NJ Facelift | New Jersey Facial Cosmetic Surgery

What Is A Facelift?

At some point in the natural process of aging, we look into the mirror and see a face whose appearance is no longer consistent with the image we have of ourselves, or reflective of how we feel. Minor changes in our hairstyle or color, make-up, etc. can no longer disguise the toll taken by time on our once-youthful faces.

NJ facelift surgery, or rhytidectomy, is designed to restore a more youthful appearance by smoothing and tightening and major wrinkles and sagging skin of the face, neck, and jaw line. Along with the removal of any excess skin, the muscles of the face and neck are elevated and secured, helping to maintain the improvement of the contours of the face and neck. The goal is a natural rejuvenated appearance, rather than a drawn, overly tight, unnatural look.

The skin begins to wrinkle and sag as a result of age, sun exposure, and genetics. Children and young adults have smooth, well-defined faces due to evenly distributed fatty tissues in facial contours. Over time, the skin sags, and folds along the chin, jaw line, and neck become prominent. Not only does a facelift improve facial appearance, it also has a dramatic effect on the neck, enhancing its contour and profile. A New Jersey facelift can make a patient look 5 to 10 years younger.

Am I a Candidate for a Facelift?

You may be a good candidate for a NJ facelift if you have any of the following conditions:

  • A "jowly" appearance of the jaw line, with loss of definition and contour of the border of the jaw
  • A deep line (nasolabial fold) that runs from the corner of your nose to the corner of your mouth
  • A tired appearance of the face because of laxity of the skin near the cheekbones
  • Loose skin, wrinkles, or excess fatty tissue in the neck, with loss of contour ("Turkey-gobbler" neck)

Ideal candidates are men or women, ages 40 to 75, in good physical health. To get a preview of how you might look after a Facelift, find a relatively large hand-held mirror. Holding the mirror about 18 inches above your face, lie down on your bed and look up at yourself. You should see an improvement of the jowls, sagging neck skin, and deep nasolabial creases between the nose and the corner of the mouth.

Your Consultation

Dr. Rosenberg will discuss with you how your face can look and what you can expect from surgery. Many other factors (for example, the quality of the skin, the presence of bags or excess skin of the eyelid, sagging brows, etc.) influence our overall impression of the visible signs of aging of the face. For this reason, additional procedures, such as Brow lift, Blepharoplasty (Eyelid Surgery), or Skin Resurfacing may be necessary in order to achieve a balanced, harmonious result that restores the youthful appearance of the entire face, as opposed to only a part of it, leaving other tell-tale signs of facial aging behind.

Realistic expectations and goals for the surgery are important. After successful New Jersey facial cosmetic surgery, you should look better, younger, and more well rested, as opposed to "different". Dr. Rosenberg's objective is to create a natural and more youthful appearance that is pleasing to you, accentuating your positive attributes, while diminishing the negatives.*

*Disclaimer: Surgical results are not guaranteed and vary greatly from patient to patient. 

Options and Alternatives to Facelift Surgery

During your initial consultation, Dr. Rosenberg will discuss alternative procedures that can be performed instead of a formal facelift, assuming you are a candidate for any of these less invasive alternatives. Younger patients, and those without deep lines around the nose and mouth, may benefit from a combination of Skin Care, Botox Treatments, or Injectable Fillers such as Restylane, Juvederm or autologous (from the patient's own body) fat transfer, to soften the early signs of aging. If the problem area is isolated to the forehead and eyelids, a Brow Lift and/or Blepharoplasty (eyelid surgery) may be the answer, with facelift being held in reserve. For patients with severely sun-damaged skin, a Skin Resurfacing procedure (chemical peel or laser) may be a viable alternative to achieve your goal. Dr. Rosenberg has extensive experience with all of the available treatment options for the signs of facial aging.

The Procedure

Facelifts are performed in our certified ambulatory surgery center. In order to maximize your comfort and safety, Dr. Rosenberg prefers to perform Facelifts under a light general anesthesia. Incisions are placed in inconspicuous locations precisely at or inside the hairline at the temple, in front of the ear, then around the earlobe and behind the ear, ending at the scalp area or along the hairline. The skin is undermined and lifted, revealing the underlying supporting tissues. These supporting layers are elevated and tightened, in order to maintain the long-term results of the facelift. Slack, excess skin is removed in precise amounts, since it is important to avoid excessive tension on the skin. If necessary, fatty deposits are removed from beneath the chin and neck, through a small separate incision below the chin. Incisions are closed with very fine sutures. The procedure takes approximately 3-4 hours depending on whether any other procedures are performed at the same time.


Following the procedure, you will be observed for 1-2 hours in the post-anesthesia care unit to ensure your comfort and safety. Then, after you are ready to be discharged, you can go home the same day. It is important that you are accompanied by a family member or friend who will stay with you the first night following surgery. Initially you may have a large, soft dressing wrapped around your head. You will have small surgical drains to prevent fluid accumulation beneath the facial skin. These will be removed in approximately 12-24 hours. Dr. Rosenberg and his staff will monitor your progress on a daily basis for the first few days after surgery. Patients are generally allowed to shower with assistance and to have their hair shampooed within the first 48 hours after facelift surgery. Stitches around the ears or eyelids will be removed in a few days. The scalp sutures will be removed in 7-10 days.

The length of your recuperation period will vary, depending upon several factors. It may take one to two weeks for the swelling or bruising to subside. Minor discoloration can be concealed with make-up after a few days, or once the skin has completely healed, if a skin resurfacing procedure is done in combination with your Hudson County facelift. It may take three to four weeks before you feel comfortable about resuming social activities. The incisions will fade quickly, and are usually inconspicuous. We recommend that you avoid the sun for several weeks after surgery, especially if you have had a resurfacing procedure.


Complications following facelifts are infrequent and usually minor. However, individual patient variables in anatomy, general health, and healing characteristics may influence the risk of complications. These include bleeding, infection (rare), poor healing or loss of skin, facial nerve injury (usually temporary), discoloration of the skin, numbness, asymmetry, and scarring. The risk of bleeding is somewhat greater in men, or if you take aspirin or blood thinners within 2 weeks of the surgery. Dr. Rosenberg does not perform facelifts on active smokers. You must be nicotine-free for at least two weeks prior to surgery to avoid the many risks associated with facelifts in smokers. In the weeks following surgery, it is normal for the facial skin and area around the ear to be somewhat numb. There may also be some temporary discoloration as healing begins, which may take a few months to disappear. Rarely, the facial nerve is bruised during surgery, resulting in temporary weakness of the muscles of facial expression. 

Your New Look

After the initial healing phase, most patients return to work and social activities with a renewed vigor and self-esteem. Family, friends, and colleagues who may not be aware of your New Jersey facial cosmetic surgery may notice that you look somehow fresher, more rested and relaxed, without being able to determine exactly why or how. Since the healing process is gradual, you may notice continuing improvement of your appearance for up to 6 months. The longevity of the results will depend upon several factors, including your genetic background, habits (sun exposure, smoking, alcohol use), and pre-existing skin quality. Dr. Rosenberg will continue to monitor your progress and work with you to arrange a program of healthy lifestyle, skin care, and periodic maintenance procedures to enhance the longevity of your result, and to keep you looking your best.

Frequently-Asked Questions

Q: Will a Facelift correct signs of sun damage?

A: Generally, no. A Facelift will improve skin laxity, which is a function of aging and hereditary or environmental factors. However, the fine wrinkles caused by sun damage usually require other types of treatments, such as Chemical Peel, Laser Resurfacing, or Dermabrasion.

Q: Will I lose sensation in my face after a facelift?

A: Sensation in the areas of skin which is undermined during a facelift is usually temporary, and full normal sensation returns within a few weeks. Men should be extra careful when shaving during this early post-operative period, to avoid nicks and cuts, and all patients must avoid the use of hot compresses.

Contact our New Jersey facial cosmetic surgery center today to schedule a consultation!