Dr. Westreich does his best to make sure that his patients leave his office with no visible signs of surgery. The incision for a facelift is typically made at the hairline and is hidden by overlaying hair. His conservative approach and attention to detail can be observed when you look at before and after photos of actual patients.
Considered one of the most popular plastic surgery procedures, a NYC facelift from Dr. Westreich is designed to freshen up your look, taking years off your face using a surgical technique that supports long-term results. In one procedure you will reposition facial muscles that sagged, remove wrinkles, tighten loose skin and reverse signs of age. As a “Top New York Plastic Surgeon” (voted by NY Magazine) who specializes only in facial procedures, Dr. Westreich is experienced with subtle and partial face-lifting techniques that he will customize to match your facial features and to specifically target areas of concern. He is considered among the best facelift surgeons in NYC.
A variety of treatments
Traditional facelift surgery is excellent for lifting the tissues of the cheek, jowls and neck back to their natural position. The forehead is often lifted at the same time if needed. Dr. Westreich performs many techniques for facial rejuvenation surgery based on your individual needs and preferences. In most cases, New York City-based Dr. Westreich will elevate the SMAS and deeper tissues in a more vertical dimension, and gently redrape the skin laterally to achieve an improvement that enhances your natural appearance. In some cases, only the cheeks and jowls need to be elevated. If sagging jowls and a loose neck are your chief concerns, Dr. Westreich may be able to perform a necklift alone.
Facelifting is done in order to remove excess skin while tightening the underlying supporting structures (muscles and connective tissue). A skin incision is required in order to produce these results. The length of the incision depends upon the specific problems that require correction. Dr. Westreich utilizes current facial rejuvenation techniques, including endoscopic facelifts, S-lifts, SMAS lifts, extended SMAS lifts, and Deep Plane Facelifts. Dr. Westreich will explain the different techniques as well as their potential benefits and pitfalls in detail during your consultation. Dr. Westreich strives to make his patients look as natural as possible. In many cases, combining procedures such as an endoscopic midface lift or brow lift will help to achieve a more balanced and natural result then with a facelift alone.
The region below the jawline and under the chin tends to show signs of aging as a loosening of the neck muscles (platysma) may produce the appearance of hanging cords. While BOTOX can be helpful with early banding, more extensive laxity requires surgical correction. In some cases, Dr. Westreich may perform an isolated neck lift to address the muscle layer, fat and skin. Lifting just the skin will often result in a tight look, and does not last well. Incisions may be placed behind the ear and/or under the chin in the natural crease to accomplish a necklift procedure. If you have fatty deposits under the chin, Dr. Westreich may remove the fat with liposuction at the same time to improve the contour of the neck and jawline. A necklift may also be combined with the placement of a chin implant if you have a bone deficiency for additional aesthetic improvement and longevity.
A lower facelift refers to procedures that rejuvenate the lower third of the face – from under the ears to below the chin. Dr. Westreich performs a lower facelift for patients whose main concern is laxity of the jowls, slackened skin along the jawline and deepening nasolabial folds from the nose to the corners of the mouth. Incisions may be placed half way around the ears starting at or below the tragus (the flap of skin and cartilage at the entrance to the ear) and extending around the earlobe behind the ear. In some cases, an incision may also be necessary under the chin. A lower facelift may also be combined with eyelid and browlift surgery.
Aging of the midface is a newer concept in which the effect of descent of the cheek fat is seen. Typical changes seen include an oval rather than almond shape to the face, hollowing underneath the eyelids, deepening of nasolabial folds, and increased jowling. Essentially, the apple cheeks of youth are lost. Mid-face lifting is a technique for rejuvenating the lower eyelids and the cheek area. It can also reduce deepened nasolabial folds, although it will not completely remove them. A mid-facelift can achieve a more youthful, fuller appearance to the cheek and lower eyelid area. In endoscopic midface lifting, Dr. Westreich will place small incisions in the temporal hairline through which the midfacial tissues are freed up and lifted. An Endotine® absorbable implant is used to hold the midface in the new position until the structures are firmly reattached. Dramatic but natural changes to the lower eyelid region and midface complex can be achieved. The midface lift can also be performed at the time of an endoscopic brow lift or neck liposuction.
Best Candidates for a Manhattan Facelift
Good candidates, both men and women, come to Dr. Westreich asking to eliminate excess skin and restore skin elasticity if possible. Facelifts can have a great impact on the visibility of wrinkles, hanging skin, hollowed cheeks (can be augmented as part of the procedure) and other signs of aging. As with many surgeries, it is important that you are in good physical health before going forward with any type of facelift in New York. Patients that are current heavy smokers are not typically good candidates for facelifts but may be candidates for midface, lower face, and neck lifts.
Below are a few typical techniques that are often performed by Dr. Westreich during a facelift or are added to the original procedure to enhance results:
- Facial implants – With your prior approval, Dr. Westreich may use facial implants and/or fillers during surgery to restructure your face and create a more defined look. The implants can be inserted into the cheek, jaw, or chin to augment your appearance.
- Facial fat transfers – very effective in filling in dark areas and hollows under the eyes that may not be corrected by a traditional facelift.
- Skin rejuvenation strategies – This can include chemical peels, laser resurfacing, non-ablative skin tightening, and daily strategies to improve skin health.
- Eyelid surgery – can be performed as part of your facelift and can really enhance your face by making you look more awake and energized. It will smoothen bags concentrated under the eyes and wrinkling around the area.
Facelift Consultation with Dr. Westreich, NYC
Your consultation will be held in our comfortable, upscale Manhattan office. This is a one-on-one private meeting in which you can ask Dr. Westreich any questions you may have regarding your desire to get a facelift and can address any concerns about the procedure with the full knowledge that he is on your side and will not recommend anything that exposes you to unnecessary risk or will not allow you to achieve your intended results.
It is essential that you feel fully comfortable with the surgeon you choose, to ensure that you have the best overall experience. Dr. Westreich takes pride in listening carefully to each of his patients and developing a close relationship that extends from your consultation appointment through to your follow-up visits. Past patients can attest to the fact that Dr. Westreich provides an honest opinion about whether or not a facelift is the right option for you.