

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* All information subject to change.