Best Add-Ons to Get During a Facelift

Structural Companions: Awakening the Upper Face

Structural companion procedures address the descending muscle and heavy skin strictly in the upper third of the face, ensuring your eyes perfectly match your rejuvenated lower face.

Eyelid Surgery (Blepharoplasty)

The eyes are the immediate focal point of human interaction. An upper blepharoplasty removes the excess skin and drooping eyelids that make you look perpetually exhausted or angry. A lower blepharoplasty removes the herniated fat pads (under-eye bags) resting above the cheekbone. Performing eyelid surgery alongside facial rejuvenation creates a flawlessly smooth transition from the lower lash line directly into the newly lifted midface.

Forehead Lift (Brow Lift)

If your brow has dropped heavily over your brow bone, blepharoplasty alone will not resolve the severe crowding around your eyes. A brow lift, or forehead lift, mechanically elevates the heavy, descended tissue of the upper face. By lifting the tissue and securing it through small incisions hidden behind the hairline, the surgeon opens the eyes and completes the vertical lift begun by the lower face surgery. This creates total harmony from the forehead down to the clavicle.

Lower Face Integration: Defining the Jaw and Neck

Many patients assume a facelift automatically corrects all lower face issues, but specific anatomical challenges require targeted, integrated treatment.

Neck Lift

A neck lift is so commonly performed with a facelift that they are almost always integrated into a single operation. While a facelift addresses the jawline, a neck lift specifically targets the neck to tighten underlying platysmal bands and remove loose skin. This eliminates the dreaded turkey neck and creates a sharp, defined transition between the chin and the neck.

The Upper Lip Lift

Patients obsess over their jawline but often ignore the space between their nose and mouth. As we age, the philtrum naturally elongates. Gravity drags the upper lip downward, hiding your upper teeth and rolling the pink tissue inward. A deep plane facelift cannot fix this vertical drop.

Performing an upper lip lift simultaneously physically shortens that distance. The surgeon removes a precise, bullhorn-shaped strip of skin hidden seamlessly under the nasal base. The upper lip gently rolls outward. You regain the resting tooth show of your twenties, and your lipstick stops bleeding into vertical lines.

Chin Implant

Sometimes, an aging jawline is exacerbated by a naturally weak skeletal structure. If a patient lacks bony projection in the lower face, simply pulling the skin taut will not create a beautifully defined profile. Adding a custom chin implant during the procedure provides the structural bone support needed to truly enhance the jawline and deliver a striking silhouette.

Surface Refinements: Polishing the Canvas

Think of your facial structure like a bed. The cosmetic surgery reconstructs the mattress. Skin resurfacing irons the fitted sheet. You cannot fully appreciate a newly tightened facial structure if the surface remains covered in severe sun damage and deep, static wrinkles.

Erbium Laser Skin Resurfacing

While we routinely perform non-surgical laser treatments for ongoing skin maintenance at Spa26, deep ablative laser treatments during surgery erase decades of environmental damage, age spots, and fine lines. Having this level of laser skin resurfacing performed while you are already asleep provides a massive logistical advantage.

We utilize an Erbium resurfacing laser. Having this aggressive depth of laser performed while you are already asleep under anesthesia provides a massive logistical advantage. The Erbium beam vaporizes the damaged superficial layers of skin and stimulates profound collagen production. The old, weathered texture is physically removed.

Chemical Peels

For patients requiring less aggressive surface correction, medium-depth chemical peels serve as an excellent companion treatment. Applied in the operating room, these peels strip away dull, dead skin cells and soften superficial lines around the mouth and eyes to aid in comprehensive rejuvenation. (Once fully healed, we seamlessly transition our surgical patients to the expert aestheticians at Spa26 for routine, non-surgical peel maintenance to protect that pristine canvas year-round).

The Real Benefits of Combining Procedures

Undergoing multiple surgeries simultaneously provides distinct clinical, aesthetic, and logistical benefits. Rejuvenating multiple facial zones during one operation is the absolute gold standard for high-end plastic surgery.

• Unified Architectural Result: Prevents the mismatched look of a taut jawline sitting below aged, tired eyes.
• Single Recovery Time: Consolidates your physical and social downtime. You only have to navigate the post-operative discomfort, swelling, and time away from your life once.
• Anesthesia Efficiency: Reduces your overall exposure to general anesthesia and saves you thousands of dollars by consolidating facility and surgical fees into a single day.
• Biological Synergy: When incorporating fat grafting, the native stem cells drastically improve overall tissue healing, blood supply, and skin quality across all the newly lifted areas.

The Safety Reality of Multiple Surgeries

When you introduce more procedures into a single treatment plan, safety must remain the absolute, uncompromising priority. Extensive operations require a healthy patient and an impeccably trained medical team.

Every surgery carries inherent risks, including infection, bleeding, and adverse reactions to anesthesia. When combining multiple procedures, the total time spent in the operating room inherently increases. To mitigate these risks, it is imperative to choose a board-certified plastic surgeon operating in a fully accredited surgical facility.

Plastic surgeons certified by the American Board of Plastic Surgery possess the rigorous training required to manage extended operations safely, minimize bleeding, and execute highly precise techniques that protect the underlying facial nerves.

Who is the Ideal Candidate for Comprehensive Facial Rejuvenation?

A strong candidate requires multidimensional correction and is physically healthy enough to undergo a comprehensive, multi-hour operation safely.

You may be an ideal candidate if:

• You show advanced signs of aging in the upper, mid, and lower face simultaneously.
• Your facial deflation and hollowing are just as prominent as your sagging skin.
• You prefer one unified recovery period over scheduling multiple, scattered surgeries over several years.
• You want a complete transformation to achieve an appearance that looks highly natural and balanced.

Combined surgeries may not be the right fit if:

• Your aging is strictly isolated to early jowling, where a standalone, less invasive lift suffices.
• You have underlying medical conditions that limit your safe time under anesthesia.
• You cannot commit to the necessary two to three weeks of dedicated social downtime to heal properly.

Engineering Your Result

A facelift is a highly powerful tool, but it is ultimately just one instrument in a much larger surgical plan. The difference between a good result and a truly seamless one lies in understanding exactly what needs to be lifted, what needs to be filled, and what needs to be resurfaced. "We guide you toward the best possible results through a safe, customized approach that respects your natural beauty," Dr. Nazarian notes. By evaluating the entire facial framework rather than focusing on a single perceived flaw, we restore your original facial architecture. If you are exploring how to gracefully restore your facial harmony, we invite you to schedule an evaluation at our Beverly Hills office to discuss a unified, tailored approach.

Why Choose Nazarian Plastic Surgery?

At Nazarian Plastic Surgery, we approach the face with strict architectural discipline. Dr. Sheila Nazarian evaluates your complete physical framework rather than performing isolated, disconnected procedures. We do not upsell add-on procedures; we engineer surgical blueprints. She developed the V-Lyft—a precise combination of a deep plane facelift and targeted fat transfer—based entirely on the philosophy that true rejuvenation requires both structural elevation and volume restoration.

We guide you toward the best possible results through a safe, customized approach that respects your natural beauty, Dr. Nazarian notes. By utilizing advanced surgical techniques that respect your original anatomy, our team delivers balanced, undetectable outcomes that age beautifully with you. Stop guessing which combination of procedures your face requires. Schedule a consultation at our Beverly Hills office, and let our doctor build your customized architectural blueprint.