There are 3 contributing factors to the aging face – a loss of facial volume, a change in the overlying skin envelope (discoloration, lines and wrinkles) and sagging from the effects of gravity and loss of tissue elasticity and strength. For patients whose appearance doesn’t match how they feel or see themselves, a facelift (rhytidectomy) may help you look younger and more refreshed look. Dr. Kenneth O. Rothaus is a board-certified plastic surgeon in New York City that performs rhytidectomy surgery for patients from not only Manhattan, New York and Westchester but throughout the world who are seeking natural, lasting results. By incorporating the latest rejuvenation and surgical techniques, Dr. Rothaus’ procedure tightens underlying facial tissues, removes excess fat, and smooths loose skin on the face and neck. This improves cheek folds, loose jowls and sagging skin around the neck. Combined with nonsurgical skin rejuvenation treatments such as BOTOX and fillers or a skin resurfacing procedure, the results can take a decade off of one’s appearance.

Best Candidates

Good candidates for surgery are men or women who demonstrate:

  • Loose skin in the neck and jawline
  • Loss of volume in the skin of the neck and/or face
  • Loose skin in the mind-face area

What To Expect

After Dr. Rothaus reviews the patient’s past medical and surgical history an evaluation will be done of the factors that contribute to an aging appearance – skin quality, skin laxity, wrinkles and folds. Facial volume and the underlying bone anatomy will also be assessed. A facial rejuvenation treatment plan will be created that will yield the best results.

Patients with less sagging skin will usually only need a “mini” lift. Other types of facelifts include a plication of the platysma muscle in the neck and the SMAS layer in the cheek, a tightening of the skin and removal of the excess fat in the neck. Other types of procedures include a mid-face lift, and a deep-plane lift. Dr. Rothaus employs the Harmonic scalpel during this surgery. With the Harmonic facelift, there is very little bruising and swelling compared to conventional facial surgeries. It is very common to combine nonsurgical techniques with a facelift to maximize results. This may include wrinkle fillers or BOTOX, as well as a laser or chemical peel for deep lines and wrinkles, or a photofacial to address skin irregularities on the surface such as scars, sunspots and blemishes.


Rhytidectomy surgery at Rothaus Plastic Surgery is generally done under sedation and local anesthesia. General anesthesia is rarely required. Because of the use of the Harmonic scalpel, we have not found it generally necessary to employ drains. In addition, for the same reason, swelling and bruising are usually minimal with most patients being able to return to work after one week. For the comfort of our patients, staples are not used during surgery and patients are seen at approximately day 4 to 5 and days 10 -12 for suture removal. Most patients can resume modest exercise in 2-3 weeks. A complete recovery from a surgery occurs in about 3 weeks. Supplemental procedures, such as nonsurgical skin rejuvenation are often performed after the first week.

Turn Back The Hands Of Time

Facelifts are becoming more and more common, especially with advanced surgical skills and progressive surgical techniques. Experienced surgeons understand the anatomy of the face and produce results that are not only lasting, but also natural by appearance. If you are ready to turn back the hands of time and look younger today, we encourage you to call our plastic surgery office and schedule a complete consultation to learn more.

Facelift Videos

Plan Your Procedure

Recovery Time: 10-14 Days
Average Procedure Time: 2-3 Hours
Procedure Recovery Location: Out-Patient