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Facelift New York City and New Jersey

Do you feel your aging face is non-consistent with your youthful energy? 

Do you feel there is a “mismatch” between how they feel and how your face look? 

If your answer to any one of these questions is yes, you are a candidate for a facelift with Dr. Mesa

Face changes with aging:

As the years go by, aging of the face is inevitable. The skin begins to loosen in the face and the neck giving way to descend of the midface, jowling at the jawline, deep folds at the corner of the mouth (“marionette lines”), and “double chin” beneath the chin.


What is a facelift? Can a facelift reverse the sigs of facial aging?

A facelift is a surgical procedure that corrects the signs of facial aging, thus delivering a refreshed, defined, vibrant, and youthful face that now matches how you feel inside.


What are The Benefits of a Facelift by Dr. Mesa

  • Restore Your self Confidence:

We all feel more confident and outgoing when we are happy about the way we look. A facelift can help you lift the way you feel about yourself.

  • Attain a Younger Look

A facelift gives you back a rested youthful appearance that matches the way you feel. Patients who undergo a facelift rate themselves as looking an average of 10 years younger after surgery.

  • Natural-Looking Results

Dr. Mesa’s facelift provides you a completely youthful natural look so that people will notice your rejuvenated appearance without a “pulled” look. Results are so natural looking that only your hairdresser will know you underwent surgery.


How do I know if I need a facelift?

You are usually need a facelift when your face makes you look older than you are or older than you feel.


I am ready for a Facelift


Types of Facelift:

Mini Lift:

The mini-facelift, also known as a “short scar” facelift,S-lift, or “short incision” facelift, is a type of lift characterized by the shape and smaller size of the incision and minimal recovery time. A mini-facelift rejuvenates the lower face for patients with minimal facial skin sagging that causes early jowls and excess skin in the lower face and neck. Mini facelift scars are limited to in front of the ear and sometimes behind the ear. However with more severe drooping neck and jowl skin a full facelift provides a better, longer lasting result compared to a mini facelift. Many patients are good candidates for a mini facelift, and the ideal candidate for the mini facelift is best determined by a doctor who performs face-lifting surgery such as Dr. Mesa


Mid facelift (full facelift)

The mid-facelift specifically rejuvenates the cheeks (middle portion of the face). It also improves the jowls and the descended position of the corners of the mouths that is evident with aging. The repositioning of the midface to a more youthful appearance also improves deep laugh lines (nasolabial folds). Incisions are located in front of the ear (facelift scar), anterior to the temples hair (hidden incision), behind the ears, and sometimes inside the mouth.


Lower Facelift

A lower lower facelift eliminates jowls, targets lax skin on the neck and jawline, addresses deep wrinkles, and raises the corners of the mouth. It does not address the midface (cheeks) soft tissue fullness or position. The procedure also removes excess skin, smoothing it down to eliminate facial creases and giving a visual lift to the bottom third of the face.


Neck Lift

Neck lift can be combined with a facelift for patients with noticeable loose skin in the neck (“turkey neck”), vertical bands in the neck (“platysma bands), and excess fat beneath the chin. Neck lift uses incisions behind the ears and underneath the chin to tighten the neck muscle and reshape the neck skin for a youthful appearance.



Patients who have early jowls but are not quite ready for a facelift might consider nonsurgical Fractora (fractionated radiofrequency) treatment to lift and tone loose or sagging skin.

There are many people who want some lifting but are not ready for surgery, either mentally, financially or logistically. Fractora uses safe, effective radiofrequency energy delivered through microneedling to stimulate the support the deep layers of the skin and provides natural, noticeable results; without cutting or disrupting the surface of the skin.

Fratora skin tightening is great for younger patients who want to “stay ahead of the game” as well as those looking to prolong the effects of previous cosmetic surgery.

Fractora skin tightening of the face is a minimally- invasive procedure with little to no downtime.

Specifically targets the deep foundation below the skin without cutting or disrupting the surface of the skin

Dr. Mesa’s Facelift approach:

Dr. Mesa’s facelift (malar fat pad facelift) technique has proven remarkably safe and effective in rejuvenating the aging face to achieve a youthful, natural non-operated “pulled” look.

Dr. John Mesa is Board Certified in Plastic Surgery with two additional fellowship training in Craniofacial Surgery (reconstruction of the face and head) and Aesthetic Surgery of the Face with emphasis in facelifting. His experience and super specialization, allows Dr. Mesa to deliver a youthful, refreshed-looking, non-operated facelift result.


How is the facelift with Dr. Mesa performed?

These custom drawings depict Dr. John Mesa’s mid facelift (malar fat pad technique facelift) may help you understand the concept of his operation.

In the left picture, the aging face reveals descent of the midface soft tissue (malar fat pad) with development of jowls and a loose neck. On the right, Dr. Mesa’s facelift has repositioned the malar fat pad in a superior and vertical vector (against the gravity) with dissolvable sutures under the skin. This restores the foundation of the face correcting the jowl and descended position of the corner of the mouth as well as softening the laugh lines (nasolabial folds). Dr. Mesa also tightens the deep face tissues called “SMAS” , trims the excess of skin (hybrid facelift) and closes the incisions meticulously with fine sutures, thus minimizing the visibility of any incisions




A facelift (rhytidectomy) is often performed in conjunction with a necklift, lower lidlift (blepharoplasty), endoscopic browlift or skin resurfacing with chemical peel, IPL or Fractora.



Answers to Frequent Asked Questions about Facelift :


What are the types of anesthesia for a facelift?

Most surgeons perform facelift under general anesthesia, IV sedation, several oral sedation or “Local anesthesia” with IV sedation.

Dr. Mesa performs most of this facelifts safely under Local Anesthesia with no IV sedation, Oral Sedation or General Anesthesia. Facelifts under local anesthesia are routinely performed at his Office Local Anesthesia Operating room.

If the patient chooses to undergo facelift under general anesthesia or IV sedation, the anesthesia services are administered by a Board Certified Anesthesiologist in an accredited hospital or surgery center operating room.


How long will my facelift last?

The longevity of a facelift depends on the type of the facelift performed, quality of your soft tissues (skin, fat, deep tissues) and lifestyle (e.g. a facelift last longer in non-smokers than on smokers). Based on Dr. Mesa’s facelift longevity research study, a facelift lasts in average about 10 years when performed in your 50’s, 8 years in your 60’s, and 5-6 years in the 70’s.


I don’t want to “pulled” look!; Will a facelift with Dr. Mesa look natural?

The key to a natural appearing facelift is to reposition the midface in a superior vertical direction, (opposite to the direction of the gravity). Gravity is one of the main factors associated with facial aging and sagging. Many surgeons perform a facelift (SMAS facelift) with and “oblique” vector pulling towards the ear. This anti-natural (not-against gravity) pulling of the face deep is what gives the patients a “pulled” look or “wind tunnel” appearance”.

Dr. Mesa performs is facelifts with the Malar Fat Pad Elevation Technique (hybrid facelift). By repositioning the midface’s malar fat pad vertically against the direction of gravity, the patients obtain a rested, natural and youthful ‘non-pulled” appearance, which is clearly evident in all his facelift after pictures.


How is the recovery after a face-lift with Dr. Mesa?

Facelift surgery is often combined with other procedures like fat grafting, buccal fat removal, eyelid lift (blepharoplasty) and skin rejuvenation with peel, IPL or Fractora. The recovery ranges between 2 to 3 weeks. Patients undergoing mini lifts have a recovery time that ranges 10 to 15 days, usually associated with minimal bruising and swelling, moderate discomfort for several days, and invisible scars. Patients look rested, fresher, younger, often like they lost weight, but totally natural. A well performed face and neck lift usually lasts 10 -12 years or longer.


How is the facelift consultation with Dr. Mesa?

During your facelift consultation Dr. Mesa will examine the structure of your face, skin texture, and elasticity. The underlying facial skeleton is also examined since for example a weak chin or small cheek bones may contribute to their skin sagging Therefore, correcting these problems with chin or cheek implants or fillers will greatly improve the results of facelift surgery.

Dr. Mesa also analyzes your skin type and how the upper and middle parts of your face as well as your eyes may contribute to your aging appearance. Dr. Mesa will determine if candidate for a mini lift, midface lift (full facelift) and if a neck lift might be necessary to be performed at the same time.

Not infrequently Dr. Mesa will perform a eyelid lift (blepharoplasty) and total facial skin resurfacing (with a chemical peel, IPL or Fractora), that results in a more youthful but natural appearance of the face.


What are Dr. Mesa’s credentials? Is Dr. Mesa well trained to performed face lift surgery?

Dr. John Mesa is Harvard trained and triple fellowship trained Board Certified Cosmetic Plastic Surgeon by the American Board of Plastic Surgery (ABPS). He is one of a small group of surgeons that has achieved dual fellowship training in Reconstructive Surgery of the Face (Craniofacial Surgery) as Cosmetic Facelift Surgery training (Aestheti Surgery).

Dr. Mesa’s extensive background in Plastic, Reconstructive and Cosmetic Surgery and subspecialty training in Facelift and Craniofacial Plastic Surgery give him a unique knowledge of the face and its underlying structures. He is a specialist and his results clearly shows he excels in facial cosmetic surgery.


Can I have other Plastic Surgery procedures of the face done at the same time as a Facelift?

Yes, very often patients have additional procedures performed at the same like (like their eyes or their brows) to complement the results



Why not go to a Primary Care Physician Dentists, Obstetricians, Gynecologists, Internists and “cosmetologists” for Face Lift?

Practitioners like dentists and other doctors who are not formally residency-trained and Board Certified to perform Face Lift plastic surgery have been found to suffer a much higher rate of complications, as it’s a side interest to them, and not a treatment they’re certified to do all day long. One of the most common complaints is minimal improvement, asymmetries, “operated look” (windshield blow appearance) etc.

Only a licensed professional with the knowledge, training and skills required to achieve optimum results should perform Face Lift plastic surgery. Look for a plastic surgeon who is Board Certified by the American Board of Plastic Surgery and who has completed his training at some of the top residency and fellowship institutions.

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