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You are here - Facial Plastic Surgery Procedures > Facelifts


As we get older, the tissues in our face and neck loosen. These changes occur as a result of genetics, gravity, and environmental exposure and will continue to progress unless they are corrected.

A facelift is a cosmetic surgery procedure that eliminates sagging skin and reestablishes a more youthful appearance, particularly to the cheeks, jawline, and neck.

A top New York facelift specialist, Dr. Lesesne has modified facelift surgery to make it safer, with shorter scars and a more rapid recovery. He does this by limiting the length of facelift incisions, making an incision in front of the ear, commonly known as the "short scar technique." While these procedures primarily address the jawline, a neck lift can also be performed, with an incision behind the ear. Over time, these incisions become well camouflaged in the hairline and natural creases. 

Our goal is to create natural-looking results and a refreshed, rejuvenated outcome where everybody notices, but nobody knows. Once healed, patients typically receive comments that they look younger or rested, or are asked if they’ve lost some weight. Patients also report an increased sense of well-being and self-confidence. 

Our Approach to Facelift Surgery

Our facelift approach consists of four precise steps: analysis, plan, procedure, and aftercare.


During the analysis phase before a facelift, we collect accurate data about your desires and concerns, as well as the anatomic changes in your face. Your past medical history, previous procedures, and current medications will also be reviewed.

A critical component of the analysis is the physical examination of your face. Unlike many other surgeons, we look at your "whole" face. We are interested in all planes of the face including bone, muscle, fascia (fibrous), lipous (fatty), and skin. We note the differences in aging from area to area and we carefully look at wrinkle length, depth, and visibility. Measurements may also be taken to check for asymmetry of the skin, muscle, or bone.

Photographs before facelift surgery are also a crucial part of the examination process. We are interested in how your face ages, and we realize that we are seeing you at only one point in time. Therefore, we prefer to analyze previous photographs as well as current photographs. The more analytical information we have, the better.

Surgical Plan

After the analysis, we will consult with you to develop a treatment plan. This plan will include your goals, treatment options, potential side effects, timing of the procedure, recovery, and location of treatment.

In reviewing your goals, we will focus on specific requests and anatomic changes desired; for example, what look you would like to achieve? What look you want to avoid? We want to fully understand your wishes and come to a mutually agreed upon plan. We want you to be pleased with the results of your facelift surgery.


After the treatment plan and timing have been agreed upon, the treatment phase begins.

Facelift surgery is performed in our completely equipped operating suite with a fully monitored recovery room staffed by registered nurses. Facelift surgery requires MAC anesthesia and takes approximately 1.5-2.5 hours.

Skin treatments and liposuction are minor procedures, do not require IV anesthesia, and can be done relatively quickly in our pristine treatment rooms. Minor skin treatments are administered by specially trained and experienced estheticians or plastic surgery nurses. Dr. Lesesne performs all other procedures.


Prior to your surgery our office will provide you with a written set of post-surgical instructions. We will review these instructions with you, and your caregiver, the day before your scheduled surgery. Based on your medical history and physical, Dr. Lesesne will prescribe medications for pain, swelling, antibiotics to prevent infection. You will see Dr. Lesesne 1-2 days after surgery for your first follow up visit.

Recovery from a facelift involves the application of a bandage surrounding the incisions to reduce swelling and bruising, which must be worn for 48 hours. A thin tube may be inserted after surgery to drain any excess fluids. The drain is not painful and can be removed 1-2 days after surgery. Typically, stitches are removed after one week, with bruising and swelling subsiding after 5-7 days. Some numbness in the face is normal, and may last as much as a few weeks.

A facelift can not only improve your self-confidence, but change the way you feel about aging and yourself. Facelift surgery poses minimal risks and can last for years with the proper care. Following your facelift surgery, our staff will provide a customized program of surgical and non-surgical procedures to help to make the results of your facelift last longer.

This website is for informational purposes only. It does not replace the consultation of a plastic surgeon or other medical professional. It does not constitute a doctor-patient relationship. Information on this website is not a substitute for medical advice, diagnosis or treatment of any medical condition.

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