710 Park Avenue, New York, NY

Facelift

As we age, the visible changes are manifested on a number of levels: skin may become more lax and inelastic, jowls become deeper and more pronounced, the neck slackens, and the youthful volume from the upper cheek region and mid-face decreases. Restoring youthful beauty with a facelift takes all of these elements into consideration. The best approach is always one that reestablishes facial harmony and a refreshed appearance.

I have the highest regard, praise and thanks to Dr. Kolker and his great team of professional staff. Being a nurse and healthcare administrator, I had very high expectations for having facial plastic surgery and wanting assurance of a great outcome, which is exactly what I received.A.M. / New York
Schedule a Consultation to See Our Work in Our Office

To preserve anonymity and to protect the confidentiality of all of his patients, Dr. Kolker maintains a comprehensive gallery of before and after photographs that can be viewed in the office for this procedure.

There are myriad techniques available to rejuvenate the face, and determining the best facial rejuvenation methods must be carefully choreographed to achieve your unique goals and desires. A facelift is one of the cornerstones of facial rejuvenation, and is applicable in circumstances where deeper tissue repositioning, particularly of the jowls and neck, are required. There has been a paradigm shift in facial plastic surgery and facial rejuvenation, and a facelift today is quite different than the facelift of years past; "tight" or "pulled" have been definitively replaced by soft, gentle, delicate, youthful and natural.

Facelift with Dr. Adam Kolker

Facelift NYC

Dr. Kolker believes that any facial rejuvenation plan should be carefully formulated based on your particular anatomy and your unique desires. The approach is always step-wise, with treatments assuming "rungs of a ladder" ranging from non and minimally invasive techniques through the spectrum of moderate and more down-time methods. The best facial rejuvenation techniques that are the safest and most effective for your particular goals will be selected from the lowest "rungs" appropriate.

In youth, our faces are fuller in the cheekbone region, and narrower at the chin and jaw, much like a "heart" shape. As we age, the upper face narrows with volume loss, and the lower face spreads, with jowls and jaw becoming more prominent, with the face assuming a more "trapezoidal" shape. The best facial rejuvenation approaches do not seek to "pull" this aging relationship back to baseline, rather, it is the gentle repositioning of the descending, wider elements (jowls and lower cheek) to more youthful positions, and repositioning and replacing lost volume to the upper cheek region to reestablish a more beautiful and natural contour.

Restoration of volume alone may be appropriate in select cases, as fillers (Juvederm, Restylane, Voluma, Sculptra, and others) or fat (autologous fat transfer from your own body) can reestablish youthful fullness, and may achieve your goals with less downtime. However, when jowls become more prominent and slack, and the skin and soft tissues beneath the chin and of the upper neck become lax, a facelift may be appropriate. These more architectural changes associated with descent of skin and soft tissues during facial aging can't always be "camouflaged" nonsurgically. When necessary, facelift surgery is frequently performed in conjunction with other facial rejuvenation procedures, and most commonly with the restoration of volume (fat grafting). This allows for more minimally invasive facelift approaches where appropriate, and promotes more natural, balanced and beautiful results.

Facelift New York City

Dr. Kolker's Message to Those Considering Facelift

A facelift is part of a concert of techniques used to refresh and rejuvenate the face. The best facelift is never tight; it is meant to restore the position of neck, jowl, and cheek, and replace volume from whence it was lost. The ultimate goal is the restoration of youthful facial balance and harmony. Dr. Adam Kolker

Planning Your Facelift

When jowls become prominent, the lower facial skin and soft tissues become lax, and when the neck begins to drop, replacement of the deeper facial tissues to a more anatomically balanced position is required to restore youthful proportion and shape to the face. The deeper tissue layers that require repositioning are called the SMAS, which is a firm connective tissue layer, and the platysma, which is a muscle sling in close relation to the cheek SMAS that passes beneath the chin and neck. After a comprehensive personal discussion and physical evaluation in Dr. Kolker's office in NYC, facelift and other facial rejuvenation options that are tailored to your unique goals and desires will be presented.

Dr. Kolker will always present what he feels to be the safest, most effective combination of facial aesthetic procedures, favoring the least invasive methods, to achieve your goals. When facelift is appropriate, the following techniques will be considered:

  • Short Scar Facelift - this minimal incision facelift approach allows for the repositioning of deeper facial tissues with more limited incisions
  • Classical Facelift - deep tissue repositioning is carried out, and more skin can be removed.
  • Facelift with Necklift - an incision is often added beneath the chin, and the platysma muscles are repaired
  • SMAS Plication - the SMAS is tightened to lift the jowl and cheek
  • SMASectomy - a strip of SMAS is removed, and then tightened
  • SMAS Flap - SMAS is elevated, and tightened
  • MACS Lift - generally associated with short scar facelifts, purse string sutures tighten the cheek and facial SMAS planes

There are a variety of factors that might make an individual a candidate for a particular facelift technique. Subjective desires are always measured, and it is the union of the improvements you seek and your particular anatomy that inform the best facelift choice.

A facelift, as with any facial rejuvenation process, is about restoring natural balance and facial harmony. As such, most will consider adjunct complementary treatments. Autologous fat transfer is the most common, as the facelift will restore the soft tissue position that has changed, and the addition of fat will restore the volume that has dissipated. Upper and lower lid blepharoplasty (eyelid lift) is also a frequent accompaniment to facelift. A chin implant during a facelift can further improve the definition of the jawline and upper neck, and help to accentuate a more youthful appearance. Browlift can also be combined with facelift surgery.

Hear From Dr. Kolker's Patients

I have the highest regard, praise and thanks to Dr. Kolker and his great team of professional staff. Being a nurse and healthcare administrator, I had very high expectations for having facial plastic surgery and wanting assurance of a great outcome, which is exactly what I received.A.M. / New York
Read More Patient Testimonials

Preparing for your Facelift

It is important to avoid anything that thins the blood for two weeks prior to surgery. Maximizing skin "fitness" prior to surgery, using an at-home regimen that usually incorporates a retinol or Retin-A, is encouraged. In certain cases, other preoperative treatments (chemical peel, Fraxel, or laser) may be recommended to enhance the postoperative results (akin to "priming the canvas"). Routine blood tests are obtained, and medical clearance is organized as necessary. At your initial consultation with Dr. Kolker in his office in NYC, facelift instructions are given, and are reviewed with you in great detail at a preoperative visit two weeks prior to surgery. Prescriptions are given at this visit, and any outstanding questions can be answered.

The Facelift Procedure

Dr. Kolker most commonly performs facial rejuvenation procedures in his fully accredited office-based ambulatory surgery suite on Park Avenue in New York. Facelift surgery duration is approximately three to four hours. Anesthesia is either deep sedation (twilight) or general, and is administered by a board-certified anesthesiologist from the Mount Sinai Hospital.

Recovery

After your facelift, you will be cared for by our licensed registered nurse in our recovery room. For most patients following facelift, you will have a private duty nurse to care for you overnight. Small drain tubes are removed on the first morning after surgery.

Bruising and swelling can be expected after facelift, and generally lasts for 7-10 days. Many will be able to return to work and social activities by 2 weeks, however depending on the facelift technique and adjunct procedures, return may be sooner, and in rare cases slightly later. Sutures are most often removed at 7 days. You may resume light exercises at 7 days, and unrestricted exercise begins at 4 weeks.

Aftercare

Dr. Kolker will see you frequently in the first weeks after facelift, followed by a 12 week and 12 month postop visit. Dr. Kolker and his staff are always available to you, and will discuss any questions or recovery related matters after your facelift. Skin maintenance after the procedure is also overseen, and combinations of moisturizer, serum, sun block, and retinol will be devised for your specific needs.

More Questions

There is no substitute for a personal consultation with a board-certified plastic surgeon experienced in facial aesthetic treatments, and the wide array of facelift techniques. Considering your unique needs and goals, Dr. Kolker will formulate a treatment plan that suits you best. Facelift requires delicacy, experience, appreciation of anatomy, and artistic vision to achieve the most beautiful and natural results, and the surgeon you choose makes a difference. We invite you to schedule a consultation to discuss your facelift with top facial plastic surgeon, Dr. Adam Kolker at his office in NYC, and we look forward to warmly welcoming you to our practice.

Schedule a Consultation With Dr. Kolker

Please Call Us at 212-744-3900

Or Click Here to Schedule A Consultation » Click Here »