Great doctor, I am super satisfied with my cosmetic surgical results, I would recommend to anyone.

The doctor performed a non invasive manhattan lift on me and i love it. everyone asks me if i went on vacation or if i lost weight! he was very professional and his assistant is the best. i highly recommend dr. dagan to everyone seeking cosmetic help.

Dr Dagan was my third nose job surgeon. Out of all three I was most pleased and satisfied with Dr. Dagan’s patience, knowledge and work. He takes him time to make sure I understood what can be done realistically and what can not. He is far from greedy like some other plastic surgeons. His staff is also very caring and you never have to wait to see him. Dr. Dagan thanks for the nice nose!

I had nasolabial folds and acne scarring. Previous fillers had left my right side less full than my left. I had 4 syringes, more in the right side than left. I am very happy with the results. I noticed immediate improvement, with more over the time. I have not had any adverse reactions. It’s been 2 years and I don’t need a touch up. It hurt more than other fillers but was worth it. I noticed many of the unhappy users had injections around the eyes, which isn’t suggested for Artefill. The skin is too thin. Side effects are possible and likely.

Dr. Dagan is very honest about the services that are needed. He likes to keep you looking natural, but beautiful.

Loved it! Really clear breakdown of expectations and everyone is super friendly.

Our NYC Facelifts

The Manhattan Lift

This is a proprietary procedure developed by Dr. Dagan based on his experience performing hundreds of facelift procedures a year. This is a facelift procedure that is performed under local anesthesia without any need for intravenous drug administration or general anesthesia. The reliance on local anesthesia reduces risks associated with general anesthesia. The procedure is minimally invasive and involves bringing the tissues underneath the skin surface to their natural position. This reverses gravitational changes produced by aging such as jowls, neck laxity, wrinkles and flattening of the cheek bones. The work underneath the surface of the skin will restore the youthfulness of the face without over tightening the skin. The superiority of the Manhattan lift over a conventional (deep plane) facelift lies in a shorter procedure time, safer procedure, and shorter downtime with comparable and long lasting results.

The Phantom Lift

This is a proprietary technique developed by Dr. Dagan based on his extensive experience with the Manhattan lift. This facelift procedure has all the benefits of the Manhattan lift with the additional benefit of no external stitches. Through the use of a revolutionary suturing technique the healing process is faster and more seamless and allows busy professionals with a demanding schedule to return to their activities sooner.

Facelift Surgeon Manhattan

Preparing for a Facelift

Pre-Op instructions for facelift surgery

Make sure your surgeon is board certified and fellowship trained in Facial Plastic and Reconstructive surgery. This training is confined to surgery of the face and provides the most expertise for a successful outcome.

To have the most realistic expectations, make an appointment for a consultation and ask to see before and after pictures. Your understanding of plastic surgery procedures and routines is essential to a successful final result.

Preoperative Facelift Instructions

  1. Avoid any aspirin, aspirin-containing products, or ibuprofen (Advil, Aleve, etc.) for one week prior to and two weeks following your face lift surgery. See our “Medication List” for products to avoid prior to surgery. If you are on any medications that affects bleeding (such as coumadin or warfarin) please notify the office immediately.
  2. Please refrain from smoking and alcohol for one week prior and three weeks following facelift surgery. Along with delayed wound healing, persistent skin redness and other complications may occur when tobacco and alcohol are not discontinued.
  3. Please notify us of all routine medications and significant health history. We ask that you remain on your daily medications unless instructed otherwise. At the preoperative facelift appointment, our nurse will tell you which daily medications to take with just a sip of water on the morning of your plastic surgery.
  4. At your preoperative facelift appointment you will be given prescriptions for use following surgery including an oral antibiotic and pain medications. Please obtain these prescription medications before your face lift surgery so you will have them ready for use when you return home after surgery.
  5. We will ask you to begin Arnica, a natural herb that significantly decreases bruising, on the day before your facelift surgery. We will also ask you to start Bromelain, Vitamin C (ascorbic acid), which helps promote healing, for one week before and two weeks following surgery.
  6. Please call the Dr. Dagan’s office at (212) 585-3242 before noon on the business day prior to your face lift procedure to confirm your arrival time.
  7. You may eat a light breakfast the day of your facelift procedure. You may brush your teeth.
  8. Do not bring valuables (cash, credit cards, watches, jewelry, etc.) to the office on the day of your facelift surgery. Remove all make-up and nail polish before arriving for your procedure.
  9. It is not required that a family member or friend stay at the office during your facelift surgery. However, someone must be available at all times while you are here at Dagan Cosmetic Surgery for surgery. Someone will need to drive you home after your surgery and stay with you that evening. Transportation to the office for follow-up the day following facelift surgery may also be required.
  10.  It is highly suggested to get a hair coloring treatment a day before your surgery, this is an old trick to throw off attention from the fact you just had facial rejuvenative surgery, please contact our hair stylist Gregory Wilde for specific information or visit our website.

After Facelift Surgery

After your facelift surgery, you will notice a soft head wrap dressing. For patients who have a combination of plastic surgery procedures such as an eyelid lift, your vision may be cloudy from the ointment we place in your eyes at the time of surgery. Our staff will review all instructions you will need for care following your facelift.

You will be asked to come to Dr. Dagan’s office the following day after facelift surgery for a dressing change. You will be asked to return in one week after your facelift for suture removal and return for post operative pictures a month after your procedure.

Postoperative Facelift Instructions

Wound care

Keep dressing dry and intact the evening after facelift surgery. Notify your doctor if the dressings become loose or fall off. Notify the doctor if there is a great deal of swelling or bleeding on either side of the face after surgery.

Following dressing removal the morning after facelift surgery, a facial bandage will be applied. We will again instruct you on suture care. Cleaning the suture with a Q-tip dipped in hydrogen peroxide and then applying the antibiotic ointment (polysporin/bacitracin) twice a day is an essential part of the healing process. Sutures that have been kept lubricated with ointment are less painful to remove. Keep elastic bandage in place at all times other than suture care for three days after surgery. After the third day, you may apply the elastic bandage only at night time for the next three weeks.

Medications

Most patients complain of discomfort more than pain. Use pain medication (Vicodin/hydrocodone) as directed/as needed. Vicodin contains Tylenol. Do not take additional Tylenol or acetaminophen while taking Vicodin. Do not drive or drink alcohol while taking pain medication. Taking pain medication with food helps minimize nausea sometimes associated with pain medications.

Start your antibiotic when you get home. It is not uncommon to have a low-grade fever for 24 hours following facelift surgery.

Take Vitamin C (ascorbic acid) which helps promote healing, for two weeks following face lift surgery. Take Arnica, a natural herb that significantly decreases bruising for one week following your plastic surgery.

Diet

Advance diet from liquids to soft food (oatmeal, French toast, yogurt, soup, pasta) to your regular diet as tolerated.

Activity

Rest for entire day after facelift surgery. Sleep with head of the bed elevated or use two to three pillows for one week after surgery. Absolutely no bending, lifting or straining. If you have little children, bend at the knees or sit on the floor and let them climb on to your lap. No driving for one week following facelift surgery. One to two weeks off work is recommended.

After 24 hours, keep incisions dry except for cleaning and ointment. Bathing is ok as long as you don’t get your incisions/hair wet. You are encouraged to shower and wash your hair twice: the evening before and morning of suture removal (usually the seventh day after surgery).

Bruising can be camouflaged one week after surgery with make-up. Always protect your face from the sun. At this point, a hat and sunglasses are a good idea. Following face lift surgery, our staff will tell you when it is ok to apply sunscreen, cosmetics or facial creams. Avoid unprotected prolonged sun exposure for three months following rhytidectomy to prevent pigmentation of incision lines.

Surgical procedures of Facelift

Chin Implant

Read more

Ears/Otoplasty

Read more

Liquid Face Lift

Read more

Minimally invasive Face Lift

Read more

Neck Lift

Read more

Platysmoplasty

Read more

Scar Revision

Read more

Dimple Creation Surgery

Read more

Non surgical procedures of facelift

Acne Scars

Read more

Botox for Jawline Reduction

Read more

Chemical-Peel

Read more

Cosmetic Dermal Fillers

Read more

Lattise

Read more

Microneedling

Read more

PRP Skin Rejuvenation

Read more

Wrinkles

Read more

Volumization

Read more

Facelift and injectable filler combo fight the signs of aging

If you need an effective way to get rid of wrinkles and smooth out the skin, injectable fillers such as BOTOX and Radiesse aren’t your only options.

Millions of Americans are making the most of a combination of injectable fillers and facelifts to diminish the signs of aging and tighten up the skin; instead of turning to just one treatment, surgical repositioning of the face and restoring volume to the skin seem to be the most valuable solution for many.

In fact, the latest statistics from the American Society of Plastic Surgeons report a steady increase of patients over 40 pursuing injectables; facelifts have become the sixth most popular surgical cosmetic procedure in the U.S. with over 116,000 performed in 2007 alone.

What explains the steady increase in facial rejuvenation ‘combo’ procedures in recent years?  Here’s a closer look at the trend:

The Power of Facelift and Injectable Filler Combinations

Many baby boomers have been turning to BOTOX and other dermal fillers as a substitute for a facelift (Source:  MedicalNewsToday.com).

However, we recommend a combination of facelift and injectables to achieve the most dramatic – and long-lasting – results.  Since collagen fillers typically dissolve within a few months, a facelift can help reposition the skin and tissues permanently. After that, inejctables such as Restylane, Radiesse and even Sculptra or the long lasting filler Bellafill can be administered to strengthen the skin and add volume. The result is a much more youthful appearance and results for the long-term.

Benefits of Facelifts

Facelifts offer several benefits for treating loose skin and skin that has lost its elasticity. Since rebuilding collagen can be incredibly challenging with age, a face lift can reposition the skin’s tissues to create the appearance of more youthful skin. Face lift surgery helps to restructure the facial tissues and remove excess skin folds, correct any areas where skin may be sagging, and essentially recontour the face.

Other benefits of facelifts include:

  • Reducing fine lines and wrinkles
  • Enhancing the texture of the skin
  • Eliminating loose skin
  • Tightening facial muscles

Several options in facelifts are available, and some present faster recovery times than others. For example, the mini facelift (also known as the ‘weekend facelift’) can enhance the skin’s appearance with only small incisions and endoscopic facelift technology. Other choices for facelift procedures include the lower face lift, mid face lift and thread face lift. All of these can be combined with injectable fillers, and results can be maintained or enhanced with facial rejuvenation procedures such as laser treatments and standard facials at the spa.

Benefits of Injectable Fillers

Injectable fillers have become a popular choice for millions of men and women looking for a ‘quick fix’ solution to eliminate fine lines and wrinkles. Today’s leading injectables include BOTOX, Juvederm, Radiesse, Artefill and Sculptra.

Injectable fillers offer several benefits including:

  • Little or no downtime
  • Easier on the budget than many facial rejuvenation procedures
  • Fewer scars and side effects than surgery
  • Can be administered within an hour
  • Natural-looking results

Both facials and injectable filler treatments have several benefits when pursued independently, but a combination of the two can provide long-lasting results.  Many cosmetic surgeons are recommending a combination treatment for those with severe cases of wrinkles and loose skin, especially since a filler alone cannot tighten up sagging skin enough to look natural.

If you’re looking for a way to enhance your skin’s appearance and get rid of wrinkles, loose skin or other signs of aging, injectable fillers combined with a facelift may be your best solution.

To read more about cosmetic injectibles and fillers, click here.

Risks of facelift surgery

Complications of facelift surgery are infrequent, and cosmetic procedures are generally safe, as long as they are carried out by a qualified and experienced facial plastic surgeon

However, any surgery comes with some potential for risk.

The risks and complications of facelift surgery include:

  • Bleeding – in the first 24-48 hours after surgery, there may be some swelling at the area that underwent lifting. If this occurs, it may be due to small blood vessels leaking
  • Bruising – this is almost expected temporary effect as opposed to a risk after facelift surgery as the soft tissues underneath the skin are separated temporarily in order to bring the tissues into their natural anatomical position.
  • Complications of anesthesia – fortunately, mini facelift surgery can be performed under local anesthetic which makes the possibility of complications from anesthesia rare
  • Damage to the facial nerves controlling muscles, usually temporary – the stretch of tissues during the facelift procedure can sometimes temporarily weaken the muscles of facial expression, this is usually transient and returns to normal within a few days to weeks after surgery.
  • Hematoma – a collection of blood under the surface is uncommon but may need to be drained after surgery
  • Infection – the chance of infection after facelift procedures is very rare because the blood flow in the face is so rich and generally antibiotics are prescribed for one week after the procedure to prevent such a risk.
  • Loss of hair around the incision site, but this is uncommon – the incisions that are placed near the hairline rarely affect the hairs around them.
  • Numbness, which can improve within days or weeks – numbness is an expected occurrence after facelift procedure. It generally involves the lower part of the earlobe and the upper part of the neck.
  • Scarring – Since the incisions for a facelift procedure are placed in very concealed areas and Dr. Dagan’s proprietary closure technique makes it very rare for any wounds to be visible after surgery, the chance of visible scarring is low. It is possible for the healing process to cause raised scars or keloids although those are very rare. Cessation of smoking is very important at least 2-4 weeks prior to surgery and 4 weeks after the surgery in order to ensure proper wound healing.
  • Skin necrosis, or tissue death – although the skin is temporarily lifted during the procedure, it is very rare for the skin to lose its blood supply thanks to a very rich network of blood vessels feeding the skin surface from underneath.
  • Unevenness between two sides of the face – assymetries are normal even without surgery. If you closely study your face you will notice the right and the left sides are not equal and they never are. That relationship will likely continue and is completely normal. It does not determine beauty or aesthetic perfection. It is very rare that one side is noticeably asymmetric or uneven as a result of surgery.
  • Widening or thickening of scar – the process of wound healing is not alkways 100% predictable and rarely the scar may widen or pull at the earlobe or in front of it to become more visible. Fortunately, the chance of a pulled earlobe (pixey ear) occurring with an experienced facial plastic surgeon is very low. Dr. Dagan’s special suturing technique reduces the chances of visible scarring significantly.

If you notice inflammation, pain, redness or swelling in the days following surgery, call our office as soon as you notice these signs. This could be a sign of hematoma that is best drained early. If there is a fever, you may have an infection, call us.

Appointments

Your head dressing (facial bra) will be changed the morning after your facelift procedure. Sutures will be removed one week following your surgery. You will need transportation to and from these appointments. Your next appointment will be for removal of remaining sutures on or around day seven after surgery. If you are having the phantom lift, there will be no need to remove any sutures as there are none on the outside.

Please Remember!

Swelling, bruising and disrupted sleep are very normal postoperative facelift symptoms and will decrease as the healing process occurs. Assistance with daily activities the first two to three days after surgery is strongly recommended.

Final Result

Following facelift surgery, it takes time for the swelling to subside and for the skin to heal. Most patients return to work one to two weeks following facelift surgery, however three weeks is ideal, depending on the degree of privacy one is trying to maintain. At three weeks postoperatively, swelling and bruising may be apparent to you but not to many of your coworkers and closest friends.

Final results following facelift may not be apparent for one full year following surgery. After three months, the changes are ever so subtle, although still important. Being perfectionists about our work, you may tell us you are pleased long before the one year anniversary. However, we request that you follow-up with us at that time for postoperative facelift photographs and so that we can enjoy your final result.

Remember, the best result is one in which people do not make many comments about your appearance because they don’t know you had surgery done, but just look more relaxed and rejuvenated.

Male Facelift Manhattan

Facelifts have become increasingly popular among men in the fast pace of New York City where more rested rejuvenated appearance is a way to catch up with the younger competition. The goal of a Manhattan male facelift surgery is similar  in that a well-rested, relaxed appearance is desired. Tightening the skin minimizes the appearance of wrinkles and emphasizes facial contours.

However, the Seamless Manhattan lift is designed to perfect the definition in the lower jaw, neck and chin, as opposed to concentrating on cheekbones, nose and mouth areas in facelift surgery for women. During your consultation, Manhattan Facelift surgeon Dr. Dagan will be able to show you the specific goal of your minimally invasive facelift surgery. Typically, Dr. Dagan’s male facelift patients are executives in their late 40s to early 50’s who desire as youthful of an appearance as they feel. Dr. Dagan’s technique avoids the windswept or pulled operated look after facelift surgery. You can return to work in 10 – 14 days looking rested and energetic.

“Dr. Dagan is a brilliant doctor that has helped me look and feel amazing. His staff is warm and friendly and they always make sure I am very comfortable. I’ve had such a wonderful experience and would absolutely recommend Dr. Dagan.”
– K.S.

Special Considerations in Male Facelift procedures

Male Facelifts are different than Facelifts on women. There are certain structural differences between men and women that account for different strategies employed on men:

Blood Supply of Face:

In general, men’s facial skin is thicker, hair bearing and has more glands secreting oikl to lubricate the skin surface. As a result, there is very rich blood supply to skin surface of the face. More blood flow means more rapid healing after facelift surgery. But, the increased flow of blood under the surface can also mean an increase in the potential for post- operative bleeding, although relatively small. Ensuring proper control of blood pressure before and after surgery becomes more important for men undergoing facelift surgery to avoid post operative bleeding.

Beard and facial hair:

The lifting of the facial soft tissues and skin during facelift surgery changes the distribution of hair over the man’s face and neck. Beard growth on the male face is generally present below and in front of the ears before facelift surgery. At the time of a facelift, the skin is repositioned upwards and backwards. Thus, some hair bearing skin is moved behind the era or over the pointy eminence of the outer ears (the tragus). This will require an adjustment in shaving technique after surgery to shave the beard in its new state but may occasionally be dealt with by performing laser hair removal or electrolysis for the skin in front of the ear so that the hair growth is contained permanently.

Occasionally location of incision is modified to avoid this change. We shall discuss various incisional options with you at time of your consultation.

Male Pattern hair loss:

Male pattern baldness or hair loss results in a receding hair line in men. This limits options for effective forehead lift and brow lifts in men since the incisions on the forehead can be harder to camouflage after surgery. Thus, forehead lifts are not frequently opted for in men with widow’s peaks or scalp front balding patterns.

When Dr. Dagan assesses your candidacy for surgery, he will take all the above factors into consideration in planning your facelift. Facial rejuvenation is a multi step that encompasses various considerations and options to provide the most natural and aesthetically pleasing result. We will be discussing the comprehensive approach to rejuvenation of your face at time of your consultation.

Facelift Specialist Manhattan

Dr. Dagan is uniquely qualified NYC rhinoplasty specialist to perform rhinoplasty and nose reconstruction. Dr. Dagan is not only highly skilled and trained but has been covered in the media from his collaborative work on amazing medical stories to the reconstruction of a teen’s nose from scratch after experiencing terribly deforming burns from an electrocution injury. His use of innovative technology including 3-D printing was covered in the exhibition on new emerging 3-D printing technologies at the North Carolina Museum of Natural Sciences exhibit on the topic of 3-D Printing in Raleigh, North Carolina. Dr. dagan has been selected by the International Association of Plastic Surgeons as one of the “Leading Physicians of the World” by his peers, an honor bestowed to a few surgeons globally.

He has intimate knowledge of the inner and outer functional anatomy of the nose, which enables him to provide cosmetic improvement of the nose while maintaining or improving breathing function. He is an expert in both the endo-nasal, or closed approach, and the external, or open approach, for rhinoplasty surgery.

In appropriately selected patients, Dr. Dagan performs non-surgical rhinoplasty as a simple office procedure without the need for anesthesia using cosmetic injectibles. Dr. Dagan meticulously tailors your surgical or non-surgical rhinoplasty to your specific needs with the ultimate goal of achieving a beautiful and natural appearing nose.
Contact our office today to schedule your consultation or if you have any questions regarding a rhinoplasty or nose job procedure in New York.

Dr Tal Dagan
Dr. Tal Dagan

FAQ’s

If you have a question that is not answered here, most likely others have the same question. When you contact us with your questions you help other patients as well. We would appreciate hearing from you.

How do I know if I need a facelift?
It depends on the appearance of jowls which are laxity of skin about your lower jaw, onset of marionette lines which are the vertical lines going down from the corners of the mouth or laxity of skin in your neck. During the initial consultation to evaluate your face and neck, Dr. Dagan uses his hands to raise your neck and facial skin to the natural rejuvenated position to demonstrate how your post-operative look would be. When the neck and facial skin is raised, if most of the aging changes disappear, a patient would most likely benefit from a facelift.
If I have a facelift, will I end up with a "pulled" look?
First things first – in the first week following facelift surgery there is a slight swelling on the side of the face which is expected and makes an appearance of slight tightening of the face.

Second, since the facial tissues underneath the skin are gently raised and replaced into their natural position, the skin never ends up being overtightened or pulled so you will not end up with a wind swept look. Dr. Dagan strives for perfectly natural results which will not attract attention to your face but rather make it blend beautifully with the your hair to provide a rejuvenated and refreshed appearance shedding off years from your biological age but at the same time being subtle with camouflaged incisions that don’t let on you had any surgery at all.

What does "mini-lift" or “mini-facelift” mean?
A mini-facelift means that your surgeon is performing the rejuvenating procedure on your face in a minimally invasive fashion that reduces the downtime, pain and discomfort and shortens the recovery time after the surgery. The procedure is performed under local anesthesia as an office procedure as opposed to under general anesthesia in the hospital which reduces the risks of surgery and shorten your treatment time considerably.

Mini-facelifts have several advantages. First, a mini-lift allows the surgeon to address the face and neck at the same time. Along with the advantage of a concealed incision, mini-lifts have less chance of nerve injury, infection, fewer sensation changes (less numbness and itching), less wound care and fewer side effects following surgery. Also, Dr. Dagan’s proprietary technique of wound closure leaves no stitches on the outside of the skin allowing the incision to heal like a paper cut.

Not all surgeons are experienced in mini-facelift surgery. When evaluating a surgeon, it’s important to ask not just how well trained they are or where they trained – but, how many mini-facelifts and facelift surgeries have they performed.

What does "mini-lift" or “mini-facelift” mean?
A mini-facelift means that your surgeon is performing the rejuvenating procedure on your face in a minimally invasive fashion that reduces the downtime, pain and discomfort and shortens the recovery time after the surgery. The procedure is performed under local anesthesia as an office procedure as opposed to under general anesthesia in the hospital which reduces the risks of surgery and shorten your treatment time considerably.

Mini-facelifts have several advantages. First, a mini-lift allows the surgeon to address the face and neck at the same time. Along with the advantage of a concealed incision, mini-lifts have less chance of nerve injury, infection, fewer sensation changes (less numbness and itching), less wound care and fewer side effects following surgery. Also, Dr. Dagan’s proprietary technique of wound closure leaves no stitches on the outside of the skin allowing the incision to heal like a paper cut.

Not all surgeons are experienced in mini-facelift surgery. When evaluating a surgeon, it’s important to ask not just how well trained they are or where they trained – but, how many mini-facelifts and facelift surgeries have they performed.

How long does a facelift last?
As with other cosmetic procedures, the longevity of the benefits of a facelift are dependent on several factors. For patients who do not smoke, do not abuse the sun, are in good general health and have good genetics, a facelift can last five to ten years. For patients who elect to abuse their skin and body, a facelift may only last up to five years.
What's the difference between a mini-facelift and midfacelift?
Mini-facelift has the ability to replace the lower face and neck into the natural position from which they descended with time and gravity. If a midfacelift is also performed, the surgeon is able to provide middle face rejuvenation -including any remaining portion under the eyes and the area of the face level with the nose down to the teeth. With the addition of a midfacelift, the cheek is elevated, it pads the bony rim of the lower eyelid thus necessitating less fat removal. This improves our ability to treat lower eyelid “bags” and rejuvenate the bony orbital rim by precisely treating the droopiness and bagginess about the eyes in the manner that it ages.
Will I still look like "me" after surgery?
We recommend for all patients scheduled for mini-lift surgery to have their hair done a day prior to surgery and to make a small change whether it is adding highlights or changing the hair tone slightly. Many of our patients report that, upon return to work and routine daily activities, friends and acquaintances make the following remarks: “Gee you look great. Did you change your hairstyle?” or “Have you been on vacation?” Retaining your uniqueness is the sign of a successful procedure. Although the change may be significant to you, it’s not uncommon that friends and family don’t really notice the specific changes.
Yes, but I want to dramatically change the appearance of my face and neck. Can I do that?
This is an excellent question because it leads to evaluating realistic expectations. This question can only be answered on an individual basis. A sign of a good board certified facial plastic surgeon is one who can tell the difference between realistic and unrealistic expectations and one who will be truthful about meeting each patient’s desires.
Will a facelift get rid of the laugh lines or nasolabial folds ?
As we age, our skin looses its elasticity. A mini-lift is most often performed to relocate the jowl and loose neck and restore them to a more youthful position. A facelift will not remove the laugh lines completely although it may improve their appearance. Frequently patients elect to have cosmetic filler treatment, transfer of their own fat or use of thei own stem cells to rejuvenate the facial wrinkles at the time of the mini-lift to address both concerns. Many patients who are not ready for surgery may ask Dr. Dagan to consider Botox, juvedferm, dermapen or several other conservative procedures – many of which can be performed on the lunch hour.
How much pain will I have?
Most patients who have facelift surgery say how surprised they are that the pain is less than they anticipated. Understandably, after any surgical procedure, some discomfort can be expected. All patients are provided with prescriptions for pain medication. Patients sometimes use the prescription medication four to five days after surgery and then switch to Extra Strength Tylenol. Patients undergoing a midfacelift will have some pain on chewing for about 48 hours. It is uncommon for patients to report unmanageable pain after surgery.
If I have a facelift will it also lift my neck?
A minilift is advantageous in that it addresses not only the lower part of the face but it also addresses one of the most common concerns of cosmetic patients which is the “turkey wattle” (that thing that hangs down from a turkey’s neck) to tighten the neckline. A minilift will correct any facial and neck skin looseness or wrinkles in the lower part of the face and around the lips.
Where are the incisions for a minilift?
The beauty of the facelift is that it is done through an incision in the creases around the ear and the sideburn which heals in a very concealed fashion. The incisions are all hidden along the skin creases. Because of incision placement, facelift incisions heal very well and most patients and family members will not notice them after a few weeks. Dr. Dagan’s special seamless technique further aims to “photoshop” away any sign of surgery but leaving no stitches on the outside of the skin at all allowing the skin to heal like a paper cut.
What if I have a history of bad scars?
If you have pierced ears, the way you healed there is a good indication of how you will heal from facial plastic surgery. Scars on the rest of the body typically are not an indication for how patients heal following facial plastic surgery. At the time of your consultation, it’s important to show your physician any previous scars (keloid scars) that are of concern to you so he can give you a realistic assessment of your healing potential following facial plastic surgery.
Will I be awake during surgery?
Patients may choose to have the procedure done under local anesthesia alone with slight sedation using valium by mouth or under twilight (IV) anesthesia. Patients are asleep using IV sedation (medicine administered through an IV) and a local anesthetic (numbing medication administered in the operating room). Patients do not hear or feel anything and are comfortable during the operation. Patients wake up very soon after the surgery is completed. Intravenous sedation is a type of anesthesia; therefore all patients must have a responsible adult to stay with them through the night following surgery. Patients may not drive for seven days following their procedure and this time may be longer, depending on the procedure.
Do I go home after surgery?
Most facelifts are done on an outpatient basis. Because you will go home after receiving sedation, you will need to make arrangements for a responsible adult to drive you home, to stay with you overnight and to drive you to our office for your first postoperative appointment. Patients having surgery must stay in the immediate New York area overnight within 30 minutes of our midtown facility.
How long will bruising and swelling last?
Postoperative bruising and swelling begins to resolve at the end of the first week. Full resolution of bruising or swelling may take two to three weeks. However, you may camouflage bruises fairly easily at seven to ten days with concealer stick.
How long should I stay in Manhattan following surgery?
Most patients stay in Manhattan about seven to ten days following surgery. After that it’s ok to fly or travel long distances.
I'm from out of town. Where can I stay overnight in Manhattan?
Accommodations are comfortable and convenient for Dr. Dagan’s clients. New York city has a rich variety of accommodations. You may read about some recommended hotels in our area. For guests without the benefit of family or friends in the New York area, our staff will be happy to assist you with arrangements for a smooth, restful experience following your procedures. Special arrangements for celebrity and business clientele may be coordinated with our staff ahead of time.
When can I go back to work?
Restrictions from work are generally one to two weeks for facelift surgery. Because initial surgery swelling may still be present, patients who are more concerned with privacy about the procedure take three weeks off to be safe.
When can I "work out?"
Aerobic activities should be avoided for three weeks following surgery. Any activity that potentially increases blood pressure will increase the amount of time it takes for postoperative swelling to resolve.
I want to know details about the procedure.
Glad you asked! The preoperative and postoperative instructions are listed below.

Browlift Preoperative Instructions

What do I do to prepare for surgery?
Although the preparation for surgery is pretty simple, it is an essential element in a successful outcome. To prepare for surgery, a preoperative appointment will be scheduled with one of our experienced nurses.
What happens at the preoperative appointment?
Many things! To name a few, you will meet with Dr. Dagan who will review your health history, answer your questions, instruct you on how to prepare for surgery, provide prescriptions for use after surgery and tell you what to expect. Most of the instructions are listed here below. This list of questions, however, will not take the place of a preoperative visit, which is essential in determining a patient’s understanding and readiness for surgery. We will be sure you are signing an informed consent.
What does informed consent mean?
Informed consent means you have an excellent understanding about the benefits of surgery as well as any risks, and all the preoperative and postoperative information. You are making an “informed” decision as to whether surgery is right for you.
What are the benefits and risks of a facelift?
As part of your initial consultation, Dr. Dagan will review your expectations for surgery. At that time, he can provide a realistic picture of what surgery can and cannot accomplish. Depending on which procedures you are interested in, we will provide you with a list of any risks reported in the medical literature associated with any procedures you are considering. Although risks from cosmetic surgery are uncommon, every patient should be fully informed of any risk associated with surgery.
What are some of the other things to do to prepare for surgery?
We review your health history and any daily medications you may be taking.
What about my daily medications before surgery?
You will have a preoperative appointment well in advance of your surgery when our experienced staff will review all mediations with you. If you are on “blood thinners,” you will be asked to stop them approximately one week prior to surgery. See below about vitamins and supplements before surgery.
I take vitamins and supplements. Do I need to stop them before surgery?
Most vitamins and supplements have few side effects. However, there are some that can affect bleeding during surgery such as Vitamin E, ginkgo-biloba, fish oil and others. We will provide you with a list of medications and supplements to avoid before surgery.
Do I need any special prescriptions before surgery?
Most patients do not need any special prescriptions before surgery. Please let us know of any special medical concerns you may have. Because tobacco abuse impedes wound healing, you will be asked to stop for two weeks before surgery and two weeks following surgery. Our staff will be happy to discuss prescription or over-the-counter aids to help you with this. In the postoperative instructions that follow, we will discuss all medications needed after surgery.
Why will I be asked not to eat or drink anything after midnight?
The best way to prevent after effects from IV anesthesia will be to avoid food or drink from midnight the night before surgery. For patients with special concerns, such as a patient with diabetes, our staff will be happy to address arrangements with you ahead of time.
What happens when I check in for surgery?
Our staff will help you get ready for surgery. We check your blood pressure, listen to your heart and lungs, start an IV and prepare you for surgery. Please let them know of any special needs you may have. Also, be assured that you have plenty of time for any last minute questions with your doctor.
I'm concerned about privacy.
During a recent independent study, privacy was found to be one of the advantages that attracted people most to Dagan Cosmetic Surgery. Because all consultations, office visits, surgical and nonsurgical experiences take place at the same address, the check-in process is completely confidential.
Does someone have to stay at the Dr. Dagan’s office while I have my surgery?
No one needs to stay at office during your surgery. However, you must have someone available by telephone at all times during your surgery.
What other instructions are there?
Glad you asked! See the postoperative instructions below.

Facelift Postoperative Instructions

What do I look like when I wake up from surgery?
Initially, some patients report a slightly pear shape to the face because of minimal swelling on the sides of the face and because the chin area and the neck usually do not undergo any swelling. As this swelling subsides, the pear shaped look disappears which usually takes 5 days to a week. You may have some bruising, however, this is typically more pronounced 24-48 hours after the procedure if facelift surgery has also been performed.
Can I do anything to prevent bruising?
Most patents will have a little bruising. We can minimize bruising by using Arnica before and after the procedure. Arnica is a natural “herb” that helps prevent bruising.
What does it feel like when I wake up from surgery?
Most patients report only mild to moderate discomfort, which may be associated with some numbness, itching, tightness or a pulling sensation. These postoperative symptoms subside with time. We will make sure you are not nauseated or queasy. Our staff will be right there with you as you wake up from surgery to give you special attention.

Patients initially experience numbness for the first six to twelve weeks following surgery. About two months after surgery, it is common to have itching or “pins and needles” as the sensation returns. This itching is significantly less with a mini facelift than a traditional facelift.

Tell me more about the incisions.
The incisions are located in the crease within the tragus which is the the small protrusion in the ear canal, within the sideburn and courses along the skin crease of the ear hugging the back of the ear to the hairline of the scalp. Because a special technique is employed by which the sutures are hidden within the skin, suture removal is very simple and requires no more than five minutes.
When can I shower?
As long as you keep your facial incision dry, you may bathe at any time following the procedure. Approximately four days following facelift, one may shower.
Will I need any special prescriptions following surgery?
Yes. Postoperative prescriptions are provided well in advance of surgery day so you arrive home completely prepared. Postoperative prescriptions and over-the-counter medications for browlift patients include the following:

  1. An antibiotic (most commonly augmentin, levaquin or Keflex/cephalexin) to prevent infection.
  2. Pain medication (Tylenol with codeine or Vicodin/hydrocodone) to minimize any discomfort.
  3. Over the counter Arnica as previously mentioned to minimize bruising.
  4. Vitamin C 3000 mg with food daily for one week following surgery to promote healing. It is important to continue to avoid aspirin, ibuprofen, Vitamin E, etc. for one week following surgery to prevent bleeding in the postoperative period.
When do I start taking these prescriptions?
Patients take their pain medication as needed. The other medications all begin on the day following the procedure.
Are there any dietary restrictions following surgery?
No. Patients can eat whatever they want. Please drink as much fluid as you can which will help you to prevent dehydration.
When is my first postoperative appointment?
You will be asked to come to Dr. Dagan’s office the next morning following facelift surgery for follow-up. You may need someone to drive you to this appointment.
Are there any instructions about regular daily activities?
Sleep with head of the bed elevated or use two to three pillows for one week. Facial fullness, headache and disrupted sleep are very normal postoperative symptoms and will decrease as the healing process occurs. Absolutely no bending, lifting or straining. If you have little children, bend at the knees or sit on the floor and let them climb on to your lap.
When will I look "normal?"
You will be presentable at one to three weeks. You will look great at six weeks and even better at six months as things settle and incisions become naturally camouflaged out of sight.
How long does healing take?
As numbness wears off patients experience a “pins-and-needle” sensation. At about two months postoperatively patients experience an itchy ear/neck. Numbness and itching resolves first in ear and then lastly at the back of the ear. These sensations can take up to a year to dissipate completely. Medications are available to be used on an as needed basis to ease any significant sensations. Healing and evaluation of the final result takes one full year. However, after three months, most patients have about 90% of their final result.
I really want to do this but I'm nervous. What if I get stressed?
It’s ok to be nervous. (Frankly, we would be nervous if you were taking this step lightly!) One of the best ways to deal with nervousness is to see what other patients have gone through.
How can I learn more about facelifts and midfacelifts?
Several ways. First, Contact Us online or call (212) 585-3242 for any specific questions. If our staff can’t answer them, we will gladly forward them to Dr. Dagan. You can learn what happens at Your Consultation appointment, or more about the training, experience and Dr. Dagan’s board certifications. We can also suggest some other resources for you to explore.