Facelift & Neck Lift

Dr. Vladimir Grigoryants performs facelift and neck lift surgery at his Glendale practice, addressing lower facial laxity, jowling, platysmal banding, and submental fullness. Incisions are placed in the hairline and around the ears, allowing tightening of the skin and the underlying SMAS and platysma. Facial and neck liposuction is incorporated when appropriate. Anesthesia options include local, sedation, or general; most patients are discharged the same day. Results provide durable lower facial and neck rejuvenation.

Facelift and neck lift surgery at VG Plastic Surgery in Glendale, California is performed by Dr. Vladimir Grigoryants with a focus on natural, lasting results that restore youthful facial contour without an operated appearance. The procedure addresses the gravitational descent and soft tissue laxity of the lower face and neck that accumulates over time: deepening nasolabial folds, prominent marionette lines, jowl formation at the jawline, loss of cervicomental angle definition, and platysmal band visibility in the neck. The standard surgical incision begins in the temporal hairline above the ear, follows the anterior helical crease of the ear, curves discreetly around the earlobe, and continues into the postauricular scalp — placement carefully chosen to remain concealed by the ear and hairline and to allow maximum tissue repositioning without hairline distortion. Through this access, the superficial musculoaponeurotic system (SMAS) — the fibromuscular layer that connects the facial muscles to the overlying skin — is elevated, repositioned superolaterally, and secured with permanent or long-lasting sutures, restoring the youthful facial vector from jaw toward cheekbone. Repositioning the SMAS rather than relying on skin tension alone produces more durable, natural results and avoids the windswept distortion associated with skin-only techniques. Platysmal work is performed through the neck, where the paired platysma muscles are plicated in the midline (corset platysmaplasty) to eliminate neck banding and redefine the cervicomental angle. Submental and neck liposuction is incorporated to remove fat from beneath the chin and along the anterior neck where fullness is present. Excess facial skin is redrapped conservatively and the minimal required amount is resected, with meticulous layered wound closure. Adjunct procedures frequently combined with facelift include upper and lower blepharoplasty for periorbital rejuvenation, endoscopic or direct brow lift for forehead elevation, and fat transfer to the midface, temples, and perioral area to restore volume that is lost alongside structural descent. The procedure is performed under local anesthesia with IV sedation or general anesthesia based on patient preference and procedural extent; most patients are discharged the same day. Recovery involves 10–14 days of initial healing before social presentability, with residual swelling resolving progressively over 3–6 months. Patients across greater Los Angeles, the San Fernando Valley, and visitors from out of state consult at the N. Glendale Ave. office.