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Facelift NYC

Considered one of the most popular plastic surgery procedures, a facelift in NYC 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.

What is a Facelift?

Facelift NYC

A facelift is a customized surgical procedure that lifts the underlying facial muscles and tissues and removes sagging skin to create a more youthful facial look. The beauty and natural look of a facelift is a direct result of the surgical techniques and artistry of your facial plastic surgeon – you need to ensure you are under the care of a respected facial plastic surgeon if you are planning to undergo a facelift.

The Average Cost of Facelift

A facelift includes the cost of:

  • Tests
  • Anesthesia fees
  • Surgeon fees
  • Prescription medication
  • The average cost for a facelift ranges from $10,000 to $20,000, based on the extent of the corrections needed.

    You may choose to undergo an added procedure (such as eyelid lift or brow lift) in the same surgery, adding to the cost. A facelift addresses the cheeks and the upper neck area, not the brow or eyelids.

What Are the Benefits of a Facelift?

A facelift has many benefits, including:

  • Reduces wrinkles, lines, and folds to create a smoother, younger look at nose, mouth, and chin
  • Tightens loose, saggy skin and smooths away jowls
  • Restores youthful definition at the jawline
  • A long-lasting facial rejuvenation
  • Takes a decade or more off your appearance

Dr. Westreich employs several advanced facelift techniques to achieve a very natural, refreshed look. Scheduling a consultation with Dr. Westreich is the beginning of your journey to a happier, more confident life – knowing you look as young as you feel.

Facelift Patient Reviews

Dr. Westreich is a great Physician, skilled surgeon, with excellent bedside manner and overall service. All of his staff reflects his high standards of customer service. I’m extremely happy with my experience and outcome!!
- K.R.

Dr. Westreich has a wonderful eye for detail. You are in excellent caring hands with him and his wonderful staff. Highly recommend for an elegant and subtle result. He’s an artist and a top NYC plastic surgeon.
- L.W.


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, 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 neck lift 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 New York 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 than with a facelift alone.

Facelift New York City

Neck Lift

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 neck lift 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 neck lift may also be combined with the placement of a chin implant if you have a bone deficiency for additional aesthetic improvement and longevity.

Lower Facelift

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 halfway 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.

Mid Facelift

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.

What is the Recovery Like After A Facelift?

Recovery from a facelift performed by Dr. Richard Westreich will involve some swelling and bruising, which typically peaks at about the three-day mark, after which begins to fade away, day by day. You will need to sleep with your head elevated while healing. You will be prescribed pain medication for the first few days, but you should be comfortable by the third day after surgery.

You can expect to be back to your usual routine within two weeks. The final results of the surgery will be seen over the next several months as you fully heal, and your restored facial contours settle.

Best Candidates for a Facelift in New York

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.

What is The Best Age for a Facelift?

Dr. Westreich often gets asked the question, “How young is too young for a facelift?” The truth is that there is no particular range, minimum, or maximum acceptable age to get a facelift. Instead, Dr. Westreich evaluates each person’s candidacy for a facelift on a patient-by-patient basis. If you are showing early signs of aging and are looking for a way to improve your appearance, a facelift can be one of the several great options to consider, no matter what your age.

The need for a facelift is completely relative because skin elasticity depends on a number of factors including genetic disposition, environmental conditions, stress, sun exposure, and intrinsic aging. In other words, a patient can be 40 years old with the same amount of sagginess and wrinkling as another patient who is 60 and vice-versa.

Although there is no set age to determine if a facelift can be a beneficial choice for you, the majority of patients who seek the surgery fall somewhere between the ages of 40-70 years old. The most important factors when considering a facelift are the patient’s overall health and whether their skeletal and tissue makeup would allow for an impactful result. Success and longevity in face lifting depend on skeletal support, soft tissue volume status, the heaviness of skin, as well as other anatomic factors that may influence the re-draping and support of the face after surgery. The following is a general comparison between the effectiveness of undergoing a facelift at age 40, 50, 60, and 70.

A Facelift at Every Age


Should I Get A Facelift?

At 40? Though relatively “young,” patients can still reap the benefits of a facelift surgery, patients in their 40s should typically consider getting a mini facelift or “weekend” facelift instead, as it is a more modest version of the traditional facelift and is intended for patients with a milder loss of facial contours. Alternate strategies to a facelift could involve liposuction, volume fillers, and non-invasive skin tightening.
At 50? This is a common age for patients seeking a facelift. By 50, patients typically have slightly more damage from sun exposure than the 40-year-old patients. This can take a severe toll on the skin of the face and make a person look aged. Alternatives to a facelift could include liposuction, non-invasive skin tightening, neck lift, and chemical peels or laser skin resurfacing.
At 60? Patients in their 60s are among the most common candidates for facelifts. These patients generally have a good amount of skin laxity which Dr. Westreich will elevate and tighten using one of several facelift techniques. At this point, skin laxity has likely become apparent around the neck and under the jawline- both areas that a facelift can greatly improve. While alternatives do exist to a facelift, full correction is often not possible and the goal of these less invasive options is an improvement, which can be sufficient for appropriately selected patients.
At 70? At this age, patients generally see the most skin laxity, tissue sagginess, and wrinkles, so a facelift can really make a positive impact and create visible results. Skin resurfacing options, as well as filler or fat transfer, are often required, in addition to the facelift, to provide a balanced result. Also, because the patient is relatively older, other health conditions may be relevant. It is important that you inform Dr. Westreich of all your medical concerns before committing to surgery.

Complementary Procedures

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 New York

Facelift Consultation with Dr. Westreich

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.

Facelift FAQs

I’m thinking of getting a facelift but also consider using lasers, Botox and fillers to look better without surgery. When is the right time for a facelift?

If you are searching for a permanent solution that will restore youthful structure and can be maintained for many years, a surgical facelift is often recommended. When you meet with Dr. Westreich he will examine your face and its internal structures. He will recommend the best solution for you such as restoring volume with fillers, hiding wrinkles with Botox, and improving skin texture with lasers and peels. For patients seeking non-invasive facial rejuvenation, a F.I.T. Lift can often be the perfect solution. Combining Kybella, Fillers, Botox, and Radiofrequency skin tightening into a total treatment package can yield wonderful results without anesthesia or a surgical incision.

Are there any risks or side effects?

As with any surgery, a facelift has risks. Complications could arise from the administration of anesthesia, excessive bleeding, scarring, or unsatisfactory outcomes. These risks are possible, but if you are under the care of Dr. Westreich, your surgery will be performed by a board-certified facial plastic surgeon who is also a faculty member and educator in facial plastic surgery at Mount Sinai.

The most stringent health and safety standards are in place at his private, luxury Manhattan clinic. You can expect beautiful results that enhance your quality of life for years into the future.

Will a facelift make me look unnatural and pulled?

Dr. Westreich does his best to make sure that his patients leave his New York office with no visible signs of surgery. The incision for a facelift is typically made at the hairline and is hidden by overlying hair. His conservative approach and attention to detail can be observed when you look at before and after photos of actual NYC patients.

On average, how many years younger can a facelift make me look?

The answer to this question varies from person to person. However, general conclusions regarding the effectiveness of Dr. Westreich's NYC facelift can be drawn. Wrinkles can make a person look much older than they are, and smoothening such wrinkling can erase up to 10-15 years off a person’s face. Basically, a facelift is likely to make you look significantly younger, but there is no specific number of years that a facelift is guaranteed to take off.

Will the scars be visible?

Though a facelift is considered a surgery, the recovery process and scarring are relatively limited. And, because the main focus of a facelift is to make a patient look and feel more beautiful, keeping scars to a minimum is a major factor when Dr. Westreich designs and performs your surgery. He works hard to make sure that scarring is so minimal that most people will not notice them.

Will I need another facelift down the road?

The results of a facelift have the potential to be maintained up to ten years – depending primarily on the individual patient’s skin, lifestyle, and genes. It is fairly common for patients to seek a second facelift procedure, and many of Dr. Westreich’s patients return to him many years later to repeat the results of their original procedure because he delivers arguably the best facelift NYC has to offer. A facelift is expected to last 10 years.

What is a SMAS Facelift?

Long gone are the days of the facelift-with-windblown effect. Today’s sophisticated surgical facial rejuvenation techniques, such as the SMAS facelift, produce natural-looking and enduring results. Pioneered in the 1980s, the SMAS facelift is based on manipulating the deeper tissue layers of the face–as opposed to simply pulling the skin back. Dr. Westreich recommends this cosmetic surgery to his patients who wish to address sagging jowls, hollow cheeks, and a slack neck area.

Superficial Musculoaponeurotic System (SMAS) is the continuous layer, or sheet, of firm tissue that lies beneath the skin and runs from the collarbone to the forehead. Unlike the skin, which is a stretchy layer, the SMAS is a strong fibromuscular web; it is intricately connected to the skin, as well as the various muscles, tissues and fat pads in the face and neck. When the SMAS is surgically modified and lifted, it will also reposition the skin and make it look tighter, creating a more youthful appearance.

SMAS Procedure

During the SMAS facelift procedure, Dr. Westreich will separate the skin from SMAS. The SMAS is then elevated off of the underlying facial muscles. Procedures such as a lifestyle lift may manipulate the SMAS in a limited fashion, but to a lesser degree than a true SMAS facelift. The platysma is often a major source of focus in a SMAS facelift, and its elevation will give enhanced neck and jawline definition. The muscle is then trimmed and reattached at a higher point on the face, lifting both the face and skin. Once the underlying tissue layer has been tightened, Dr. Westreich will redrape and trim the skin. In some cases, Dr. Westreich will suction out fat deposits to give further definition to the jawline. The SMAS procedure often referred to as the standard facelift typically takes three hours. A lower facelift, which may take four hours to complete, combines a SMAS facelift with a necklift in order to tighten hanging muscle cords in the central neck. If the facelift is combined with another surgery, such as a brow lift, it may take up to six hours to complete.

A SMAS facelift is best suited for men or women in their forties to sixties with:

  • Visibly lax skin on the face or neck
  • Sagging Jowls
  • Nasolabial folds (the creases that run from the corner of the mouth to the nose)
  • Loss of definition in the chin area
  • Some skin elasticity remaining

SMAS Recovery

The SMAS facelift is a comprehensive surgical technique. Immediately after the procedure, patients will experience some facial swelling and inflammation, which generally subsides within 10-14 days. During the first few weeks of recovery, strenuous exercise should be avoided; however, Dr. Westreich recommends moderate activity to facilitate healing during the second week of recovery.

It can take up to four weeks to fully recover, but most patients can look forward to several years of reward. With results long-term results that can last for 10+ years, many consider a SMAS facelift a worthwhile investment. As with any surgery, the procedure does carry some risks.


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