Facelift Overview Syracuse

A facelift is term that can refer to any number of treatments utilized to address the effects of time and sun. Performing a facelift for Syracuse patients is not a one-size-fits-all process.

I want to share my approach to the anti-age fight with you. First, I want you to understand aging and your appearance. Then I’ll outline the more common options to consider. As you will see, there are lots of choices, and it may seem overwhelming to sift through the available treatments. Together, we’ll discuss choices to achieve your goals.


Our bodies are very efficient at repairing damage. Unfortunately, small portions of life’s trauma are not repaired. Aging is the accumulation of these traumas. For me, the “Holy Grail” is true rejuvenation by treating aging as the injury it is.

While I don’t have all the answers, we’ve made a good start. The promise of natural rejuvenation is its limitless potential. The problem is the separation between potential and your actual individual result.

Layers of Anti-Aging

Anti-aging is like caring for your home. You do weekly dusting, spring/fall cleaning, periodic painting, and rare major remodeling. Facelift works the same way: Daily treatment with skin care, Periodic non-invasive/minimally invasive therapies, and occasional surgery. Aging is not a straight line. It hits you in fits and starts. You will likely age the way your parents did

Focus on Aging

The cornerstone of youth is your midface, especially your eyes. The younger your eyes appear, the fewer years added for lip lines and neck skin. In my research, your eyes should be 50% or less of your midface, and the angle formed by your eyes and the tear shadow should be 20 or less.

In simple terms, frame your eyes: Make-up, glasses, or skin treatments can take away years. Fillers, skin treatments, or surgery may be needed, but not necessarily as your first line treatment.

Your skin quality is critical to long term youth. Facial skin is different from anywhere else on your body. My research has shown that your nasolabial fold (which connects your nose to your chin) is the poorest quality skin. In general, your “best” skin is intimately associated with muscles that animate your face

Second to skin quality, volume and support affect both your midface and the lines around your mouth. Similar to a venetian blind tilting to one side, rather than sag straight down, your cheek rotates around the corner of your nose, creating jowls and the deep folds connecting your nose and chin. While there are many tools to help, I am still searching for the “Holy Grail” to re-animate your face rather than simply nip, tuck, and suck.

As I begin to discuss treatment options, remember that the treatments are not necessarily exclusive. Like an onion, there are often the layers to therapy. Except for temporary fillers, over time your treatments will continue to work with each other, building and maintaining a more natural version of your youthful appearance.

Skin care

The most basic skin care protocol is fairly simple: mild chemical exfoliation, collagen stimulation, and sunscreen protection.

Chemical exfoliation uses glycolic acid to loosen the dead skin cell layer in your skin without the trauma of the abrasive grit of mechanical exfoliants. Aside from making your skin feel smoother, it also allows better penetration of other agents to stimulate your skin repair.

Retinol is available without a prescription. I recommend either the Neutrogena or ROC pharmaceutical formulations for retinol. Retinol is like Retin-A “light.” It works to stimulate repair of collagen in your skin.

Sunscreen helps to limit additional damage to your skin. Except for children under 13, I recommend SPF 30 or above applied every 2 hours. For children under 13, I recommend chemical free sunscreens.

You also have the option of sun-protective clothing, which gives a high level of sun protection without having to worry about reapplication. Such clothing has become much more affordable and widely available.

While maintaining the skin moisture is important, except in the winter time, additional moisturizer may not be necessary. I believe that the unneeded application of additional moisturizer can suppress your own body’s production of natural lubrication. This can create a self-fulfilling prophecy of skin being dry without moisture.

The inherent low humidity of cold weather will adversely affect your skin. For the winter, I recommend applying moisturizer immediately after bathing.

Volume Options

Volume treatments fall into 3 categories: adding volume, repositioning volume, or both.

Adding/restoring volume with injections is often called a “liquid facelift” and may use either off-the-shelf fillers or your own tissue. Off-the-shelf fillers are convenient, but most are temporary, a result you “rent,” not own. For scars, filler success depends on the ability to stretch the scar. If the scar is “stiff,” success is limited. Treating volume deficits requires adequate support; otherwise, the added volume may not give the desired result.

The most common fillers are composed of hyaluronic acid (Restylane, Juverderm). Depending on the formulation, these fillers can last 3 to 18 months.

Sculptra is a “natural” filler. The injected material is converted by your body to connective tissue. The results accumulate over time. Pro: Sculptra can be permanent. Con: The amount of volume created varies from patient to patient.

Bellafill is a permanent filler, but it is a foreign body. Bellafill is a blend of PMMA microspheres and cow collagen. As the collagen is absorbed, your body “sees” the PMMA, and replaces the cow collagen with your collagen. While PMMA is a foreign body, it has a long history of being well tolerated. The cycle to your final volume result may take up to 4 months.

Non-Invasive/Minimally Invasive Therapy

Skin Tightening (Does NOT restore elasticity)

ThermiSmooth is similar to cooking an egg in a microwave. It uses radiofrequency to help tighten your skin and subcutaneous tissue. Depending on the area of treatment, different size treatment disks are used. The radiofrequency can be effective in helping to tighten not only the skin but deeper layers of tissue as well.

Multiple treatments are necessary. Maintenance treatments are helpful, ranging from every 6 months to 2 years. In general, there is rarely any down time from treatment. Although there is a risk of a burn, because no anesthesia is required, your immediate feedback regarding pain will help to minimize risk of injury.

ThermiTight, like ThermiSmooth, uses radiofrequency to stimulate tightening of skin and supporting tissue. ThermiTight is “injectable” radiofrequency, where the energy is delivered via a probe beneath your skin. This does require the use of local anesthesia. While the recovery can be very quick, you need to allow several days for possible bruising.

Results will accumulate for 3-6 months. Treatment results can last up to 2 years. To minimize risk of a burn, as well as to help optimize results, tissue temperature during treatment is monitored by thermal imaging.

Quill & StrataFix are barbed sutures that add temporary support that can augment the results of other therapy. These sutures help with mini-neck lift, support for fat injection, placental derived tissue injections, among other treatments.

“Traditional” Facelift

I don’t believe there is a “traditional” lift. That suggests a cookie cutter, one size fits all treatment. Facelift surgery is tailored for each patient. In my view, the key is “lift.” Your drooping cheek is elevated with sutures in a strong layer of tissue called the “SMAS.” For some patients, especially with excessive midface droop, additional temporary support may be added with Quill sutures.

Facelift uses an incision just in from of your ear starting at your temple, around your earlobe, and just behind your ear. The excess skin is elevated, the SMAS supported, then the excess skin is removed. Many patients benefit from restoring volume in your cheeks. Fat transfer is often part of facelift.

For most patients, initial recovery is 7-10 days.

Facelift Cost

The price of a facelift will depend on many factors. The type of treatment we decide on together will determine facelift cost, as will the number of treatments needed.

Arrange a Consultation

To request your consultation and find out more about getting a facelift in Syracuse, contact our office today. We will be happy to answer your questions.


View Before and After Photos

I suppose the best compliment you can give a surgeon is referrals and returning for more. I had a few procedures eight years ago and will visit again this year. I travel from the South to see Dr. Branson. He is always learning new technology and techniques and I believe is a leader in esthetic surgical renewal (ahead of his time). My colleagues in Los Angeles (Botoxed stiff) could only say how well rested I looked and that my skin was radiant. They had no clue of all that was done. And that’s just what I wanted. Can’t say enough great things about Dr. Branson’s work.

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