As the body ages, the skin loses some of its natural elasticity. This loss of skin elasticity, known as elastosis, can result in loose, sagging skin, wrinkles, fine lines, and jowls. While these can be unwelcome signs of age, a surgical procedure known as the facelift can minimize or conceal these age signs. At VPSI, our board-certified Las Vegas doctors look at facelifts from a global perspective to tighten your skin and put the deeper levels of your face back where they belong. Our custom facelift procedures improve skin quality, readjust volume loss, and improve mechanical change to restore a youthful appearance.


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The Benefits of Getting a Facelift

If you have moderate to severe facial aging, getting a facelift can improve your overall aesthetic. Some specific benefits include:

Am I a Good Candidate for a Facelift?

The best way to determine your candidacy for a facelift is to schedule an appointment. At your initial consultation, one of our doctors will evaluate and verify your eligibility for a safe, successful facelift procedure.

A Facelift is Great For You If:

  • You are experiencing moderate to severe facial aging, including loose, sagging skin. You do not have major underlying medical conditions and are in good overall health.
  • You have a healthy outlook and realistic expectations about the procedure.

What is the Best Age for a Facelift?

As a rule of thumb, facelifts are usually not recommended for anyone under 30. In most cases, a facelift works best for patients in their 40s, 50s, and 60s when signs of aging become prevalent. If you are 30 or younger, we recommend a non-surgical option to address your facial concerns.


Taking the First Steps

Whether you feel sure about having a facelift or simply desire more information, the first step is scheduling a consultation. During this appointment, you will receive friendly, knowledgeable service from our entire staff. And you will have the opportunity to talk one-on-one with one of our board-certified plastic surgeons.

Your doctor will perform a physical examination, review your medical history, and ask questions about what you hope to achieve with your facelift. Based on this information, your doctor will verify your eligibility and outline the next steps in your treatment plan. Note that each facelift we perform is individualized to address your specific needs and expectations.


Meet Our Board-Certified Plastic Surgeons

At VPSI, our surgeons distinguish themselves by their excellent technical skills and artistic eye. Both Dr. Brosious and Dr. Goldman have the versatile experience that allows them to say “yes” to nearly every patient who walks through the door. 

Dr. John Brosious is a full-scope plastic and reconstructive surgeon offering head-to-toe surgeries. His background includes experience in Level I Trauma centers and academic institutions, equipping him to take on the most advanced reconstruction cases. Dr. Brosious performs over 200 chest surgeries a year for both transfeminine and transmasculine patients, and he is also the only surgeon in Nevada performing male to female genital gender affirmation surgery. 

Likewise, Dr. Joshua Goldman is a comprehensive plastic and reconstructive surgeon, well-known in the breast cancer community for his specialization in breast microsurgery. He single-handedly has the highest number of microsurgery cases in the State of Nevada and has been named by Vegas Inc’s Las Vegas Weekly as “Las Vegas 40 Under 40” and a “2021 Top Doctor.” 

To Dr. Brosious and Dr. Goldman, you are family, and they are here to help guide you through your journey to enhance your natural beauty.

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Josh Goldman, MD

John Brosious, MD


The Procedure Process Explained

At VPSI, we want you to feel entirely comfortable moving forward with your surgery. For this reason, we make sure that you have a detailed consultation where we work together to design your customized treatment plan. Before surgery, our team will take the time to guide you through pre and post-op preparations to promote your comfort and prompt recovery. 

Our friendly team will guide you through our surgery center and prepare you for the procedure. Once you are comfortably under anesthesia, your doctor will make small incisions to minimize visible scarring, typically behind the hairline, ears, or under the chin. 

The specific steps in the process can vary depending on your goals and expectations. Still, generally speaking, your doctor will remove excess tissue, pull the skin tighter, and reposition the remaining tissues to ensure a firmer, smoother facial appearance.


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Recovery and Aftercare

The first week is essential for your healing and recovery following a facelift, and you can expect some swelling and bruising. The doctor will provide prescription medication if needed, and these symptoms can last for two weeks or longer.

Our doctor will wrap your face with supportive dressings that stay in place for 48 to 72 hours. We will remove these dressings during a post-surgical appointment, and your doctor will provide additional guidance depending on where you are in your healing journey. 

The final results of your facelift should be visible in about 4 to 6 weeks, once the swelling has subsided. 


Other Considerations

The best way to obtain the desired results is to combine a facelift procedure with a neck lift. Our doctors are happy to provide additional information about incorporating a neck lift.

Neck lifts are great for rejuvenating neck tissue, achieving better contour on the neck, and tightening the skin from the neck up. Often, a neck lift makes the most powerful impact on your overall facial appearance.

Neck lifts can be performed simultaneously with a facelift and include incisions behind the ears and end in the posterior hair. The procedure involves sculpting or redistributing fat from the jowls and the neck, repositioning the tissue below the neck skin, and tightening the muscles.

Recovery from a neck lift is similar to that of a facelift. While swelling and bruising are common, these symptoms will resolve independently after a few weeks. If your custom treatment plan includes a neck lift, we advise resting and healing for two weeks.

With facial fat grafting, we harvest unwanted fat from one part of the body, often the abdomen or the thighs, then transfer it to the face. Here the fat is carefully sculpted and used to provide added volume.

A facial fat transfer is good if you desire more facial fullness but do not have crepey skin or neck issues. Fat grafting can improve skin quality, volume loss, and contouring and primarily enhances cheek volume.

We carefully harvest your fat using a liposuction procedure, and it is then cleaned and purified. Your fat cells are then injected into your existing facial tissue and shaped for optimal aesthetic results.

Following a facial fat transfer, you can expect some swelling, and it may be a few weeks before you get a clear sense of the final results. You will need to rest and heal for about a week before resuming normal activities.


How Long Will My Results Last?

By following post-op instructions and maintaining a healthy lifestyle, you can extend your results for a long time. Non-surgical treatments, like BOTOX® and dermal fillers, can also enhance and sustain your results over the long term.


You’re in Good Hands With VPSI

Vegas Plastic Surgery Institute is a full-scope plastic and reconstructive surgery practice, offering both head-to-toe reconstruction and cosmetic surgery. Our doctors and team abide by uncompromising standards to provide you with a high level of care and a positive experience in a judgment-free zone. Schedule a consultation at our Las Vegas office today at (702) 727-8500.