Facial Procedures

Facelift

See Before & After Facelift Gallery

This procedure can restore a naturally youthful and refreshed balance to the face and neck, reversing flattened or hollowed cheeks, folds and creases (“parentheses”), jowling, sagging or wrinkled skin of the neck and other signs of aging. “Often combined with eyelid surgery, we can perform a facelift that erases 10-15 years of facial aging, with nearly invisible surgical scars and a natural, non-operated, youthful result,” says Schweiger Dermatology Group’s Dr. Joshua Zuckerman, board-certified plastic surgeon in New York.

Are You a Candidate for a Facelift?

Facelift The ideal facelift candidate seeks to reverse the age-related changes in the midface, jawline, and neck, restoring a naturally youthful and refreshed balance to the face. He or she may have any combination of several hallmarks of facial aging: descent or flattening of the cheekbones, hollowing of the cheeks, formation of deepening nasolabial (“parentheses”) folds and creases, jowling and loss of definition of the jawline, formation of fatty deposits beneath the chin, and/or sagging and wrinkling of the skin of the neck. All of these problems can be beautifully and effectively addressed with an expertly carried out face and/or neck lift. The goal is always a natural, non-operated, youthful result. A deftly carried out facelift will erase 10-15 years of facial aging, with nearly invisible surgical scars and a surprisingly easy recovery.

What to Expect After a Facelift

Most patients take 7-10 days off of work to allow postoperative swelling to resolve. Dressings are removed on the first day after surgery, and sutures removed at 1 week. Pain after facelift is quite minimal, with most patients requiring narcotic medication for only 1-2 days after surgery. Potential patients should not seek facelift if they are medically unsuitable to undergo anesthesia or the operation itself, or if their facial aging is truly minimal and can be effectively addressed with fillers, Botox, or some of the other noninvasive modalities.

Nose Job / Rhinoplasty

Surgical reshaping of the nose, in a broad sense, is ideally suited to the individual who seeks to achieve aesthetic balance in his or her facial proportions or profile. Whether the goal is to decrease overall nasal size, to straighten a crooked nose, to narrow the nose or refine the nasal tip, this remains true. “More so than any other cosmetic surgical procedure, rhinoplasty is sculpture, architecture, and game of millimeters,” says Dr. Zuckerman. Subtle improvements in the structure of the nose produce dramatic effect on overall facial aesthetics.

Are You a Candidate for a Nose Job?

Rhinoplasty can often be performed via incisions that are entirely hidden inside the nose, and cosmetic improvements can be combined with functional corrections, such as deviated septum or other surgery for breathing problems. Those who should potentially reconsider before rhinoplasty include those with unrealistic expectations, those with untreated sinus problems, and those medically unsuited to undergo general anesthesia. A well-performed rhinoplasty will leave an attractive nasal contour that harmonizes the entire appearance of the face, with essentially no outward evidence that surgery has been performed.

What to Expect After a Nose Job (Rhinoplasty)

Typical recovery from a nose job includes approximately one week off of work, during which time a nasal splint is worn. There is typically a moderate amount of swelling and some bruising, the majority of which has subsided by two weeks postop.

Blepharoplasty (Eyelid Surgery)

See Before & After Blepharoplasty Gallery

blepharoplasty Aesthetic surgery of the eyelids (medically referred to as blepharoplasty) is intended for those individuals who are seeking to permanently correct and improve the look of droopy eyelids, tired, sagging, or a sunken appearance around the eyes. As we age, the supporting muscles around the eyes weaken and can result in excess fat accumulating below and above the eyelids. Not only is this a cosmetic nuisance, but it can also impair your vision. Sagging skin around the eyes can hinder your peripheral vision by getting in the way of the sight lines. With blepharoplasty surgery, you can reduce these vision issues while also reaping the aesthetic benefits of younger and more alert looking eyes.

You should consider the plastic surgery procedure blepharoplasty if you’re seeking to improve your appearance and have the following cosmetic issues:

  • Sagging, dropping upper eyelids
  • Excess skin in your upper eyelids that impairs your vision
  • Bags under the eyes
  • Drooping lower eyelids

How Blepharoplasty can Improve Your Appearance

blepharoplasty Excess skin in the upper or lower lid, puffiness or bulging of the lower lid or dark circles formed by a deep “tear trough” along the lower lid margin can all be dramatically improved with a successful blepharoplasty. “Our approach to this delicate and cosmetically important area is highly individualized and characterized by a light touch and a careful eye for symmetry,” says Schweiger Dermatology Group plastic surgeon Dr. Josh Zuckerman. By carefully removing fat and tissue in the eyelids, you can subtly wake up the appearance of the face—all with undetectable scars and minimal discomfort. The operation can include any of several components, depending on the issue at hand: removal of excess, sagging skin from upper and or/lower lid; gentle removal or rearrangement of bulging fat; tightening of a lax or sagging lower lid; grafting of the patient’s own fat to fill hollowing or smooth tear troughs; and laser resurfacing to tighten skin and eliminate fine lines. The end result is a totally rejuvenated look that lasts forever. By correcting and improving the eye area, you’re able to give the entire face a younger and more well-rested look.

What to Expect During Blepharoplasty

Blepharoplasty surgery is typically done on an outpatient basis, meaning you do not need to stay overnight after the procedure. Downtime varies with the complexity of the operation. Conservative removal of upper lid skin, a simple but powerful rejuvenative technique, can often be performed in an office setting under local anesthesia, with essentially no time off of work. Swelling is minimal, and sutures are typically removed in 4-5 days. More involved lower lid surgery is performed in the operating room under sedation or general anesthesia. Since this area is highly sensitive, some degree of swelling and bruising is expected, nearly all of which is resolved by two weeks post-operatively. Those who are not ideal candidates for blepharoplasty include those with chronic dry eyes, thyroid disease affecting the eyes, and those whose cosmetic problems might be better corrected by another operation, such as brow lift or facelift. Those who do fit the profile for a successful blepharoplasty treatment can also undergo laser skin resurfacing, facelift or brow lift at the same time. Done properly, aesthetic surgery of the eyelids dramatically improves tired or sunken looking eyes, and subtly “wakes up” the appearance of the face – all with essentially invisible scars and minimal discomfort.