Facelift Morristown is performed by Dr. Rafizadeh in New Jersey

Facelift Morristown Is Performed by Dr. Rafizadeh in NJ

As we age, several changes happen simultaneously in the face. There is a gradual loss of soft tissues and bones of the face. The skin loses its elasticity and recoil. The fat under the skin atrophies and the muscles lose tone and volume. The skin becomes redundant and hangs in areas like the jowls and nasolabial folds; the folds that go from the sides of the nose to the corners of the mouth. Ideally, several procedures need to be done in order to restore a youthful look including restoration of lost volume. However, the facelift operation is the most effective and practical.

Facelift is also called Rythidectomy which means removal of wrinkles.  It corrects one of the most significant components of the aging face which is the loss of elasticity and the skin redundancy. No two faces are exactly the same and the various components of the aging process do not happen at the same rate. Therefore, no two facelifts should be the same. Individual analysis of each patient is absolutely critical and each procedure has to be customized to the needs of each patient. It is meticulous attention to detail that produces a quality result. The operation could be smaller, requiring less tissue dissection and smaller incisions in some patients. These are usually younger patients with early signs of aging. In these cases, the recovery could be a lot faster as there would be less swelling and bruising. Some people would refer to this as a mini facelift. Dr. Rafizadeh fits the operation to the patient rather than fitting the patient to the operation. His extensive experience in plastic surgery allows him to choose from his extensive armamentarium of procedures the one that meets the patient’s needs, contrary to the surgeon who only knows one procedure and repeats it for every patient.

Dr. Rafizadeh believes that today’s patient is very knowledgeable and has the ability to instantly access information at all times. He is providing this detailed information about the technical aspects of all facelift procedures because he believes the patients deserve to know their alternatives. They also need to know about the extent of the procedures and the risks involved in these procedures.

There are many different facelift techniques described in the literature including: Skin only facelift, SMAS lift, high SMAS lift, SMASectomy lift, SMAS plication, deep plane lift, S lift, composite lift, sub-periosteal lift, mid facelift, thread lift, Max lift etc The surgeon has to individualize the technique to your needs in order to achieve the best results.

Skin Only Lift New Jersey:

This procedure is effective in patients who show only skin relaxation without any evidence of soft tissue or muscle laxity or in some secondary procedures. In this procedure, the skin is widely mobilized and re-draped, removing the excess skin in front of the ear and behind the ear. The length of incisions vary depending on the degree and location of the laxity. This procedure was the standard operation before the advent of SMAS techniques.


After raising the skin flaps, the next layer under the skin, which is the superficial musculoaponeurotic system, (SMAS) is elevated, lifted and sutured at a higher level. This transmits the tension to the loose tissue in the jowl area. This procedure gives additional longevity to the procedure. The operation exposes some of the branches of the facial nerve and there is potential for temporary or very rarely permanent injury to those nerves. The SMAS layer is the continuation of the platisma muscle into the face and continues to join the forehead muscle. This layer is stronger than the skin and can tolerate more tension.

High SMAS lift:

This procedure is designed to have a better effect on the mid face by providing a vector of force to the cheek area. This is done by dividing the SMAS layer higher above the zygomatic arch before raising it as a flap.

SMASectomy lift:

In this procedure, instead of lifting the SMAS flap beyond its zone of adherence to the deeper tissues, the mid portion of the SMAS layer is excised and the edges are closed together to produce the same effect as the SMAS flap. The skin dissection is similar. This operation is safer than the SMAS dissection.

SMAS plication:

After a similar skin dissection, the SMAS layer is plicated (sewn to itself) to produce the same effect as the SMASectomy. This operation is ideal in thin individuals in whom the facial volume needs to be maintained.

S Lift Morristown:

The name S lift refers to the shape of the incision as it resembles the letter S. It is also called a short scar lift. The S lift procedure could be done in a younger patient with less dissection. In that case, it could be considered a mini lift, but one can do a complete dissection and perform a SMAS procedure through that short S shape incision. It is true that some patients can have the operation performed through the shorter incision. Careful facial analysis is critical in order to know who can benefit from this procedure as the direction of pull is more vertical. In addition, a brow lift often needs to be done to avoid excess skin lateral to the eyes. This procedure is better suited to the younger patient who still have some elasticity left in their skin.

Deep Plane Lift

In this technique, after a minor skin lift the plane of dissection goes deep to the SMAS layer so that both skin and SMAS are lifted together.

Composite Lift 

 In this procedure, the skin dissection is minimal and the plane of dissection goes deep to the SMAS, the platisma muscle, and the orbicularis muscle of the lower lid. This procedure requires one of the most aggressive dissections of the face, but it would improve the mid face as well as the lower face. It does not afford a differential vector of pull that is possible in a high SMAS procedure. But, the two operations attempt to deal with the mid face laxity.

Subperiosteal Lift

In this procedure, the periosteum which is the layer over the bone, is freed through the lower eyelid incision and through the mouth in the front aspect of the face and over the cheek bones and the zygomatic arch. Then, using long sutures or an endotine system, the entire facial soft tissue are lifted and fixated to the deep temporal fascia and the bones around the orbit. Despite the extent of dissection and the longer recovery, which may include prolonged swelling, the results of this procedure are subtle and it does not improve the jowls and the neck. Therefore, a lower facelift is still needed in patients who have problems in the jowls and the neck.

Mid Facelift Morristown NJ

Most facelift procedures deal with the lower face and the neck. The mid face is addressed by the high SMAS and the composite lifts. The mid face, which is the nasolabial folds and the tissues under the eyes, is the primary area targeted by the mid facelift procedure. This area is approached through an incision under the eye lashes on the lower lid. One can be in the subperiosteal plane, the periosteum being the layer attached to the bone. The periosteum is raised and divided low in the cheek. Then, it is lifted bringing the soft tissues of the on each side of the nose up by suturing it to the bone under the eyes and on the sides of the eyes. Dr. Rafizadeh uses an innovative technique for suturing the soft tissues to the lateral orbital bone that avoids complications of this procedure. After lifting the mid face, there is excess lower lid skin that is trimmed through the lower lid incision.

Max Lift

In this procedure the skin is lifted and the SMAS layer is lifted and gathered together by multiple loops of permanent sutures before trimming the excess skin.

The Thread Lift

This was one of those procedures that popped up a few years ago and looked easy and promising. It has been shown not to work over the long run. It is rather surprising to see that it is still being offered as an effective procedure. This is how it was done: Multiple barbed sutures were introduced using a long straight needle from the patients temple to the areas around the nasolabial folds and the jowls. The threads were then cut so that they would pull under the skin. The sutures were lifted and fixated to the deep tissues in the temples. The barbed sutures would pull the soft tissues superiorly. One could see immediate results, however, the results did not hold up as the barbs pulled through and the soft tissues dropped to their original position. This instance served as a perfect example of media sensationalism making a procedure very popular without citing any evidence of long term results.

Dr. Rafizadeh learned how to perform this procedure and had purchased the material, but he is now proud to say that he never did one of these procedures because he always told the patient that there was no evidence that this procedure would work in the long run.

Liposuction and Laser Liposuction

The facial fat diminishes with the aging process and is to be preserved, but in some patients with a rounder face, some definition could be obtained by liposuction. In carefully selected patients, this procedure could be done to improve the results of a facelift or occasionally as an independent procedure. This procedure must be done very carefully using a very fine cannula. The term micro-liposuction applies here. The addition of laser energy before this type of liposuction is only a gimmick and doesn’t add to the results. It could even potentially cause more complications for the patient.

Neck Lift

This is often performed at the same time as a facelift, but in some cases, it can be done independent of a facelift. The procedures address the excess loose skin under the chin as well as excess fat. In many cases, the platisma muscle borders under the chin create two vertical bands that descend from the chin to halfway down the neck. In a younger patient, these bands can be treated with Botox. However during a neck lift, an incision is made under the chin through which these bands are divided and the free border of the muscles are sutured together. This is typically done after the excess fat under the chin is removed. When the operation is done, in the case of a facelift, the platisma muscles are lifted laterally and superiorly to further enhance the definition and the angle between the chin and the neck. The neck lift is normally considered a part of any facelift but it is worth talking about this procedure because it can be done alone.


Face lift Question and answers:


Q: Who is a candidate for a facelift?

A: Any patient who notices laxity of the face, jowls, and neck, or sees the presence of the platisma bands is a candidate.


Q:  What is the best age for a facelift?

A: Normally the procedure is done between the ages of 45 and 65, but it can be done at any age if there is an aging related or aesthetic problem that could be improved by this procedure. Of course, the upper age limit depends on the patient’s current mental and physical health.


Q: What is the typical recovery time for a facelift procedure performed by Dr. Rafizadeh in Morristown, New Jersey?

A: The recovery time can vary depending on the extent of the surgery. Dr. Rafizadeh eliminates any unnecessary step in order to allow a faster recovery. There are two small drains that are removed the day after surgery. The initial dressings are removed at the same time. The swelling is minimal and would resolve in less than ten days. The bruising is typically gone in two weeks, but in some cases could last longer. The sutures are removed within five days in front of the ears. There are some sutures above the ears that will remain a few days longer. The patient is asked to keep the back of his/her bed elevated in order to reduce swelling.


Q: What kind of scarring can be expected after the facelift operation?

A: Dr. Rafizadeh always makes sure that any resulting scars will appear only in the most inconspicuous areas. They are in front of the ears but go behind the small cartilage in front of the ears. This way, they are not visible. He places the sutures behind the ears in the dept of the groove so that they are not noticeable. The pre-hairline incisions are made in a beveled fashion so as to allow the hair to grow through the scar making it less noticeable. He lets his patients keep their hair up and short if they so desire because the scars are so inconspicuous.


Q: What are the potential complications of a face lift?

A: Dr. Rafizadeh uses all his years of experience to avoid complications and indeed he has never experienced a skin loss or nerve injury doing a facelift. This being said, bleeding can happen very rarely and may have to be addressed in the operating room. Most bleedings are minor and would resolve after an office aspiration. If bleeding happens, it would increase the recovery time as some bruising may persist longer.


Q: How long does a facelift last?

A: Most facelift patients still look better than the pre-op situation ten years after the surgery. But, there are patients who do not want to see any signs of aging return and would seek another operation much sooner. With meticulous attention to details, a face lift can be repeated multiple times without leaving any signs of surgery. The surgical look and natural results can be achieved even after multiple facelifts. The surgery is modified each time to avoid the stigmata of the operation.


Q: Why do some doctors or organizations claim that their facelift heals in a day and there is no recovery?

A: It is true that the less one does, the shorter the recovery period. But, it is important to understand that the body reacts to surgery the same way for every surgeon. You simply have to go through certain steps to achieve the results and make them long-lasting. If they show significant results and tell you that the patient had only twenty for so hours of recovery time, it should be considered a lie. These are marketing promises and should raise a red flag for prospective facelift patients.





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