Facelift

Dr. Andrew S. Frankel offers four facelift approaches from his AAAHC-accredited Lasky Clinic in Beverly Hills — Deep Plane for patients in their late 50s to 70s, SMAS for the late 40s to 60s, Midface for cheek and jowl elevation in the 40s to late 50s, and Mini facelift for early laxity in the late 30s to 50s. Each technique repositions the underlying facial soft tissue and muscle layer rather than relying on skin tension, resulting in a natural, rested appearance with results lasting 10 to 15 years. Recovery involves suture removal at day 8–9, return to social activities at day 10, and resumption of work within two to three weeks.

Facelift surgery at Beverly Hills Plastic Surgery Group is performed exclusively by Dr. Andrew S. Frankel — a double board-certified facial plastic and reconstructive surgeon who trained in facial anatomy under Dr. Frank Kamer, one of the originators of the modern deep-plane facelift technique. This foundational training informs Dr. Frankel's technical approach across all four facelift variants offered at the practice. The Deep Plane facelift, indicated for patients with significant facial ageing in the late 50s through 70s, releases the osseocutaneous ligaments at the orbital rim, zygomatic arch, and mandibular ligament to allow the composite flap of skin, subcutaneous fat, and SMAS to be repositioned as a single anatomical unit rather than in separate layers. Because the lift is directed at the structural cause of facial descent — the ligamentous relaxation that allows deep fat compartments and the SMAS to fall — the result is a natural correction of nasolabial deepening, jowling, and platysmal banding without the stretched or operated appearance associated with skin-only techniques. The SMAS facelift, preferred for patients in the late 40s to 60s, elevates and repositions the superficial musculoaponeurotic system through a subcutaneous dissection plane, providing reliable and durable correction of the lower face and neck without the extended dissection of the deep-plane approach. The Midface facelift specifically addresses isolated descent of the malar fat pad and cheek soft tissue, using a vertical vector of lift to restore the youthful convexity of the midface and reduce the skeletonised appearance of the tear trough and infraorbital rim. For patients in the late 30s to 50s with early jowling and mild lower face laxity, the Mini facelift offers a less extensive procedure with shorter incisions and faster recovery while still engaging the SMAS layer for durable improvement. All facelift procedures at The Lasky Clinic — an AAAHC-accredited ambulatory surgery centre operating since 1981 — are performed under general anaesthesia, with the patient recovering in a private room. Sutures are removed at day eight to nine; patients can return to light social activities by day ten and to desk work within two to three weeks. Results are expected to last ten to fifteen years depending on the patient's skin quality, genetics, and lifestyle factors.