Facelift Surgery in New York
Dr. Sam Rizk, a double board certified facial plastic surgeon, is highly specialized in facelift surgery. He is very experienced in a variety of facelift techniques and customizes his lifts to suit the unique needs of each patient. His innovations in the field, such as the use of 3D telescopes and tissue glues, result in more natural, long lasting results as well as a rapid recovery. Dr. Rizk has been featured as a facelift expert in national and international media, as well as was selected as one of New York's best plastic surgeons by Castle Connolly & New York Magazine.
Why Should I Consider a Facelift Surgery?
As we age, muscles become loose and drop underneath the skin. Dr. Rizk's facelifts address deeper facial tissues by going under the muscle, sliding it backwards into its original youthful position. Once the deeper tissue is lifted, the excess skin is trimmed. These procedures result in less bruising and swelling. Dr. Rizk takes special care to hide scars inside the ear which allows wearing your hair up after surgery with no visible scarring. Scars heal better because there is no tension on superficial layers of tissue and skin.
Dr. Rizk’s facelifts result in a natural, softer look and creates definition along the jawline and neck, without tightness. Most patients are able to resume their normal routines within 7-10 days after surgery. Dr. Rizk also performs other types of shorter lifts for younger patients with lesser degrees of aging.
"No one knows I had a facelift - I had to tell them. My friends have never seen anything like what he's done for me." – Francine Newton, Former Miss California
What Makes a Better Facelift?
Lifting skin alone will result in an unnatural tight look. Many facelift procedures advertised taunt the consumer into believing that there are magical “weekend lifts”, short lifts, with 2 day recovery times. Generally, if it sound too good to be true, it usually is. Dr. Rizk’s facelift looks natural, lasts over 10 years and patients may be socially presentable in a week. He artistically reshapes jowls, improves nasolabial folds, and tightens loose face and neck skin with the following techniques:
- Deep lift in a natural vector of elevation (vertical for the face, horizontal for the neck) results in less bruising. Most bruising occurs due to trauma in superficial blood vessels under the skin.
- Reestablish youthful look by repositioning drooping tissue to its original form.
- Reposition cheek fat pad right under the cheekbone to eliminate hollows under cheekbones.
- Smaller incisions result in undetectable scars as well as preservation of the hairline.
How do Facelift Techniques Differ? How is Dr. Rizk’s Technique Different?
Facelift techniques differ by length of incision and depth of lift. Dr. Rizk’s signature lift is the modified deep plane rhytidectomy which addresses the midface, lower face and neck. He also pioneered the use of high definition 3-D telescopes to visualize facial structures and increase surgical precision and safety.
“I am so thankful that I chose this doctor. I am so happy with the results. I feel reborn…when it comes to the face, and surgery you want the most qualified surgeon, most qualified staff and an office/operating suite with the most high tech/ state of the art equipment.” – Brese, NY (RealSelf)
His graded customized approach to facelift surgery means that a younger patient in his/her 40’s may only need a mini facelift. Some heavy necks and most male necks require a midline tuck of the muscle done through a small scar under the chin. An older patient with jowl formation in lower face may be a candidate for a partial lower facelift. Some patients may require the full facelift which addresses the mid-face as well as lower face, jowls, and neck. The brow is not part of a facelift and is addressed separately with a browlift.
Which Age is the Best to Get a Facelift?
Typically, patients in their early forties may be candidates for a lower face lift alone and later in their forties for partial facelifts. Patients in their fifties or sixties usually require a full facelift. The age range for facelifts is forties to seventies with some exceptions – such as younger patients with weak chin structure and increased fat deposition under chin.
How Long do Facelift Results Last?
Dr. Rizk’s facelifts typically last for 10 years. After that period, you will still look younger than your age. A second facelift may be recommended by Dr. Rizk after 10 years. Dr. Rizk has successfully performed third or fourth facelift procedures on older patients.
Why Do Dr. Rizk’s Facelifts Last Longer?
Dr. Rizk was the first surgeon to use endotines (absorbable devices which can replace stitches that raise and hold deep tissue in face) in the deep plane so they are non-palpable. Because of their multiple securing areas, they provide a longer lasting lift and they secure tissue better using a more natural method. Dr. Rizk also modified the device he uses in the deep plane to achieve better results for his patients.
“When I met Dr. Rizk I knew he was the doctor for me. He is so gifted. His hands are magical. He changed my life. People tell me I look so many years younger. He will be my Doctor forever! When he becomes your doctor you will as thrilled as I am. Most of all aside from being a great surgeon he is a great human being. Love you Dr. Rizk!!!” – Sandra, NY (RealSelf)
Surgical Day & What to Expect After Facelift Surgery
Our patients undergo facelift on an outpatient basis either in Dr. Rizk’s JACHO certified surgical facility on Park Avenue or at Manhattan Eye, Ear and Throat or Lenox Hill Hospitals. Dressing is removed the day following surgery. Dr. Rizk use tissue glues instead of drains, so the pain of having a drain is eliminated, bruises are minimized and recovery time is shorter. Patients report that pain, in general, is minimal. Some tightness in the neck and face is expected for first two weeks after facelift. Most stitches are removed in 7-10 days. Makeup may be worn in 7 days. It is recommended to dye your hair before surgery.
Various herbal medications are added pre/post-operatively such as arnica Montana, bromelin, and tissue glues to expedite recovery. Dr. Rizk asks his patients not to use aspirin and other NSAID’s (such as ibuprofen, Alieve, and Excedrin), fish oil and certain herbal supplements in the 2 weeks before and the 2 weeks after surgery to minimize bleeding and bruising.
What is the Difference between Male and Female Facelift Procedures?
Male skin is thicker and heavier with more blood supply. In all male facelift patients, Dr. Rizk performs the midline muscle tuck (midline playsmaplasty or submentalplasty) with a small incision under the chin. This is done in addition to the lateral (sideways) pull of the platysma muscle in the neck. Male patients tend to be concerned more about their necks than their faces. Some female patients with neck cords or significant fat under the chin also benefit from this midline muscle tuck in addition to the lateral pull to the side behind the ears. Male patients show a very rapid recovery with the use of tissue glues.
Why Does Dr. Rizk Use Tissue Glue?
Tissue glues have been employed in medicine for many years in open heart surgery to seal blood vessels and in other types of surgery. They were first introduced to plastic surgery in burn victims and were used to attach graft tissues. Dr. Rizk uses tissue glues inside the face after facelift and they dissolve over the following week. They seal small blood vessels which typically cause bruising and oozing. They do not replace stitches. Drains are an older method which can increase infection rates, malfunction, and can cause more scarring and pain upon removal. Dr. Rizk has instructed other surgeons from all over the U.S. in the use of these glues.
What Anesthesia Dr. Rizk Uses in Facelift Surgery?
Anesthesia is provided by board certified anesthesiologists with many years of training in ambulatory anesthesia (not a nurse). Either twilight (sedation) anesthesia or general anesthesia can be used. Patients breath on their own in both types of anesthesia. In general anesthesia, a breathing tube is employed to establish a safe airway for breathing. The anesthesiologist will speak to the patient before surgery, discuss all options and make recommendations accordingly.
What is the Cost of a Facelift?
There is a range of fees and it depends on whether it is a full or a partial facelift. It also depends on size of the face and the extent of work. In general, there are three fees: operating room fees (time dependent), anesthesia fees (time dependent) and surgical fees. You will obtain an estimate of the surgical fee after Dr. Rizk reviews photos (virtual consultation) or after a face-to-face consultation. For more information, you may call the office to inquire about fee ranges.
Dr. Rizk’s Comments on Media-Advertised Facelifts such as Weekend Lift, Y lift, Lifestyle lift, or Liquid Lift
There are many short-lived lifts, most of which are not even lifts, but are just filler injections hyped by catchy names. Fillers may be used alone or in conjunction with real lifts and do help with the nasolabial folds, but do not lift the neck or jowl tissues. Too many fillers, especially in the lower face and around the mouth, can look unnatural. The results of facelifts that do not replace facial tissues to their youthful origins will not last for many years. Dr. Rizk does not tout his lifts with names, only focuses on giving patients natural long lasting results.
How Does a Facelift Address Facial Aging?
Gravity, sun-exposure, genetic factors, smoking, pollution, and life stresses all combine to loosen and sag our facial tissues (muscles, fat and skin). These may deepen nasolabial folds and result in jowl formation around jaw line. Additionally, accumulation of fat under the chin may produce a double chin. Loosening of the neck muscles (named platysma) may produce appearance of hanging cords (particularly visible in thin patients). It is important to note that any facelift must address the muscle layer, fat and skin in order to look natural and achieve longevity.
What Procedures Can Be Combined with a Facelift Surgery?
- Lasers are used to improve skin texture, eliminate fine wrinkles around the eye or remove sun damage.
- Chin Implants will support a weak chin or a cheek implant to augment a flat cheek making the face less likely to droop. As much as 25% of facelift patients also undergo one of these implants.
- Rhinoplasty - sometimes patients notice their noses more after facelift and opt to undergo a rhinoplasty. A minor lift in the nasal tip will improve overall facial balance and harmony with no additional recovery or pain. Rhinoplasty is performed on 10 percent of Dr. Rizk’s facelift patients.
- A complete or partial browlift may enhance your new, youthful look. Dr. Rizk often recommends a partial browlift to only lift the corner of the eye (the lateral hood) and not a complete browlift.
- Upper or lower eyelid surgery is the most common procedure performed with facelift. Approximately 60 percent of facelift patients also undergo an eye lifting procedure.