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Client Testimonial

I sought multiple consultations before choosing Dr. Khosh to be my surgeon. His self-assured and deliberate manner instilled confidence in me. My facelift operation was simpler than I had imagined. I love my new revitalized face, which appears completely natural and un-operated looking. Dr. Khosh is a meticulous and talented plastic surgeon as well as a kind and caring doctor.

Rebecca O. - New York, NY

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Sagging neck skin, jowls, and wrinkles in the lower face can belie an energetic and cheerful you. Factors such as genetic predisposition, sun damage, smoking, and weight fluctuation can affect facial aging. Although cosmetic procedures such as Botox injections, laser treatments, and filler injections can improve skin texture and smooth wrinkles, a facelift operation is the most comprehensive and durable procedure for rejuvenating the face. During a facelift operation sagging facial muscles are re-suspended, excess fat is removed from the neck, and wrinkles and jowls are made smooth.

Facelift surgery has evolved significantly in the past thirty years. There are now several variations of the procedure available to you. The SMAS facelift is the most common technique for the facelift operation. In the SMAS facelift, the muscle layer under the skin is tightened before excess skin is removed. This facelift technique results in long-lasting, natural-looking rejuvenation of the face. Deep plane and sub-periosteal facelifts are more extensive procedures. The Short scar facelift (mini facelift) is a less extensive surgical option that works well when there is no significant sagging in the neck.

No matter which option you and Dr. Khosh decide upon, Dr. Khosh's aim is to restore a youthful, natural-looking facial appearance. Patients often note looking ten or fifteen years younger. A facelift operation can help you appear as healthy and vivacious as you feel inside. Additional procedures such as Botox injection, blepharoplasty, laser skin resurfacing, brow lift, chin implant, and fat transfer can be combined with the facelift operation to further enhance your results.

  • 2010 Patients' Choice Award
  • 2008-2009 & 2010-2011 Best Doctor List.
  • Past President of New York Facial Plastic Surgery Society.
  • Assistant Clinical Professor at Columbia University.
  • Past Director of Facial Plastic Surgery at Columbia Univeristy.
  • Founding Member of new York Head & Neck Institute.
  • Affiliate Member of Vascular Birthmarks Institute of New York.
  • 2001 Columbia University Maxwell Abramson Teaching Award.

Case Study

This 64-year-old lady requested facelift surgery in New York. She wanted elevation of her brow and natural appearing lower face rejuvenation. The surgical procedure included SMAS facelift and endoscopic forehead lift.

  • Patient: 64-year-old requesting facelift surgery in Manhattan
  • Problem: Mild jowl formation, loosening of neck skin, droopy brow
  • Procedure: SMAS facelift, endoscopic brow lift

FAQS

Who is a good candidate for a face lift?
Patients in relatively good health who want improvement of jowls or droopy appearing neck. Those with well-developed jaws, high cheekbones, and elastic skin tend to have better results from surgery.
Who is a poor candidate for face lift?
Patients who require blood thinners, or those with poorly controlled blood pressure or diabetes. Face lift operation should not be performed on those who are active smokers. Significantly over weight patients, and individuals with significant loss of skin elasticity tend to have limited results from a face lift operation.
What kind of anesthesia is used for the face lift operation?
In most instances, Dr. Khosh recommends general anesthesia or deep sedation for face lift surgery. Short scar face lift (mini face lift) surgery can be safely performed under local anesthesia.
How long will the results from a face lift last?
A better question would be: How many years will a facelift operation take off from your face? In general, face lift surgery will make you look ten to fifteen years younger.
Where do you make the incisions for the face lift?
The incisions start in front of the root of the ear and extend inside the ear, then reach around the attachment of the earlobe to the face, and finally curve behind the ear. Occasionally the incision behind the ear is extended onto the scalp skin. Once fully healed, the incisions will be unnoticeable.
What can I expect during recovery from a face lift operation?
Your face will be wrapped with cotton and gauze dressing for one day. Dr. Khosh will remove the dressing after a day and supply you with a special Velcro bandage to be worn for one week. You may shower on the second day after surgery. Most patients do not require narcotic pain medication past the third day. Sutures are removed on the fifth and tenth post-operative days. Bruising and swelling, will last for about fourteen days. You may feel tightness in the neck and numbness around the incisions. It will take many weeks to achieve the final results, but most patients can return to full social and physical activity at three weeks.
How does a chin implant enhance a face lift operation?
It is not uncommon that as a result of aging, there is loss of bone mass from the lower and upper jaws. Volume loss in the lower jaw can exacerbate fullness in the neck. A chin implant adds definition to the jaw and improves the face lift results in the neck.
Do I still need laser treatment to the face, if I have a face lift?
The face lift operation will tighten skin, re-suspend the muscles in the face, and remove excess fat in the neck. Other age related skin changes such as discolorations and superficial skin imperfections would be corrected with a laser treatment. Therefore, a combination of the two procedures will rejuvenate the face in a superficial and deep manner.
Do I need a brow lift, if I have a face lift done?
A face lift operation will rejuvenate the mid to lower face, and the neck. People who have descent of the brow will benefit from brow lift to rejuvenate the upper face. The two procedures can be performed during the same operation. During a face lift consultation, Dr. Khosh will examine you and discuss the suitability of a brow lift in your individual case.

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