
What is a Facelift?
As we age, skin and tissues in the face and neck area lose elasticity, and this leads to sagging and wrinkles. A facelift works to reduce the signs of aging through a surgical procedure to lift and tighten tissues in the face. It may involve removing excess skin, smoothing folds or wrinkles, and tightening facial tissues.
A facelift focuses on the bottom two-thirds of the face and may be combined with a platysmaplasty (neck lift) or a brow and eye lift. While there are many reasons for getting a facelift, the most common is to correct the signs of aging.
The Advantages and Disadvantages of a Facelift
The popularity of facelift surgery increases every year as people become more comfortable with the idea of surgical anti-aging interventions. However, in some cases, it might not be the ideal choice. Here are the pros and cons of the surgery.

Pros
- Advancements in facelift surgery have reduced the downtime that patients can expect to experience
- Pain after the surgery is much lower than patients anticipate
- The procedure removes excess skin and fat to reduce sagging in the face and neck area
- Facelifts are outpatient procedures, and, in most cases, the patient goes home after the surgery
- Risk of scarring has been reduced significantly - incisions are hidden in front of, or behind the ears and in the hairline, and the scars are barely visible once fully healed

Cons
- A facelift won’t help with fine lines, superficial wrinkles, pigmentation issues, or sun damage
- The surgery doesn’t create a new look; it only helps you to look younger
- Doesn’t help with signs of aging in the eyelids or brow area
- Some risks, such as scarring, numbness, blood loss, and infection
- Downtime is approximately two weeks, although it may be less
- A facelift may cost more than $12,000
- Results are not permanent, although the results last longer than many other cosmetic procedures
Facelift FAQs in NJ
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How is a facelift performed?
There are two popular facelift procedures, a “SMAS” lift and a “deep plane facelift,” and both offer excellent, natural looking results. Your plastic surgeon recommends the technique that is best for you based on your personal aesthetic goals, anatomy, and degree of correction, as well as the surgeon’s expertise in both techniques.
The SMAS and deep plane lifts deal with the SMAS layer in distinct, different ways but studies have shown that there are no major differences between the two procedures in patients under the age of 70 (even when compared over 10 years).
SMAS Facelift
A superficial musculoaponeurotic system (SMAS) facelift targets the lower two thirds of the face, including the cheeks and jowls, to address sagging skin, excess fat, and volume loss. This technique is less invasive than other options, and the recovery time is shorter.
The technique involves lifting the skin from the superficial musculoaponeurotic system and the muscle layer. The SMAS is then tightened (SMAS plication) or reduced (SMASectomy).
Deep Plane Facelift
For a deep plane facelift, the skin and SMAS are lifted together (not separated) and tightened. Deep plan proponents say that this procedure offers a more natural look, and the results tend to last longer.
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What can a facelift fix? What are the limitations?
A facelift addresses laxity in the lower face, but the surgery does have some limitations. Aging and menopause cause the skin to loosen and sag. Additionally, the supporting structure of fat and muscle starts to collapse, resulting in droopy cheeks, sagging jowls, and other signs of aging.
A facelift supports and reshapes flattened cheeks, but it can’t fix the skin’s tone or texture, hollow areas, nasolabial folds, fine lines, or age spots. A facelift also doesn’t help with any areas of concern in the upper third of the face, such as crow’s feet, dropping eyelids, or frown lines.
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Who is a good candidate for a facelift?
The age range for a facelift is typically from your mid-40s into your 80s. Candidates should have visible signs of aging, such as jowls, laxity in the face and neck, banding in the neck, and dropping in the cheek area. The person should be in good health and not have any underlying medical conditions.
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What can you expect during a facelift procedure?
Depending on the type of facelift, your surgeon’s credentials, and the surgeon’s facility, your facelift will be done in a hospital or accredited outpatient facility either under general or local anesthesia.
If you have elected for a SMAS lift, the surgeon begins by making an incision in front of and behind the ears. The surgeon then separates the skin from the SMAS, repositions it, and secures it in place with sutures. Excess skin is then trimmed, and the incisions are closed with sutures.
With a deep plane lift, the surgeon creates a flap on each side of the face that includes the skin and SMAS. The flap is lifted and repositioned. Sutures are used to hold the SMAS layer in the new position, and the external incisions are closed with sutures.
Depending on the technique, a facelift takes one and a half to four hours. Someone needs to drive you home after you recovery in the surgical facility for a short period of time.
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How fast do you recover from facelift surgery?
After the procedure, your face is covered with bandages that need to stay in place for at least the first 24 hours. The surgeon or a nurse will remove the bandages. You will then need to care for the incisions. You won’t be able to shower until the drains are removed. It’s important to limit exercise for four weeks after the surgery.
The swelling will be most noticeable 48 to 72 hours after the procedure, and it will subside after a week to ten days. Sutures are removed after seven to 10 days. You can return to work after the swelling subsides, which is typically two weeks after the procedure.
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Does a facelift include a neck lift?
In many cases, plastic surgeons recommend neck lifts with facelifts. The neck area is the first to show signs of aging. Combining the two procedures ensures that you have a balanced and more youthful appearance. For the neck lift, the surgeon lifts the skin from the platysma muscle of the neck. The muscle is repositioned, and secured in the new location with sutures. Typically, the platysma muscle can be accessed through the same incisions that are made for the facelift. If your skin is severely lax or the platysma muscle banding is very noticeable, the surgeon may make an additional incision under your chin.
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How much does a facelift cost?
Because each person has unique needs for facelift surgery, the cost in NJ varies widely. The surgeon’s level of training and experience also affects the cost. When you go in for an initial consultation, ask for a breakdown of all the costs, including those that you can expect to incur over and above your plastic surgeon’s fee. These costs include hospital costs, anesthesia, follow-up appointments, and medications.
Note that facelift surgery is considered to be an elective cosmetic procedure, and it is not covered by insurance.
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What advancements have been made in facelift techniques?
Many advancements have been made in facelift techniques, primarily driven by consumer demand for improved outcomes.
- Treatment depth: When facelifts were first introduced as a mainstream cosmetic procedure, the techniques only involved pulling the skin taut, and trimming the excess. Modern facelift techniques now involve lifting and repositioning the muscles under the skin for longer-lasting, more natural looking results.
- Sutures: Surgeons use sutures to tighten the connective tissue and muscles to re-drape the skin without stretching it.
- Lift direction: Surgical facelift techniques used to only involve pulling the skin up towards the scalp. Modern techniques involve pulling the tissues back and up for a more natural appearance.
- Less invasive: A better understanding of facial anatomy allows surgeons to know exactly how much skin should be lifted, as well as the specific tether points to snip to minimize swelling and bruising.
- Better technologies: Many surgeons use devices to firm and lift the skin, as well as to remove unwanted fat during the surgery. This limits the size and number of incisions, and it also reduces tissue trauma that causes swelling and bruising.
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What is the best age for a facelift?
The optimal age for a facelift depends on the person. Most individuals who benefit from facelift surgery are between the ages of 40 and 70, although people in their mid-40’s tend to see the best results. The goal of a facelift is to preserve the natural features of the face while correcting signs of aging.
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How long does a facelift last?
The results of a facelift procedure fade over time as your face continues to age. Most people find that a facelift lasts between five and 10 years, but this depends on a number of factors, such as:
- Facelift technique: Typically, the more invasive the procedure, the longer the results will last. Mini-facelifts or S-lifts that are less invasive, and the results may last two to six years. The results of a full facelift may last as long as 15 years.
- Genetics and skin condition: Men and women who have darker, healthier skin with less sun damage, as well as patients who opt for a facelift before the age of 60, tend to have longer-lasting results from facelift surgery.
- Additional procedures: A facelift may be performed in conjunction with other procedures, such as eyelid surgery, brow surgery, or a neck lift. These procedures enhance other areas of the face, and the combination of anti-aging procedures tends to produce more noticeable results that last longer than standalone procedures.
- Lifestyle: Exercise, diet, sun protection, and skin care routines may prolong and maintain the results of facelift surgery.
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How can you prolong the results of a facelift?
There are six things that you can do to extend the results of a face lift for as long as possible.
- Select a surgeon with a strong reputation. The surgeon should be board-certified with years of experience in different facelift techniques. Ask for before and after photos of past patients that are close to your age. Every provider that is listed on Anzolo Med has been carefully checked to ensure that they meet the medical requirements as set by [STATE].
- Carefully follow all post-operative instructions. Your surgeon will give you a post-procedure schedule of instructions and appointments. Follow the instructions carefully, and attend all scheduled follow-up appointments. If you experience any unexpected symptoms during recovery, contact your surgeon right away.
- Use a high-quality sunscreen at all times. The rate of aging directly correlates to the amount of sun exposure. Wear a hat, stay out of the sun, and use a high SPF broad-spectrum sunscreen every day.
- Stay hydrated. Drink water regularly throughout the day, and use a high-quality moisturizer to lock in your skin’s moisture.
- Maintain a healthy lifestyle. Take steps to prevent significant weight fluctuations (both up and down). Eat a well-balanced, healthy diet, and exercise regularly. Avoid alcohol because it dehydrates your skin. Smoking accelerates the aging process, so try to quit or cut down on your tobacco use.
- Schedule non-invasive and minimally-invasive treatments. There are a wide variety of non-invasive and minimally-invasive cosmetic treatments that may help to slow the process of aging and prolong the effects of the facelift. Examples of effective in-office treatments include laser, chemical peels, Botox®, facial, and dermal fillers.
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What are the risks of a facelift?
As with any type of surgery, there are some risks associated with a facelift. Your surgeon explains the risks in detail during the consultation.
- Hematoma – a collection of blood under the skin that needs to be drained with a small surgical procedure
- Facial nerve injury – Risk of facial nerve injury is extremely low, and nerve damage is typically not permanent
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Patient testimonials
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One of the most unethical and outright disgusting experiences I've had with a medical professional.
My 16 month old hit her head and formed a gash above her eyebrow that needed stitches. I rush to the emergency room at Riverview in Red Bank and request a plastic surgeon to do the stitching. It would ultimately only require 5 stitches or so as it wasn't massive but given the age of the child and the location, it is quite important to minimize facial scarring for her long-term quality of life, I think anyone would agree.
The ER staff send a picture of the injury to Dr. Pierce as he is the on-call plastic surgeon that day and shortly after I get a call from his secretary saying it would cost $8,500 for him to come. Why so much you ask? Maybe he doesn't take Blue Cross Blue Shield? Nope, he certainly DOES take insurance, BCBS included.....
Apparently, the degree of the injury is not worth his time and that if I insist on him coming out then it would have to be worth his while which at the time meant $8,500 out of pocket, even though he normally takes my insurance.
If the only way you are willing to stitch up a 16-month old's forehead is with a $8,500 cash payment, AS THE ON-CALL PLASTIC SURGEON AT A HOSPITAL...then you are an unethical lowlife with no business being tied to any hospital emergency room.
In the end, another plastic surgeon, with an actual moral compass, showed up, even though it wasn't his on-call shift, did an amazing job, and took my insurance.
Dr. Pierce should not be allowed anywhere near a hospital, stay in private practice and go charge whatever you want. Trying to make $8,500 on someone that is painted into a corner due to you being only choice at the moment? You should be ashamed of yourself and your medical license up for review on ethics concerns.
Eugene Epstein on Charles Pierce, Dr via Google Reviews
If you are looking for a surgeon whose skill set and mastery will leave you with only smiles and an overwhelming feeling of satisfaction, then Dr. Rowe is...
Jae C. on Charles Pierce, Dr via Yelp
I usually do my work in the city but was convincing a friend to try Dr. Rowe's other location as she lives in jersey. She is new to injectables so I tagged...
Nikki L. on Charles Pierce, Dr via Yelp
If I can give zero stars I would. I had an initial surgery with Dr. Pierce in 2020 for four procedures, including a rhinoplasty septoplasty breast augmentation and breast lift. Fresh out of surgery my results were not desirable and it looks nothing like what I was told they would. A year later did a revision surgery where Dr. Pierce reassured me he would correct what needed to be corrected and it would be a lot different the second time around. As soon as I walked out of surgery, my nose was still crooked and he tried to reassure me that it was just swelling, but my nose never recovered. The second surgery was done in 2021. It is now 2024 and all this office has done was trying to book me for a third surgery after I saw Dr. Norman Rowe in Manhattan. I also went to physical therapy to try to help with the capsular contractors in my chest, and my therapist told me that she had a patient that had the same exact problem from the same exact doctor on the same exact side of her chest. Every time I left this office, I’ve left in tears, and I will never return back and make sure that anyone I know never goes to anyone in this practice for anything. They also have security cameras in the exam rooms in the manhattan location to which I’ve never been told of or had any consent forms to sign regarding. They tried to charge my insurance company for the surgery on my chest, almost $86k on top of what I’ve paid them. Horrible experience each time
Loren Mangia on Charles Pierce, Dr via Google Reviews