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

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Manhattan plastic surgeon, Dr. Sherrell J. Aston, is considered one of the preeminent authorities in the world on the subject of facial rejuvenation. A facelift is defined as correcting the aging process from the corner of the eyes down to the collarbone. That includes the mid-face, cheeks, jawline, and neck. Dr. Aston’s facelift procedures are designed to give the individual a natural, unoperated look with the shortest recovery time possible, and a subtle, gorgeous 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 procedure is highly individualized and 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

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

Surgical Technique

Dr. Aston uses the approach that is best for each patient’s anatomy. In every patient, he repositions the underlying foundation, which consists of fascia (called the SMAS), fat, and 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.



SMAS is the superficial musculo-aponeurotic system, which is a muscle complex that is primarily active when it comes to facial expression. With normal wear-and-tear due to age, gravity, and personal habits, muscle tissue loses its integrity and becomes displaced significantly for those over 50. This particular facelift is considered the standard when it comes to this cosmetic procedure.Incisions are hidden in the hair and around the ear cartilage. The skin is released from the deep tissue and the SMAS and platysma layer is contoured to give the best result for the individual anatomy. Excess fat and skin are removed.


Different patients need different facelift techniques depending on their anatomy and what one is trying to achieve. There is no one technique that is appropriate for all patients. The platysma muscle in the neck and along the jawline is always corrected in continuity with the SMAS procedures in the cheeks. High SMAS technique is used for patients who need increased volume in the cheek area as well as in the upper lateral orbital area. It is an excellent technique for lifting and contouring some faces.



Oblique plication varies in its vector from patient to patient, depending on where volume is needed to contour the face to the desired result.



Transverse plication is an excellent technique when cheekbone contour is desired and needed. It is specific in giving higher cheek and malar contour.



The FAME technique developed by Sherrell J. Aston, M.D. repositions skin and the mid-face foundation as a single unit. This technique is used specifically for repositioning mid-face contour when there is a small amount of excess skin but significant laxity in the deep layer structures. When combined with a high SMAS technique, the underlying tissues and skin can be repositioned on separate vectors, giving an elegant, unoperated appearance.



A short-scar facelift is named from the shorter incisions made; a mini lift is a quick treatment that corrects the middle and lower face. Many patients initially consider this technique, but this doesn’t correct any severe issues and usually renders short-term results. Patients who undergo this procedure are most likely to also stage a full facelift as a final step to fully rejuvenate and reshape the face to its youthful curves.

During/After Surgery

Dr. Aston performs facelifts in his own modern, accredited ambulatory surgical facility and at Manhattan Eye, Ear, and Throat Hospital. Depending on the particular of each individual, Dr. Aston recommends general anesthesia or local anesthesia with sedation. Bruising and swelling varies with individuals but most patients look good in two weeks and return to normal exercise activities in 21 days.

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Facelift FAQs


Cosmetic surgery is constantly evolving and always finding ways to minimize the invasiveness of procedures. There are countless options that are considered less invasive than a facelift, including wrinkle relaxers such as BOTOX®, injectable fillers, microdermabrasion, and chemical/laser peels. These alternatives aim to correct signs of aging such as wrinkles, as well flatten and soften folds and contours. The effects, while effective, are often short-term and last about 6 months to a year. Although these procedures can be safely repeated, for some a facelift may be a better, more permanent option.



Immediately following a facelift procedure, the patient will feel tightness and a pulling sensation. This is normal as the facial tissues, skin, and muscle adjust to their new positions. Dr. Aston has years of experience and has performed several thousand facelifts. Your results will be elegant and natural. A doctor with experience in facial surgery will create natural, smooth results that will last for years to come.



A traditional facelift requires stitches starting in the temple hairline, but the scars will be well concealed within the hairline and natural creases around the scars. With the lesser invasive techniques, the scars heal pretty well and will almost be completely invisible to the naked eye.



Anyone can consider a facelift as soon as evidence of aging starts taking a toll on the skin. Generally, patients who are age 50 to 70 consider a facelift. Personal habits and environmental conditions can impact the skin. There are patients who are only 40 that are also good candidates for a facelift.



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.

* All information subject to change.