When you’re in your 20s and 30s, it’s easy to say that you plan to age gracefully. You use all the right products and have a skin care routine guaranteed to keep you looking young. While this is an excellent way to keep your skin looking smooth and beautiful, over time, you may begin to notice changes that no amount of serums and moisturizers can remedy.

As we age, the collagen and elastin in our skin begins to weaken, and the production of these building blocks of youthful skin begins to diminish. The weakened connective tissue and loss of elasticity causes skin to sag, especially where your skin is thinner or has been exposed to more damage. Pretty soon, you realize that your face is beginning to show signs of wrinkles and sagging, because it can no longer retain the elasticity, volume and lift inherent in younger skin.

If you’re under the age of 50, you can address most signs of aging with nonsurgical options, including chemical peels, laser and radiofrequency devices, injectable fillers and other skin smoothing and volume boosting treatments. However, once you’ve gotten to the point where these noninvasive options aren’t giving you the look you want, it’s time to think about a surgical facelift.

At Marotta Plastic Surgery Specialists in Long Island, we specialize in several facial treatments to address the relentless progression of age. Now, rather than trying to conceal their aging skin, more and more women are turning to New York Plastic surgeons to rejuvenate and refresh their appearance. We offer a traditional facelift (known as a rhytidectomy), mini facelift and endoscopic mid-facelift, three procedures that can be performed alone or combined with other treatments to lift and smooth your face, turning back the clock on sagging and wrinkles.

Traditional Facelift

Because technology and techniques continue to evolve and advance, you no longer have to worry about coming out of a traditional facelift with a tight, windswept look that was so characteristic of facelifts in the past. Today’s rhytidectomy targets the loose skin and tissue around the lower face and jaw, working to smooth and lift the skin along your lower face and neck to combat these aggravating aspects of aging.

A facelift might be the next step to consider once you’ve exhausted your nonsurgical options, and especially if you’ve got deep furrows and drooping skin on your face that can truly only be fixed by surgery. You may be a great candidate for a facelift if you notice one or more of the following issues:

  • Deep nasolabial folds (folds around the nose and mouth) or marionette lines
  • Less volume in your face due to lost or “fallen” fat
  • Loss of skin tone or excess skin, resulting in sagging and drooping
  • Loose or excess skin on your neck, producing jowls or a “turkey wattle”

At Marotta Plastic Surgery Specialists in Long Island, you’ll begin your facelift journey with a consultation with Dr. Marotta. He will examine your face and talk with you about your goals and expectations. Depending on the results you hope to achieve, he can implement various facelift techniques designed to address your concerns. These approaches include a deep-plane facelift, extended sub-SMAS facelift or SMAS plication, the details of which he will explain during your consultation.

A facelift typically takes a few hours to complete, though the specific length of surgery is influenced by the type of facelift you are having, as well as if you are undergoing other procedures as well.

Depending on which facelift technique you choose, your incision options include:

  • Standard Incision – Begins at the front of the ear, and continues around your earlobe, ending in your hairline at the back of your neck.
  • Short-Scar Incision – Similar to the standard incision, but does not extend into your hairline.

Dr. Marotta will use these incisions to go in to lift and correct the underlying tissues in your face, then complete the procedure by redraping your skin, leaving you with a smooth and supple result. You will look natural and more youthful, all with minimal scarring and no indication that you’ve “had work done.”


Once you reach your early to mid-thirties, you may notice that your cheeks have started to sag and lose volume, as they are affected by age and the pull of gravity. The result is that the area below your eyes appears hollow, the bone of the orbit may become visible and folds that extend from the corner of the mouth up toward the corner of the nose, known as the nasolabial or nose-lip folds, begin to thicken.

Doctors refer to this process as the “descent of the mid-face,” with the term “mid-face” describing the portion of the face that lies above the mouth but below the eyes. However, though this has long been seen as an inevitable part of aging, Dr. Marotta now offers an endoscopic mid-facelift, which is a ground-breaking procedure generally considered to be the biggest advance in facial plastic surgery in the past 15 years.

Since a traditional facelift is used primarily to address the lower face and neck, prior to the development of the mid-facelift, Long Island plastic surgeons had nothing to offer patients to help resolve issues in the mid-face area. If you have noticeable signs of aging across the middle of your face, the end result of a traditional facelift can be a somewhat mismatched appearance, as you are left with a youthful neck and jawline, but still have age-related volume loss through the middle section of your face.

Most of our Long Island patients consult with Dr. Marotta about undergoing an endoscopic mid-facelift to address the following concerns:

  • Deepening crease lines that extend from the sides of the nose to the corners of the mouth, a.k.a the nasolabial folds
  • Desire a for a more permanent solution than that offered by the “thread-lift”
  • Sagging cheeks and early formation of jowls

For Long Island men and women with both mid- and lower facial aging, a mid-facelift is most often combined with an endoscopic forehead lift and/or a traditional facelift, which will offer a more harmonious result and total facial rejuvenation. You can discuss the myriad of available options with Dr. Marotta during your initial consultation. Meanwhile, patients who have only developed mid-facial aging and minor lower facial aging may find that a mid-facelift can address all of their concerns, including mild jowls, without the need for a lower facelift – particularly at the hands of an experienced Long Island plastic surgeon.

Dr. Marotta performs a mid-facelift endoscopically using a small camera and incisions that are entirely hidden behind your hairline. It involves restoring the mid-facial cheek tissues to their natural (higher) position using absorbable sutures. As these sutures dissolve, the cheek tissues naturally adhere to the underlying bone, keeping them in a more youthful position. The surgery typically takes a few hours, depending on whether Dr. Marotta performs any other cosmetic procedures at the same time to enhance your results.

Mini Facelift

Many women in New York experience signs of aging that don’t yet merit a full facelift, but that facial treatments and injectable fillers just can’t mask. Perhaps you’ve considered consulting a Long Island plastic surgeon about these signs of aging, but weren’t sure if you were ready for a full facelift just yet. If so, Dr. Marotta’s incredible EZ-Lift™ treatment may be the perfect solution for you. The EZ-Lift™ is a mini facelift that has been uniquely developed to help with frustrating creases and fine lines that are increasingly difficult to conceal.

With the EZ-Lift™, you no longer have to wait until things get worse and you’re a candidate for a traditional facelift. Our mini facelift can help address the following physical changes that occur as we age:

  • Deep creases that run around the mouth to the chin, often called “marionette lines”
  • The formation of jowls beneath the chin
  • Loose skin along the neck

The EZ-Lift™ typically takes about two hours, and is performed right in our Long Island plastic surgery clinic. Recovery time is short, and there are minimal side effects. Dr. Marotta understands the subtle physical changes that take place as we age, and his primary focus is on endoscopic (minimally invasive) procedures, so he utilizes his skill in advanced surgical techniques to produce superior results with minimal downtime.

Facelift Results & Recovery

Once your facial rejuvenation procedure is complete, your face is wrapped in bandages designed to reduce bruising and swelling, as well as to protect your incisions. While it is essential to rest and limit your activities for the first few days, gentle movement is encouraged to keep your blood circulating and to help speed your recovery along. Dr. Marotta also recommends keeping your head elevated as much as possible. Minor pain or discomfort, along with swelling and bruising may occur, but this is normal, and can be easily managed with over-the-counter medications.

Depending on which procedure you chose, your recovery time will vary. For a facelift, any residual swelling or bruising should be gone by about three weeks following your surgery, and you can return to your normal activities after one to two weeks. Recovery from an endoscopic mid-facelift takes about two weeks, and a mini facelift takes between three to five days. Keep in mind that these are estimated recovery times, so you will need to follow Dr. Marotta’s post-surgery instructions, as well as see him for any required follow-up appointments.

Your results will depend on the procedure you selected as well, and it can take anywhere from about six to twelve months for the final results of your facelift to be completely visible, including the dissipation of all of the swelling. Your refreshed, rejuvenated look is considered permanent, but it is essential that you remember that your face will continue to age naturally. Using fillers, caring for your skin and being diligent about sun protection can lengthen and enhance your results, as well as maintaining a healthy lifestyle – avoiding smoking, staying hydrated and eating well.

If you are looking for facial rejuvenation options, look no further than the procedures available at Marotta Plastic Surgery Specialists. Call our office today at 631-982-2022 to schedule a consultation with Dr. Marotta, and discover the treatment that is right for you.