Introduction

In the bustling city of New York, where beauty standards are constantly evolving, facial repositioning procedures have gained significant popularity. These surgeries aim to reverse the signs of aging, enhance facial contours, and restore a more youthful appearance. The latest update of the top five on the facial repositioning list in New York City showcases some of the most skilled and innovative surgeons, each with their own unique techniques. This article will delve into the details of these top surgeons and their approaches to facial repositioning.

Dr. Adam Kolker

Background and Approach

Dr. Adam Kolker is a well - known facial plastic surgeon in New York City. He believes that any facial rejuvenation plan should be tailored to the patient's particular anatomy and desires. His approach is step - wise, considering a range of non - and minimally invasive techniques as well as more invasive methods depending on the patient's needs. He always strives to provide the best facelift in NYC by achieving a natural and harmonious result.

Facelift Procedure

As we age, the face undergoes several changes. The skin becomes more lax and inelastic, jowls deepen, the neck slackens, and the volume in the upper cheek and mid - face regions decreases. Dr. Kolker's facelift takes all these elements into account. During the procedure, he re - establishes facial harmony by gently repositioning the soft tissues. For example, he addresses issues like loose jowls, sagging facial skin, poor chin and jawline definition, and slackness in the upper neck region.

He performs the facelift in his fully accredited office - based ambulatory surgery suite on Park Avenue. The surgery typically takes about three to four hours and can be done under deep sedation (twilight) or general anesthesia administered by a board - certified anesthesiologist. Depending on the surgical technique, he may tighten the skin, connective tissue, or underlying facial muscle. After the manipulation of tissues, he closes the incision and places drains to reduce fluid buildup at the wound site and applies a bandage.

Benefits and Complementary Procedures

The benefits of a facelift with Dr. Kolker include a more smooth and youthful appearance. The patient's face can look up to ten years younger. In addition to a facelift alone, Dr. Kolker may suggest complementary procedures. For instance, a neck lift can be combined with a facelift to address issues such as vertical neck bands and slackening of the neck. Non - surgical facial rejuvenation treatments like lasers and chemical peels can also be paired with a facelift to improve the vibrancy, texture, and evenness of the overlying skin. Blepharoplasty (eyelid lift) and brow lift are other complementary options that can enhance the overall facial rejuvenation.

Recovery and Results

After the facelift, patients are cared for by a licensed registered nurse in the recovery room. Most patients have a private duty nurse to care for them overnight. Small drain tubes are removed on the first morning after surgery. Bruising and swelling are normal and usually last for 7 - 10 days. Many patients can return to work and social activities in about 2 weeks, though this can vary depending on the facelift technique and adjunct procedures. Sutures are most often removed at 7 days, and patients can resume light exercises at 7 days and unrestricted exercise at 4 weeks. After a full recovery, most patients report a major boost in confidence and enjoy a younger, rejuvenated facial appearance for up to ten years.

Dr. Andrew Jacono

Renowned Surgeon

Dr. Andrew Jacono is considered one of the best plastic surgeons in New York, specializing in mini facelifts, rhinoplasties, and eyelid lifts. He is a world - leading expert in facial plastic surgery, an innovator, and a philanthropist. Patients travel from all over the world to his USA facelift surgery center in New York City to benefit from his skills.

Unique Facelift Techniques

Dr. Jacono is known for his innovative approach to facelift surgery. He is one of the few doctors who perform deep - plane facelift surgery. This approach involves repositioning all the drooping facial soft tissues involved in facial aging. By using only the deeper facial layer to lift the drooping tissue, the skin is never pulled, and patients avoid looking unnatural or tight.

He has also created a hybrid facelift called the M.A.D.E. (Minimal Access Deep Plane Extended) facelift. This surgical treatment uses a short incision while lifting the facial tissue and muscles simultaneously. Patients get the superior results of a deep - plane facelift combined with the minimal scarring of a mini facelift or short - incision facelift. Dr. Jacono's techniques have been published in several medical journals, and he lectures all over the world about his facelift procedures.

Before and After Results

Dr. Jacono has an extensive portfolio of before and after photos of his facelift patients. For example, he performed his signature M.A.D.E. minimal access extended deep - plane facelift on a patient, and the after - photo shows a dramatically younger appearance while still maintaining some of the patient's natural features like acne scarrings. Many other patients have also achieved excellent results, with improved jawlines, reduced jowls, and a more youthful overall look.

Dr. Gary Bass

The Multiplanar SMAS Approach

Dr. Gary Bass is one of the top plastic surgeons in New York, known for his multiplanar SMAS approach to facelift surgery. The SMAS (superficial musculoaponeurotic system) is a layer of connective tissue and superficial muscle under the skin and subcutaneous fat. In his technique, the skin and SMAS layers are released from each other and deep fixation points over a portion of the face.

This allows maximum flexibility to reposition each component of the face in the direction and to the extent needed to regain a youthful contour. Unlike the deep - plane technique, where skin and deeper tissues are repositioned as a single layer, in the multiplanar SMAS technique, facial skin, neck skin, upper facial SMAS (cheek area), lower facial SMAS (jowl area), and neck superficial muscles (platysma) can each be positioned independently.

Advantages of His Method

Dr. Bass believes that the multiplanar SMAS technique is superior because it can better address the individual differences in how facial tissues age. Each fat pad in the face shrinks and descends to a different extent during aging. This technique allows him to customize the positioning and shaping restoration for each part of the face. He also uses rotational vectors to carefully rotate tissues into precise position, which is more effective in repositioning facial tissue to its youthful location and configuration compared to linear repositioning methods used by many other surgeons. This helps to amplify projection and shape in the face that has been lost through aging.

Recovery

Thanks to advances in modern facelifts like fewer incisions and less reliance on dissection, healing time for a SMAS facelift with Dr. Bass is relatively fast. Typically, patients are able to return to work and resume social activities in about a week. The complete effects of a facelift are apparent after three to six months. Dr. Bass is proficient in using various methods to minimize bruising and swelling, such as tumescent fluid techniques, blunt - tip infusion of fluid, and ultrasound treatments. Laser treatments are also utilized to encourage incision marks to fade.

Dr. John E. Sherman

Comprehensive Facelift Options

Dr. John E. Sherman is an accomplished plastic surgeon in New York. He offers a variety of facelift methods to meet the diverse needs of his patients. These include the mini facelift, short - scar facelift, neck lift, coronal forehead lift, and endoscopic forehead lift.

The mini facelift is ideal for younger patients who want to correct moderate signs of aging or take preventative measures. It focuses on the mid - face and jawline, with incisions carefully concealed behind the ears. The short - scar facelift uses small incisions on the facial skin bordering the ear and along the back of the ear, allowing optimal access to reposition fat deposits, skin, and other underlying structures in the mid - face area without leaving obvious surgical marks or affecting the hairline.

Added Benefits and Ideal Candidates

Patients who choose Dr. Sherman for their facelift can expect several added benefits. These include lifted and tightened skin, a restored youthful and energetic facial appearance, removal of wrinkles and frown lines, elimination of excess tissue around the jawline for better definition, and repositioning and remodeling of the fat pads in the face for fuller, more elevated cheeks. The results are natural - looking and long - lasting.

Ideal candidates for Dr. Sherman's facelift are those who are in good physical health, willing to stop smoking, and have positive yet realistic expectations of the procedure. He and his friendly team will evaluate each patient's candidacy during the consultation.

Procedure and Recovery

Dr. Sherman performs facelift procedures either at his accredited medical offices or at one of three top - ranking hospitals in the United States. The procedure is performed under either general or IV anesthesia overseen by a highly experienced anesthesiologist. After the procedure, patients can choose to recover in one of these facilities or a hotel room, where Dr. Sherman will attend to them for the follow - up appointment.

Recovery time depends on the patient's age, health status, and the specific procedure. Drains, if required, are removed 1 - 3 days after. A compression garment may be worn around the lower face and neck for about a week. Patients are typically able to return to their normal activities and work within 1 - 2 weeks. Mild bruising, swelling, and discomfort may be felt during the first 3 - 4 days but can be managed with prescription medication. Most patients should feel comfortable resuming daily activities 7 - 14 days after.

Dr. Thomas Romo III

The Endoscopic Composite Facelift

Dr. Thomas Romo III is a pioneer in the field of facelifts in New York City. He developed the endoscopic composite facelift, a modern and minimally invasive approach. Many plastic surgeons still use the old - fashioned approach that simply pulls the facial skin back and tightens it, often resulting in a distorted and windswept look with short - lived results. In contrast, Dr. Romo's endoscopic composite facelift has numerous advantages.

It uses smaller incisions, provides more natural - looking and long - lasting results, and has a more rapid recovery after surgery. The technique utilizes a sequence of surgical techniques that produce a natural, youthful, and rejuvenated appearance. The endoscopic approach allows for better visualization and more precise manipulation of the facial tissues.

Addressing Facial Concerns

A facelift with Dr. Romo can address a variety of facial concerns. It can tighten and rejuvenate sagging facial skin, fix the separation between the lower eyelids and cheeks, get rid of deep creases along the nose that extend to the corners of the mouth (nasolabial folds), address facial fat that has fallen or disappeared over time, eliminate jowls, and address loose skin and excess fatty deposits under the chin and jaw.

For more extensive tissue laxity at the jawline and neck area, a combination facelift and neck lift may be recommended. Dr. Romo will perform a full consultation and examination with each patient to understand the extent of aging and their desired outcome from treatment.

Recovery and Why Choose Him

Facelift recovery with Dr. Romo typically progresses over about two weeks. During the first week, rest and pain management are the top priorities. Swelling and bruising usually peak by day 3 or 4 after surgery. Within the first 7 days, patients typically transition from needing prescription pain medication to managing comfort with over - the - counter medication. By the end of the second week, patients are often ready to return to work and most other normal activities. Weeks two to four after facelift surgery include continued improvement in sensation and contouring. Sutures are removed sometime between weeks one and three after a facelift.

Patients choose Dr. Romo because of his more than two decades of experience in performing facelifts. He is the innovator of the endoscopic composite facelift and has worked with the world - renowned Karl Storz instruments to develop his own line of endoscopic instruments. His techniques are globally distributed, and he frequently lectures internationally, teaching his techniques to other surgeons. Other physicians often refer complex facelift cases to him due to his renowned expertise and superior technical skills.

Comparing the Surgeons and Their Techniques

Frequently Asked Questions

What is the best age for a facelift?

There is no one - size - fits - all answer. Generally, the best age for a facelift is when the signs of aging start to become more apparent, usually in the 40s, 50s, and 60s. However, younger patients might consider non - surgical options or a mini facelift, while older patients in good health can also benefit from a facelift.

How painful is a facelift?

Discomfort during recovery is usually mild to moderate. Most patients find the results of their facelift are well worth the temporary discomfort. Pain can usually be managed with prescription medication for the first few days and then over - the - counter medication.

How long do facelift results last?

Depending on the type of facelift and factors such as genetics and lifestyle (e.g., sun exposure, smoking), many patients enjoy a refreshed appearance for up to a decade. However, the natural aging process continues, and some patients may choose to have a secondary facelift later in life.

Can a facelift be combined with other procedures?

Yes, many surgeons, including those on the top five list, often recommend combining a facelift with other procedures such as neck lift, blepharoplasty (eyelid lift), brow lift, or non - surgical treatments like lasers and chemical peels