TEXT / CALL  678-974-8435

Face Lift

With advancing years, stress, weight fluctuations, and hormonal changes, we develop signs of aging—wrinkles, jowling, excess skin around the eyes and jawline, and so on.  Our patients note that these changes often make them feel look older, more tired, or less capable than they actually feel.  It is common for our patients to undergo surgical face and neck rejuvenation to help match their inner vibrant sense of self with their external appearance; and with demanding and challenging careers, enticing hobbies and travel plans, and fulfilling family obligations, it’s no wonder that men and women in Atlanta and around the country undergo facelifting and necklifting to put their best face forward!

Facelift and Necklift in Atlanta, GA​

What Causes
the Face to Age?

The aging process is inevitable. For many, fine lines begin silently developing around the late 20s to early 30s and gradually deepen into wrinkles with each passing year.  The human face also loses volume due to changes in bony structure, the fatty tissues of the face, and decreased collagen and elastin production; these changes lead to sagging, lax tissues and skin within the face and neck.

Dr. Fishman has been everything I could want in a doctor:  professionally adept, concerned, and supportive. She listens carefully and follows up to ensure that everything goes well. Dr. Fishman called me after surgery and when I didn't answer, she texted me to check on me.  She definitely made my experience good and I will certainly come here again.

Our patients tell us they spend years considering a surgical facelift before they actually come in for their initial consultation. After surgery, they wonder why they waited so long to take the steps to their best selves. A facelift can make you look 10 to 15 years younger, more vibrant, energetic, alert, happy, and relaxed.  We love seeing our patients’ refreshed appearance renew their energy and confidence.

Dr. Inessa Fishman is one of the area’s leading facial plastic surgeons. She and her staff have helped countless men and women achieve a more vibrant, youthful appearance. She blends the latest in cutting-edge innovations with classical standards, the utmost dedication to safety, and artistic finesse. 

Discover the difference personalized plastic surgery makes – call our practice today at 678-974-8435 and schedule your consultation at Aviva Plastic Surgery

Reverse Aging with a Facelift or Necklift​

Face and neck lifts help patients regain a more youthful appearance by diminishing telltale signs of aging, such as jowls and lax, sagging skin. While these procedures share some similarities, there are key differences between the two which make them optimal for different patients.

In general, a facelift repositions into a more youthful, higher position the facial volume that has slipped down into the jawline and jowls.  This treatment is performed by lifting and supporting the muscles of the face and the connective tissues that envelops these muscles; the connective tissue is called the SMAS. The volume which has slipped from the cheekbones into the jawline creates excess fulness in the lower face; this volume is lifted back up over the cheekbones and upper cheeks—eliminating jowls, excess tissue around the smile lines, and loose skin within the face.  Facelifting incisions are placed within the natural creases between the ear and the face, thus camouflaging the ultimate scars.


In contrast, the neck lift corrects the appearance of a “turkey neck” – excess skin that sags and wrinkles around and in front of the neck, excess fat under the chin, and neck muscle separation which can lead to vertical platysmal muscle bands.  The neck lift addresses excess under-the-chin and jawline fat, droopy skin , and muscle separation, with an individualized neck lift plan created for each patient.  Incisions are hidden below the chin and behind the ears, making them almost impossible to find once healed.

I look like I'm 40 again according to a friend's husband. I visited an out of town friend who knew I'd had the facelift and she came rushing back into my room to say, "I'd forgotten you had that surgery! I was thinking you looked so refreshed and then I remembered! You look great!

Have you been considering a facelift or neck lift?

Despite the introduction of non-surgical alternatives with dermal fillers and other injectables, the surgical approach to age reversal remains incredibly popular. According to the American Society for Aesthetic Plastic Surgery, an estimated 73,170 facelifts and nearly 27,500 neck lifts were completed in 2018, making these respectively the 7th and 11th most popular plastic surgery procedures.  A surgical face and neck lift reposition sagging tissues and remove excess fat and skin in a long-lasting manner, and lead to natural, refreshed results without the need for frequent upkeep.

Dr. Fishman has been everything I could want in a doctor: professionally adept, concerned, and supportive. She listens carefully and follows up to ensure that everything goes well. Dr. Fishman called me after surgery and when I didn't answer, she texted me to check on me. She definitely made my experience good and I will certainly come here again.

Candidates for a Facelift

Thanks to plastic surgery innovations, patients looking to permanently reduce the signs of facial aging have plenty of options. During your consultation with Dr. Fishman, our experienced facial plastic surgeon will evaluate your current appearance, review your aesthetic goals and identify the best facelift technique to help you put your best, most confident face forward. Often, the patients who enjoy the best results are individuals who:

  • have loose skin or jowls
  • have deep lines or wrinkles across the face
  • have sagging skin throughout the face


Not sure if you need a full facelift? Mini facelifts allow patients with mild to moderate skin laxity to proactively address sagging skin before gravity takes over. This approach to facelift uses shorter incisions to tighten relaxed tissue around the cheeks, diminishing the appearance of skin laxity while helping patients look more alert and rejuvenated.

Candidates for a Neck Lift

Where facelifts focus on the lower part of the face, neck lifts focus on treating wrinkles and excess skin that develops below the jawline. Depending on the appearance of skin around this area, a necklift (also called cervicoplasty) may involve lipocontouring to address excess fat, tightening and repositioning of neck muscles, putting a corset-like suture to bring together separated platysmal muscles (with this maneuver being called platysmaplasty), and removing excess, loose skin.  For many patients, most of these procedures are combined in order to create a more youthful, contoured look and a sharper demarcation between the face and neck.

Facelift and Necklifts FAQ's

At Aviva Plastic Surgery, our mission is to help patients look as young and vibrant as they feel.  By blending artistic inclination, surgical training and expertise, and close attention to patient goals, our facial plastic surgeon Dr. Fishman tailors individual and highly customized anti-aging treatments to help each patient achieve his or her ideal look.

While neck and face lifts may be completed independently, many of our Atlanta and Sandy Springs patients have them performed concurrently—as the face and neck typically do not age in isolation.  Combining surgical rejuvenation of the face and neck often helps ensure youthful contours remain consistent from one’s face down to the chest and collarbone. 

Another advantage of combining face and neck lifts comes during recovery. As both take about the same amount of healing time, combining the procedures allows for one recovery and one anesthetic and operating room experience, thus saving the patient money. Patients go into the operating room and under anesthesia just once. They take just one block of time off and attend to the swelling and bruising with ice and rest just once. Patients save money as well because the surgeon schedules the operating room and her nurses and other medical professionals one time rather than for multiple separate procedures.

During the two weeks following surgery, patients will experience some degree of swelling and bruising. We recommend applying cold compresses to the treatment areas as well as taking oral medication to manage discomfort and swelling.

We instruct surgical patients to wear a compressive garment or “chin strap” during the first week after the face and necklift procedure. While patients can begin walking the day of surgery, we recommend avoiding all other strenuous exercise and heavy lifting for 3-4 weeks after your surgery.  As Dr. Fishman monitors your recovery, she’ll be able to give you more personalized direction throughout the healing process.

This depends on the complexity of the case and the need for associated procedures. Dr. Fishman usually completes neck lift surgeries in 2 hours, with more complex cases requiring 3-4 hours.

All incisions leave scars, and scars do not disappear (though they flatten and lose their initial redness with time). Dr. Fishman carefully hides her incisions for face and neck lifting surgery in the natural creases between the face and ear, in hair-bearing skin, and in the natural crease under the chin. These scars are difficult to notice once healed.

Most patients complain of a sore or a bruised sensation after neck surgery, and frequently report muscle tightness within the neck muscles. These symptoms resolve over several days to weeks after surgery.  Most patients take strong oral pain medication for the first 1-4 days after surgery, and transition to Tylenol after this.  Cool compresses are also helpful to ease discomfort during the initial healing phase. 

An approximate cost for a facelift or neck lift surgery in our practice is $14,000-16,000.  Costs vary based on individual patient needs and other procedures being performed concurrently.  For your individualized treatment plan and pricing information, please contact us to schedule your consultation. 

Love The Way You Look + Feel

Contact us today to start your journey to your best self