F A C E L I F T

Contact us

If you are searching for an experienced facial plastic surgeon with this as a priority, we are a great match!

What is a Facelift?

A facelift is the most comprehensive treatment for facial aging, addressing wrinkles and sagging due to gravity and reduced skin elasticity. Procedures vary from minimally invasive options with limited scars (“short scar” facelifts) to more advanced techniques like SMAS flaps, SMASectomy, and Deep Plane surgery. Each approach is tailored to individual needs, and these rather complex and often confusing technical details can be openly discussed during consultation.

Our 4 Pillars

jgg
We operate in accredited facilities equipped with state-of-the-art technology. Our anesthetists specialize in plastic surgery and we strive to avoid general anesthesia whenever possible.
dg
Achieved through the use of the most modern technology and the artistic eye of the surgeon, minimizing the chances of classic facelift telltale signs such as earlobe displacement and abnormal lines.
fxfx
This results from the careful selection of incision sites and the use of advanced "SMAS" techniques, which help to minimize tension on the skin.
fdg
Our custom protocols include a combination of pre-, intra-, and post-operative medications, hyperbaric oxygen, IV supplementation, and specialized anesthesia techniques aimed at reducing recovery time.
Facelift Natural Result Before and After Facelift Natural Result Before and After

Achieve A Face That Matches Your Spirit

ZenLift™: A Contemporary Approach to Facial Lifting

Our ZenLift™ Facelift approach stems from blending various philosophies and methodologies to craft the ultimate facial rejuvenation procedure, centered on our core pillars: Safety, Natural Results, Concealed Scars, and Rapid Recovery. It goes beyond mere technique—we reject one-size-fits-all solutions or cookie-cutter approaches. Instead, we champion a personalized approach tailored to each individual’s unique aging concerns, anatomy, and aspirations. Our holistic method extends throughout the surgical journey, integrating optimal nutrition and medications to minimize bruising and enhance overall recovery.

What improvements can be expected from the procedure?

1. Improvement of the sagging tissues of your face.
2. Improvement in the lost volume of your face through targeted repositioning (lifting) of the facial tissues and the additional use of fat transfer in selected patients.
3. Improvement in the skin of your face through the use of state-of-the-art technologies such as the sophisticated Sciton® full-field Erbium laser (fully tunable and safest skin resurfacing laser on the market) in selected patients and/or complementary Radiofrequency Microneedling (Morpheus8, Vivace).

ZenLift™: A Tailored & Comprehensive Approach

Your Surgeon: What makes him a true Face & Neck expert?

Among many surgeons claiming to be experts, Dr. Rivera-Serrano is one of the country’s most highly trained facial plastic surgeons. He has completed two separate residencies (in plastic surgery and head & neck surgery/ENT) and two clinical fellowships at some of the most prestigious institutions in North America, Asia, and Europe. One of his fellowships focused on advanced craniofacial and microsurgery, and in the past, he routinely performed complex surgery for face and neck cancer in deeper anatomical areas than most plastic surgeons ever venture given this is not part of their core training. He is double board-certified and has vast surgical experience, having successfully performed thousands of surgical cases. Dr. Rivera-Serrano has also served as a University Professor of Surgery, teaching residents how to perform plastic surgery. He has authored scientific articles and book chapters and has won multiple awards throughout his career. For more information, click here.

Your Procedure with me

Overall, a well-performed facelift using modern techniques should not make you look different. Dr. Rivera-Serrano knows this, and his focus is to make you look like yourself, only younger. Please look at all the before and after pictures in the photo gallery as examples. Occasionally, in addition to facial rejuvenation, some patients want a few additional procedures to make certain features more attractive or improve the facial harmony, such as nose surgery or chin augmentation. In combination with a facelift, these procedures can make the results of a facelift not only rejuvenate in nature but also make a face more attractive, proportioned, and/or balanced.

Frequent questions

In general, a facelift removes excess skin, lifts and tightens underlying tissues, and redrapes the skin on both the face and neck, decreasing or eliminating signs of aging. These procedures can correct midface sagging, droopy or prominent nasolabial folds, deep nasolabial creases, “marionette” lines, and jowls. A facelift includes a neck lift most of the time unless a limited “short scar” or “mini facelift” is performed. Even a “short-scar” facelift can improve the neck by indirectly recruiting some of the skin of the neck into the face; nevertheless, the results on the neck can be limited. A neck lift is included when a full or traditional facelift is performed.  This will dramatically improve the results in the neck, eliminating creases, removing excess fat, and creating sharper neck angles.

In general, a facelift removes excess skin, lifts and tightens underlying tissues, and redrapes the skin on both the face and neck, decreasing or eliminating signs of aging. These procedures can correct midface sagging, droopy or prominent nasolabial folds, deep nasolabial creases, “marionette” lines, and jowls. A facelift includes a neck lift most of the time unless a limited “short scar” or “mini facelift” is performed. Even a “short-scar” facelift can improve the neck by indirectly recruiting some of the skin of the neck into the face; nevertheless, the results on the neck can be limited. A neck lift is included when a full or traditional facelift is performed.  This will dramatically improve the results in the neck, eliminating creases, removing excess fat, and creating sharper neck angles.

Dr. Rivera uses deep SMAS techniques, primarily utilizing a Deep Plane technique. However, he may also use a SMAS flap, SMASectomy, or SMAS plication depending on individual anatomy, tissue thickness, or surgical history.

The SMAS (Superficial Musculo-Aponeurotic System) is a layer of tissue beneath the skin that provides structural support to the face and covers the facial muscles.

A facelift is still considered the ‘gold standard’ for facial rejuvenation.  Despite misleading claims by some companies or people providing these services, there are no minimally or non-invasive procedures in the market or coming into the market that can even remotely achieve close to the facelift results.

Recovery duration varies individually; typically, it spans 1-3 weeks. After one week, many resume Zoom meetings, though some may experience residual swelling or bruising. Exercise is advised against for the initial 3 weeks. Larger social events or red carpet appearances are suitable after 6 weeks, adjusted based on individual healing and procedure extent.

Overall, a well-performed facelift using modern techniques should not make you look different. Dr. Rivera-Serrano knows this, and his focus is to make you look like yourself, only younger. Please look at all the before and after pictures in the photo gallery as examples. Occasionally, in addition to facial rejuvenation, some patients want a few additional procedures to make certain features more attractive or improve the facial harmony, such as nose surgery or chin augmentation. In combination with a facelift, these procedures can make the results of a facelift not only rejuvenate in nature but also make a face more attractive, proportioned, and balanced.

Some situations to consider a facelift: You feel that your face (and neck) do not reflect your energy levels, youthful character, or spirit. You show signs of facial aging that do not match your age. You believe that your facial aging, excess skin, and sagginess are a career, professional, or social handicap. You look aged but want to look refreshed.

There is a common fear among facelift patients to look like celebrities with botched plastic surgery jobs. The reality is that most of these poor plastic surgery outcomes result from older facelift techniques that rely on the skin to lift and tighten. This leads to unsupported deep tissues that create folds and creases (“Joker” lines) on the skin. Modern and well-executed facelift techniques like the ones performed by Dr. Rivera-Serrano rely on a solid foundation by lifting the deep tissues first, thus avoiding using the skin to lift and almost eliminating the risks of any such problems. These contemporary techniques are more technically demanding and time-consuming, resulting in longer operative times as compared to older ones. In Dr. Rivera-Serrano’s philosophy, the excess skin should be eliminated as much as possible. The skin should not be used to hold to the face but only to cover it as biologically and evolutionary intended. Any skin that is made to hold anything will unavoidably stretch rapidly, leading to short-lasting results and potential deformities.

It is important to understand that a facelift does not “lift” or improve the entire face. The word “facelift” is a misnomer to a degree. The only areas that a “facelift” lifts are the lateral middle and lower thirds of the face. In other words, the lateral cheeks and lower face (including the jowls and the jawline). A facelift does not rejuvenate the center of the face from top to bottom, the eyelids, or the forehead. For instance, if your lip is long or you have abundant lip wrinkles, very deep nasolabial creases, eyelid bags, saggy eyelids, saggy eyebrows, or forehead creases, a facelift will not improve them. Additional procedures will be needed to rejuvenate those areas, including lip lifts, blepharoplasty, brow lift, and others. Dr. Rivera-Serrano’s preference is to do these procedures at the same time as the facelift.  Sometimes these procedures need to be done as a different operation (staged) to decrease anesthesia time during surgery. If you have advanced signs of aging, it is ideal (but not mandatory) to have these additional procedures so your rejuvenation does not look patchy and your refreshed jawline and cheeks match with the rest of the face.

A good quality facelift is not a one size fits all type of procedure. The type of facelift, duration of the operation, and complexity depend on the treatment goals, the areas of the face that need to be treated, and the severity of each individual aging signs, which vary greatly among individuals. Therefore, each surgery is tailored. A personal consultation will determine what is best for you.

Some situations to consider a facelift: You feel that your face (and neck) do not reflect your energy levels, youthful character, or spirit. You show signs of facial aging that do not match your age. You believe that your facial aging, excess skin, and sagginess are a career, professional, or social handicap. You look aged but want to look refreshed.

Before & after

Real-Self-top-doctor

Neck Lift Procedures

Video Testimonials Face lift & Neck Lift Surgery

Patient with Facelift

Patient with Short Scar Neck Lift, 7 years After Surgery

Patient with Scarless Neck Lift

Financing Options are Available

Mery De Los RiosMery De Los Rios
16:44 15 May 24
Happy to have met Dr. Carlos Rivera, from the moment you arrive at the office, the attention is incredible, all the staff is attentive and polite. The extremely professional Doctor also takes his time to answer your questions and explain everything to you in detail, which makes you leave the consultation 100% satisfied and happy.Thank you Dr. Carlos Rivera for your time and professionalism.
ZuléZulé
15:50 25 Apr 24
Great environment, super attentive and they were able to get me in pretty quickly. Dr. Rivera is super knowledgeable.
Yisel AlvarezYisel Alvarez
13:07 05 Apr 24
The best surgeon, I am so happy with my surgery, he is very professional and so good in his profession, I will highly recommend him, my breast looks natural, my waist is perfect. Thank you doctor.
LatoyaLatoya
23:22 18 Mar 24
My experience with Dr. Rivera was the best decision I have made . I had my tummy tuck done in January 2024 and I must say I’m feeling better than ever before. My confidence is back at an all time high. If you are looking for one of the best plastic surgeon in Miami I recommend Dr. Rivera. Staff was extremely professional. Thank you.
kristi flowerskristi flowers
15:22 06 Mar 24
Dr. Rivera is a master at his craft. He is caring and very meticulous about his work. I would recommend him highly.
Janie HernandezJanie Hernandez
15:13 06 Mar 24
Dr Rivera is an amazing doctor who is very informative, love his honesty and how he makes me feel comfortable.
Carolina SerranoCarolina Serrano
19:19 20 Feb 24
I had my face lifting with Dr Rivera, I am 100 % satisfied with the results, His knowledge and skills gave me a very natural look just like I requested. Dr Rivera and his staff were very professional and attentive. I have had a micro-needle procedure with Dr. Rivera not only in my face but some parts of my body. Very good results as well. I highly recommend Dr. Rivera.
js_loader