David E. Freilich, M.D. Premiere Ophthalmic Plastic Surgeon
Service 1
Blepharopasty Rejuvenate Your Eyes Learn More
Service 2
Eyebrow & Forehead Lift Learn More
Service 3
Facial Fillers Help Smooth Fine Lines Learn More
Service 4
Eyelid Reconstruction / Skin Cancer Learn More

Lower Face Lift


One of the things that eventually takes its toll on every person’s face is gravity. Over time, gravity causes the muscle and tissues of all areas of the face to descend resulting in a tired, aged appearance. Face and neck lifting can address loose, sagging muscle, tissue and skin in the cheeks, midface, jaw line and neck areas.

In youth, the face is full, smooth, and positioned high on the face. As we age the skin, muscles and underlying tissues loosen and descend due to gravity and fat deflation.

In the past, surgeons addressed changes caused by gravity in the face and neck by pulling back the skin and removing the excess. This results in a too tight, “windswept” look. This technique also does not “lift” the face; it simply pulls it back and to the side which creates a flatter, more two dimensional appearance. In youth the face is full and has natural, round, three-dimensional projections. Face lifting with new techniques can now restore a more youthful fullness and projection by raising the underlying muscle and tissue and re-draping the skin – this results in a natural, non-surgical look. If excessive fat deflation has occurred, fat transfer to the face can be performed during the same surgery

Neck lifting is often performed along with a face lift for a smoother more natural transition. During the procedure, the neck muscles are tightened or shortened. Heavy fatty deposits often need to be removed from the neck and jowl area by lipoaspiration technique to achieve the smooth, natural looking profile and appearance that patients desire.

When choosing a surgeon to perform face, neck, or forehead lifting, look for a cosmetic and reconstructive facial surgery specialist who limits his practice to facial procedures. A cosmetic and reconstructive specialist will have the experience, expertise and knowledge of the anatomy of the face including the eyelids and orbit as well as special training in aesthetics and ultra smooth wound closures for scar minimization. A reconstructive and cosmetic specialist will take extra time to address the minute aesthetic details for a natural, non-surgical result.

Note: Face and neck lifting does not address the eyelids or a sagging eyebrow or forehead area. For information about these areas please see BLEPHAROPLASTY and EYEBROW AND FOREHEAD LIFTING .

"It was my first time getting Botox and fillers. I was a little nervous at first considering I really don't care too much for needles but I was surprised at how relaxed I was during it all. It went so well and there wasn't any pain like I had expected. Doctor is compassionate and explains things well. Doesn't rush you. I trust his opinion. Excellent surgeon." Maribel T.
"I went to Dr. David Freilich for excision of two approximately one-centimeter benign tumors: one near my eyebrow and one on my forehead. Lucky me! I have to say he is an amazing surgeon. He is very adept at surgery around the eyes and face. He is great at minimizing scars. He specializes in Ophthalmology and reconstructive surgery around the eyes. I will continue to see him in the future for eye exams. I would highly recommend him for any of the services that he offers." Robert G.
"... this is where a testimonial will go. A good source of testimonials is phone conversations, reviews on other sites and emails or mail received. Best reviews and testimonials have a name and are specific..." Howard K.