In time, gravity, sun exposure, and the stresses of daily life take their toll on the face: deep creases appear beside the mouth, the jaw line slackens, as well as folds, and fat deposits can appear on the neck. A facelift (rhytidectomy) counteracts these problems by removing fat and then tightening skin and muscles, giving the face a fresher, youthful look. After surgery, some patients appear 10-15 years younger. New York City plastic surgeon, Dr. Dana Khuthaila, performs a facelift to eliminate the jowls and tighten a loose neck. A facelift does not change the appearance of the central face, the eyes, or the forehead. However, the lower portion of the nasolabial folds are softened considerably, and the downward extension of the nasolabial folds that reach almost to the jawline (marionette lines) are usually eliminated.
"24 and Baby Faced - I went to Dr. Khuthaila for "facial slimming botox" - it's a procedure where botox is injected into your masseter muscles (your jaw) and gradually paralyzes the muscle causing the muscle to atrophy overtime. For my first session i had 40 units put in, Dr. Khuthaila used a vibrating tool as a distractor as she administered the injection. It was completely painless and it was done in what felt like under two minutes. There was some slight bruising on the side of my face which I promptly covered up with makeup and went back to work right after. I have to preface this with this. I have a theory that I have especially hypertrophied masseters because I used to chew gum while I lifted weights. I've also always had a round wide-ish face and I've been looking into invasive asian cosmetic procedures for years. I decided to try this to see if I could go about it differently. I'm a personal trainer, fit, at my goal weight, 20% body fat and I know this is the smallest my face is going to get. You can make your face appear smaller by reducing your body fat, and I had just hit my ceiling. The first week really didn't garner a noticeable difference in my eyes. My face was still pretty round and not "v'd". I went back for a touchup (10 units) a week and a half later because Dr. Khuthaila noticed a bit of asymmetry with my jawline. (Probably because I chew with my right side, also a theory) About two weeks out I woke up and noticed that my chin looked especially prominent and I could not stop staring at myself throughout the day. It really was working. In fact, I felt like I had a new face. So all and all the procedure works, but it takes time and the changes are subtle. "- J. / RealSelf / Apr 08, 2017
"22 Year Old Unhappy with Profile of the Nose - I always felt that my profile was missing something but I didn't know what I wanted to correct. I realized after taking countless profile selfies that the tip of my nose was lacking perky-ness (If that any makes sense). I've thought about having a rhinoplasty to correct it but I didn't want to break my nose in the process being that all I wanted was structure to the tip. Dr.Khuthaila recommended we try a non surgical temporary treatment and we proceed from there. I was amazed with how quickly and instantly the results were! My nose has the perfect uplift I was looking for and she saved me from going under the knife when it truly was not necessary. The result is exactly what I wanted and I cannot thank her enough for all her help and support. <3 "- S. / RealSelf / Apr 06, 2017
"Best Plastic Surgeon in NYC! Love my Botox! - Dr Dana Khuthaila is amazing! After turning 30 I was interested in less invasive procedures to spruce up my face. I started to get annoyed at the lines starting to become permanent on my forehead. Dr Khuthaila suggested I try Botox in the forehead and between my eye brows to smooth everything down and get rid of those lines...(I also have thick forehead muscles that bulge up when I squint). Being a professional and expert injector she used the perfect amount of the Botox that gave my eye brows a nice little lift and totally smoothed out my forehead, I still have movement and I certainly do not look "overdone" which was one of my main concerns. Everyone keeps complimenting me on how refreshed and rejuvenated I look, even my husband can't quite figure out why I am looking exceptionally awesome these days! The injections were painless and she even used a really cool vibrating gadget that helped distract me from any pain (which I did not feel at all). She took her time, explained everything in detail and gave me great post op care instructions. Her office is spectacular with overlooking views of Central Park...million dollar view for sure! Her staff is warm,welcoming ,always smiling and so amazing at confirming appointments AND they even called me the next day to see how I was feeling after the injections...totally thoughtful follow up care, they make you feel like family! Hands down she is the best, her surgical work as well is beyond incredible. I will be back for more Botox and her injectable filler work is flawless as well."- M. / RealSelf / Mar 31, 2017
"I LOVE Dr Khuthaila. She is one of the very few doctors that will not only do an amazing and meticulous job, but will take her time to explain the procedure and answer all questions along the way, and do it with the integrity of a true professional and with the best interest of the patient in mind first and foremost. I saw many plastic surgeons before I found her, at the recommendation of a very close friend, and once you meet her, you will immediately understand why her patients love her so much. She's treated me and my mom, I've recommended her to friends and will keep going back to her. She is 5 star all around. As an added bonus, her gorgeous office overlooks Central Park and is close to wonderful restaurants and the nice shops on 5th and Madison. Thank you Dr Khuthaila!!!"- S.M. / Yelp / Aug 23, 2016
"Excellent experience - I am very picky, before the procedure I had 7 consultations with 7 different drs. She was by far the most detailed, honest and explained exactly what shall I expect. The procedure was very smooth, I didn't feel a thing, healing process was much faster than my friends who did it with other Drs I was able to go out 2 days after the procedureToday I am 2 weeks after And I have no visible scared or bruises Oh and the most important thing is She phoned to check on me and they have me a number to text or call if I have any questions and I did text many times and they reply fast and efficient Excellent experienceHighly recommended"- K. / RealSelf / Mar 30, 2017
There are various techniques used today to perform a facelift. Facial anatomy, skin laxity and the overall aesthetic goal of the patient will determine the best approach. Each procedure will be unique to the patient and will vary based on the type and location of the incision, the number of tissue layers affected, the plane of elevation and the level of invasiveness.
Skin Only Facelift@headingTag>
The skin only facelift has been in practice since the early 1900s. Known as a cutaneous facelift, this technique is less invasive because it addresses the skin only. The result of this surgery is a bit subtler than some of the newer muscle tightening procedures. However, it also offers a lower risk and recovery period for the patient.
Traditional Facelift (SMAS)@headingTag>
This SMAS facelift is considered the gold standard. This surgery, while more complicated, produces results that are more dramatic and longer lasting. The technique involves manipulating a group of muscles beneath the skin known as the superficial musculo-aponeurotic system (SMAS). This section of muscle controls facial expression. An incision is made along the hairline from the temple to just behind the earlobe. The skin is then separated and lifted. The underlying muscles and tissue are tightened and secured so they maintain their new position.
A mini facelift is geared towards patients who want some of the benefits of a facelift, while at the same time minimizing the cost and invasive nature of the surgery. Some procedures that are considered “mini” include the “Quicklift” or “Lifestyle Lift”. Patients who wish to maximize the outcome of their surgery, resulting in the most dramatic results, will most likely need to turn to having a full facelift in order to meet these aesthetic goals.
All facelift procedures are performed under general anesthesia at an accredited surgical facility. The length of the surgery will vary, but it generally takes between 3-4 hours. This surgery is considered an outpatient procedure. However, some patients may be required to stay overnight in the hospital. After surgery, patients will be bruised and swollen and the face and neck will feel tight. This will gradually improve within a few days. It is common for patients to feel anxious about how their face will appear. Patients need to understand it can take several full months for the final results to appear.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 3-5 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
BOTOX®, injectable fillers, microdermabrasion and chemical peels are examples of some non-surgical procedures that can assist in smoothing out wrinkles, improving fine lines and adding facial volume. These procedures also help to even out skin tone. However, these are treatments that will only affect the skin’s surface. Patients with loose skin, drooping jowls or a sagging neck will need to consider surgery if they want these features improved.
Will I Look Fake?@headingTag>
In the days immediately following facelift surgery, patients will feel tight and pulled. These are some short-term effects, but they will subside. It’s important to find a reputable surgeon skilled in facial surgery. Surgeons who know what they are doing will make every effort to work within the confines of the patient’s bone, skin and muscle structures so a younger, more natural look can result.
Facelift surgery does require a long incision. However, in almost all cases, these scars are well hidden as they fall just along the hairline and around the ears in the natural folds of the scalp. In most cases, the scars should be barely visible to the naked eye.
The common age range for patients who undergo a facelift is between 50-70. It is safe to say most patients will look 5-10 years younger following a facelift procedure. Younger patients (40-50 years old) generally have stronger skin elasticity so their results may last longer than those of someone older. However, older patients may have results that appear more dramatic and, for them, this can be very worthwhile. Patients should think of a facelift as a process to turn back the aging clock. You will still age, but you will appear a few years younger.