Larry Weinstein, MD, F.A.C.S.
Chester Plastic Surgery
Top Plastic surgery Doctors in New York Metro Area


A facelift smoothes loose skin on your face and neck, tightens underlying tissues and removes excess fat. Your bone structure, heredity and skin texture all play a role in how many “years” a facelift can “remove” and, to some extent, influence how long it will last.

A facelift corrects visible signs of aging such as deep check folds, jowls and loose skin on the front and sides of your neck.

There are many variations to the facelift procedure and the placement of incisions. The goal of every facelift technique is to keep the incisions hidden as much as possible; following surgery, scars will be concealed by your hair or with makeup.

Incisions are usually placed within the hairline and within natural contours in front of and behind your ears. Modified incisions maybe used if, for example, you need correction of only your neck and lower face.

Loose skin is pulled up and back, and the excess is removed. After surgery, the skin on your face and neck will look smoother, firmer and fresher.

Why would I want to have a FACELIFT?

As the skin ages, folds appear over the cheeks, loose skin appears in the neck and the jawline loses its definition. Surgery can’t stop the process but it is able to “remove about 5 – 15 years” by tightening the skin and underlying muscles and removing excess fat and skin. A key part of the operation is tightening the SMAS layer over the cheek and jawline region. This layer of tough tissue around the muscles and is what the drooping fat sits upon. By pulling it taught, you lift the dropping fat back into a youthful position, rejuvenating cheekbone and jawline. The incisions will usually begin at the temples (in the hair) and extend down inside your ear, behind and around the back of the ear. Some patients also require a small incision beneath the chin in the natural skin crease. These are well concealed and usually heal with almost no detectable scarring. At the end of the surgery fibrin glue is sprayed beneath the skin, sealing the vessels and reattaching the skin. This usually minimizes bruising and swelling and allows us to usually eliminate the use of drains.

Who would need a necklift?

If the cheeks are not drooping, a necklift may be the answer. This procedure can be done in a variety of ways. For excess fat alone, liposuction may give an improvement. If there is loose skin as well, this needs to be removed. The incisions will usually begin behind the ear and extend down inside your ear, behind the earlobe and around the back of the ear. At the same time skin is removed, the fat can be liposuctioned and muscles tightened.

Can I combine a FACELIFT/MID-FACELIFT/UPPERFACELIFT/NECKLIFT with other cosmetic procedures?

The facelift or necklift is frequently combined with eyelid lifts, forehead lifts, facial implants, laserbrasion or chemical peeling of the lips/eyelids/forehead, as well as plastic surgery on other areas of the body.

What kind of anesthesia is used during a FACELIFT/MID-FACELIFT/UPPER FACELIFT/NECKLIFT?

A facelift takes around three hours and is done with either I.V. sedation or light, general anesthesia. Dr. Weinstein will recommend anesthesia that will be best for you. The other procedures are generally done with similar anesthesia, but usually take less time.


Insurance will not cover this procedure as it s considered completely cosmetic in nature.

What will I experience in the days following a FACELIFT/MID-FACELIFT/UPPER FACELIFT/NECKLIFT?

Following a mid-facelift, upper facelift, or a necklift, patients will usually go home to recover. There is usually minimal pain that is easily controlled with medication. You are able to drive and resume work within a week. Exercise will need to be curtailed for up to 3 weeks.

Following a facelift, you can return home that evening to the comfort of your own bed. Dressings are usually removed within 3 days. Bruising and swelling are minimal. Medication will control the minimal pain that patients usually experience. Plan on not being able to drive for up to two weeks and on being out of work for up to 2 weeks and exercising needs to be curtailed for 3 weeks.

A Facelift (Rhytidectomy) is a surgical procedure designed to smooth and firm the skin, providing a fresh, youthful appearance.  Throughout one’s life, the sun’s radiation, stress, gravity, and other factors cause the skin to sag and fit more loosely.  Areas of the face and neck, in particular around the jaw line, are especially prone to the aging process.  Though these changes are gradual, wrinkles and other signs of aging can make individuals “feel older” than they really are.

Surgery for a facelift involves the contraction and realignment of facial and neck skin, and in some instances the removal of excess fat deposits.  A facelift is often performed in combination with other facial cosmetic procedures and can be performed any time signs of aging begin to appear.  However, patients are generally in their forties or older when they elect to undergo this procedure.

Reasons for Considering a Facelift:

  • Sagging skin, muscles, and fat in the face and neck.
  • Excess skin and fat on the neck.
  • Sagging jaw line.
  • Crease lines along the nose, mouth, and chin.

General Procedure

The standard procedure for a facelift commonly involves making small incisions just inside the hairline, following the contour in front of the ear, and continuing under the earlobe to the backside of the ear and to the lower scalp.  Tissue and fat deposits are separated, the skin is stretched and tightened, and any excess skin is removed.  If the neck line requires attention, an additional incision is made under the chin and the same procedure is again followed.  Minuscule stitches are used to close the incisions and to reduce any chance of scarring. Metal clips or staples may also be utilized at the hairline.

A face lift may take several hours or longer depending on whether other cosmetic procedures are completed at the same time.  Sometimes other procedures may be performed in separate appointments.  There are several different facelift techniques that can be employed.  Patients can discuss with their physician which method is best for them when they come in for their consultation.

Recovery Process

Immediately after surgery, the face is fitted with bandages in order to decrease the recovery time and to reduce swelling.  Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing and recovery process.  The stitches, clips or staples are normally removed within a week. Patients sometimes report some minor pain associated with surgery.  Any discomfort can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given after the procedure.

Contact Us

Dr. Weinstein looks forward to helping you. Please contact us with any questions or comments you may have. Please call our office at 908 879 2222 or use the contact form below.