Facelift & MACS Mini-Facelift

Dr. Tornambe performs traditional facelifts and the less-invasive MACS mini-facelift to address sagging cheeks, deep wrinkles, jowling, mid-face volume loss, and loose neck skin. The traditional technique involves incisions along the hairline and ears with deep muscle tightening and fat repositioning, while the MACS approach uses shorter incisions and reduced downtime. Both procedures are performed in the AAAASF-accredited on-site surgical suite under general anaesthesia with board-certified anesthesiologists. Results typically last 8–10 years.

Madison Plastic Surgery on Manhattan's Upper East Side offers two facelift approaches tailored to each patient's degree of facial laxity and recovery goals. The traditional facelift is designed for patients with more advanced skin looseness and deeper structural changes: Dr. Tornambe places incisions strategically around the hairline and ears, tightens the underlying SMAS muscle layer, repositions displaced facial fat, and removes redundant skin — restoring a naturally youthful contour rather than a pulled appearance. The MACS (Minimal Access Cranial Suspension) mini-facelift uses shorter incisions and purse-string sutures to lift facial tissues with less surgical trauma and a faster return to activity, making it well-suited to younger patients or those with mild-to-moderate laxity. Both procedures are performed under general anaesthesia with board-certified anesthesiologists in the practice's on-site AAAASF-accredited surgical suite — the same safety standard as a hospital operating room. Neck liposuction can be combined with either technique for sharper jawline definition. Traditional facelift surgery typically takes 3–4 hours; the MACS procedure 2–3 hours. Sutures are removed at 10–14 days, patients generally return to work within two weeks, and strenuous exercise is cleared at 4–6 weeks. Final results are long-lasting, with most patients enjoying their outcomes for 8–10 years. As a boutique Manhattan practice with low patient volume, consultations are thorough and unhurried — Dr. Tornambe personally evaluates anatomy, skin quality, and goals before recommending a technique. The practice is located at 815 Park Avenue in the Upper East Side, serving patients from across New York City and the greater Manhattan area.