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Getting a Facelift? Consider Combining It with a Lower Rhytidectomy

A woman with wavy brown hair and blue eyes is wearing a beige turtleneck and coat, standing outdoors with a blurred background of trees and greenery.

A facelift is one of the most sought-after cosmetic procedures for patients looking to reverse signs of facial aging. According to the American Society of Plastic Surgeons, more than 75,000 facelifts are performed annually in the U.S. While a facelift can smooth sagging cheeks, redefine the jawline, and soften deep wrinkles, it does not fully rejuvenate the neck. For patients in New York City seeking a more balanced and youthful transformation, combining a facelift with a lower rhytidectomy (neck lift) is often the most effective option.

Why a Facelift Alone May Not Be Enough

Facelifts primarily target the midface and lower face. The procedure tightens underlying muscles, removes excess skin, and repositions tissues to restore definition. However, many patients find that while their face looks refreshed, their neck still reveals age through sagging skin, vertical banding, and excess fat.

This imbalance can be especially noticeable in a city like New York, where sharp lines of the jaw and neck are often associated with youth and vitality. Without addressing the neck, patients may feel that their rejuvenation looks incomplete.

The Benefits of Adding a Lower Rhytidectomy

A lower rhytidectomy, or neck lift, complements a facelift by tightening loose neck muscles, removing excess skin, and reducing fat deposits. When performed in conjunction with a facelift, the results are more harmonious and natural.

Key benefits include:

  • Balanced Results: The face and neck age together; treating them simultaneously restores harmony.
  • Natural Appearance: Patients avoid the “done” look that can occur when only one area is corrected.
  • Longer-Lasting Impact: A combined approach enhances overall rejuvenation and maintains results for years.
  • Boosted Confidence: Patients often report feeling younger and more vibrant after achieving a smoother jawline and neckline.

Expertise Matters: Dr. Maurice M. Khosh

Revision and combination surgeries require advanced skill and artistry. Dr. Maurice M. Khosh, a dual board-certified facial plastic surgeon in NYC, brings exceptional expertise to every facelift and neck lift procedure. His certifications include:

  • The American Board of Facial Plastic and Reconstructive Surgery
  • The American Board of Otolaryngology – Head and Neck Surgery

With decades of experience, Dr. Khosh is recognized for achieving results that look youthful, natural, and in balance. His Manhattan practice attracts patients from across New York City, including the Upper East Side, Midtown, and beyond, who trust his refined surgical techniques and compassionate approach to care.

What to Expect from a Facelift and Neck Lift Combination

During your consultation, Dr. Khosh will carefully evaluate your facial anatomy, skin quality, and goals. A facelift addresses sagging in the cheeks, jowls, and jawline, while a neck lift tightens underlying muscles (platysmaplasty), removes lax skin, and contours the neckline.

Most patients return to normal activities in about two weeks, with final results appearing as swelling subsides. The combined approach ensures that improvements to the face and neck appear seamless, rather than mismatched.

Facelift and neck lift procedures consistently report high satisfaction rates. Studies show that more than 90% of patients report improved self-esteem and natural-looking results when the two surgeries are performed together. For many, the psychological benefits—feeling confident in both professional and social settings—are just as significant as the physical transformation.

Considering a Facelift in NYC?

If you’re planning a facelift, don’t overlook your neck. For many patients, combining a facelift with a lower rhytidectomy offers the most complete and natural rejuvenation.

At Maurice M. Khosh, MD, FACS in Manhattan, patients benefit from Dr. Khosh’s expertise, artistry, and personalized care. With dual board certification and years of experience, he provides trusted results for New Yorkers who want to look as vibrant as they feel.

Contact our NYC office today to schedule your consultation and discover how a facelift combined with a neck lift can help you achieve a balanced, youthful appearance.

Posted on behalf of Maurice M. Khosh, MD, FACS

Maurice M. Khosh, MD, FACS
580 Park Avenue Suite 1BE,
New York, NY 10065
(212) 339-9988

What Dr. Khosh's Patients Say

5.0

Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.