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Facelift surgery, medically known as Rhytidectomy, is a sought-after procedure for those looking to address the visible signs of aging in the face and neck. Dr. Casian Monaco, in New York City, specializes in this procedure. Facelifts target common issues like pronounced nasolabial folds, marionette lines, sagging cheeks, jowls along the jawline, and loose neck tissue. The primary objective is to tighten and smooth the skin, redistribute underlying tissues, and restore a youthful contour to the face.

The Art and Science of Facelifts in New York City’s Upper East Side

Facelifts are not just about skin tightening. They involve a meticulous process of reshaping the underlying facial structure. This includes addressing the superficial-musculoaponeurotic system (SMAS), a layer of tissue critical to facial aging. Dr. Monaco’s approach varies for each patient, ensuring a personalized treatment that specifically addresses individual aging patterns. The treatment of the SMAS is a pivotal step, separate from skin adjustments, to ensure a natural and lasting outcome.

Innovative Techniques for Natural Results

The techniques used in facelift surgery have evolved significantly, allowing for more natural and enduring results. Incisions are strategically placed, often within the hairline and natural facial creases, to minimize visibility. In some cases, a small incision under the chin is necessary to effectively tighten the neck area. This meticulous approach ensures that the rejuvenating effects are noticeable yet subtle, enhancing your natural beauty without overt signs of surgery.

The Role of Facelift Surgery in Neck Rejuvenation

Given the interconnected nature of facial and neck muscles, facelift surgery invariably affects the neck. The procedure often extends to rejuvenate the neck, particularly addressing the platysma, the major neck muscle. This comprehensive approach ensures a harmonious and balanced rejuvenation, eliminating the disconnect that can occur when the face and neck are treated separately.


What is facelift surgery?

A facelift, or rhytidectomy, is a cosmetic surgical procedure designed to improve visible signs of aging in the face and neck. It involves removing excess skin, tightening underlying tissues, and redraping the skin on the face and neck to create a smoother and more youthful appearance. There are various types of facelifts, including traditional, mini, and mid-facelifts, each targeting different areas and degrees of aging.

What is the recovery time for a facelift?

Initial recovery typically takes about 2 to 3 weeks, during which swelling and bruising subside. Most people can return to normal activities within 4 to 6 weeks. Full recovery, including the final results and the disappearance of all swelling, can take several months. Dr. Monaco will provide specific post-operative care instructions to facilitate healing.

What is the best age for a facelift?

There is no definitive "best" age for a facelift as it depends on individual circumstances. Many people consider a facelift in their 40s to 60s when signs of aging become more pronounced. However, some younger individuals may seek early intervention, while older patients may also benefit from the procedure. A consultation with Dr. Monaco can help determine the appropriate timing.

What is the difference between a facelift and other facial rejuvenation procedures?

A facelift addresses sagging skin and deep wrinkles by surgically lifting and tightening the face. Other procedures, like fillers and Botox, are non-surgical treatments that reduce wrinkles and restore volume but don't provide the same degree of lifting and long-term results as a facelift. Non-surgical facelifts use techniques like ultrasound or radiofrequency to stimulate collagen but are less invasive and have shorter recovery times.

What are the signs that I might need a facelift?

Signs include sagging skin in the midface or jawline, deep creases along the nose extending to the mouth (nasolabial folds), loose skin and excess fat in the neck, and overall loss of youthful facial contours. If these signs bother you and non-surgical treatments aren't providing the desired results, you might consider a facelift.

Can men get facelift surgery?

Yes, men can and do get facelifts. The procedure for men is tailored to preserve masculine features and ensure natural results. Men generally have thicker skin and different facial anatomy, so it's important to choose a surgeon experienced with male facelifts.

What should I expect before and after facelift surgery?

Before surgery, you'll have a consultation with Dr. Monaco to discuss your goals, undergo a medical evaluation, and receive pre-operative instructions. On the day of surgery, you'll be given anesthesia, and the procedure will take several hours. After surgery, expect swelling, bruising, and discomfort, which can be managed with prescribed medications. You'll need to follow specific post-operative care instructions and attend follow-up appointments to monitor your recovery.

How will my surgeon manage facelift scars?

Scars are typically well-concealed in natural facial contours and along the hairline. To minimize scars, follow the wound care instructions, avoid sun exposure, and use scar-reducing treatments as recommended. Keeping the incisions clean and moisturized and not smoking can also help improve healing and reduce scarring.

What are the benefits of facelift surgery?

Benefits include a more youthful and refreshed appearance, reduced sagging and wrinkles, improved facial contours, and enhanced self-confidence. A facelift can significantly rejuvenate your face, providing long-lasting results that non-surgical treatments cannot achieve.

Are there non-surgical alternatives to a facelift?

Yes, non-surgical alternatives include treatments like Botox, dermal fillers, laser resurfacing, ultrasound therapy (Ultherapy), and radiofrequency treatments (Thermage). These options can reduce wrinkles, add volume, and tighten skin but typically offer less dramatic results and shorter duration compared to a surgical facelift.

Personalized Care and Consultation at Casian Monaco, MD

Each patient’s facial structure and aging pattern are unique, necessitating a customized approach to facelift surgery. Dr. Monaco evaluates these individual characteristics and devises a tailored strategy. During your consultation, you will explore the various facets of facelift surgery, from addressing specific concerns like marionette lines and jowls to the treatment of the SMAS and neck muscles. Dr. Monaco’s commitment to personalized care ensures that your facelift results in a naturally youthful and refreshed appearance.

Facelift Surgery with Dr. Casian Monaco: A List of Transformative Benefits

  • Smoothing of Nasolabial Folds and Marionette Lines: Targeting these common signs of aging for a smoother, more youthful facial contour.
  • Redistribution of Underlying Tissues: Beyond skin tightening, ensuring a natural lift and rejuvenation.
  • Addressing Jowls and Sagging Cheeks: Restoring a firmer, more defined jawline and cheek area.
  • Tightening of Loose Neck Tissue: Creating a sleeker, more youthful neck profile.
  • Personalized SMAS Treatment: Customized approaches to deep facial tissues for lasting results.

Dr. Casian Monaco employs the latest facelift techniques at his facility in the Upper East Side of New York City. His extensive experience and expertise in aesthetic and reconstructive plastic surgery can transform both appearances and lives. Contact us to learn more or book your consultation about facelift surgery with Casian Monaco, MD, and embrace a rejuvenated you.

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Out Patients Testimonials

I wish I could explain the fear I had before the surgery, the fact is him and his team made me feel as safe as possible the whole entire time. The patient care was amazing, the professionalism he showed was amazing if I was ever to do it again I would only do it with him. I am in love with my results (Breast reduction) I highly recommend!
Ruth P.
Best Doctor and hospital I have ever delt with in NYC. The staff was wonderful, fast, friendly and very knowledgeable. The hospital was a great experience and would recommend it to anyone. My surgeon was polite, friendly and very talented. Before surgery I was in pain all the time now after surgery I'm pain free. Thank you all.
Maria W.
I have nothing but great things to say about Dr.Monaco he is very attentive to your needs, explains everything and answer all your questions and concerns he is also very profesional. I had a Breast reduction and his work is beyond what I expected IMPECCABLE. The staff and hospital were amazing as well overall, It was a great experience.
Neliza P.


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