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 their internal age, a facelift (rhytidectomy) may help you look younger and more refreshed by addressing the latter. Dr. Kenneth O. Rothaus is a board-certified plastic surgeon in New York City that performs rhytidectomy surgery for Manhattan & New York patients seeking natural, lasting results. By incorporating the latest skin tightening techniques, Dr. Rothaus’ procedure tightens underlying facial tissues, removes excess fat, and smoothens 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:

  • Looseness of skin in the middle face
  • Looseness of skin in the jaw line and neck
  • Loss of volume in skin of the face and/or neck

What To Expect

During the consultation, after a review of 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, folds, and wrinkles. In addition, the underlying bone anatomy and facial volume will be assessed. At that point, a facial rejuvenation treatment plan will be created that will help attain the best results. There are several variations of a surgical facelift, including a “mini” lift, which is reserved for patients with less sagging, a skin and muscle and SMAS plication lift, a mid-face lift, which address the cheeks and mid-face area, and for those with severe sagging, a deep-plane lift, which addresses deeper wrinkles and folds. Dr. Rothaus employs the Harmonic scalpel during his surgery. With the HARMONIC FACELIFT, the experience at Rothaus Plastic Surgery is that 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, 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