Conveniently located to serve Seattle and Bellevue

Facelift Planes

Facelifts may be performed in different planes
  1. Subcutaneous Plane: Under the skin and fat layer
  2. Deep Plane: Under the SMAS layer
  3. Subperiosteal Plane: Under the periosteum of the bone

Facial Aesthetics

Facelift Surgery has a powerful impact on changing the appearance of the neck, jowl and lower 1/3 of the face. It can restore the normal youthful facial proportions in these areas dramatically. As we age or with weight loss the face essentially descends. The fat pads in the face descend. Ligaments that attach the soft tissue to the underlying facial skeleton weaken and sagging occurs. The skin also thins and losses its elasticity. Sometimes platysmal banding can also be seen in the neck in addition to loose skin. The facelift or neck lift procedure can rejuvenate the descent by re-suspension of the underlying soft tissue and removal of excess skin in one procedure.


Dr. Parikh has been very caring and has demonstrated that he was more concerned about my overall health as his first priority. I have been very happy with my results so far and plan on returning for further work. We talked to a number of doctors before we selected Dr. Parikh and believe that he represents a wonderful choice based on his skill, personality/bedside manner, cost, and experience. I strongly encourage anyone considering plastic surgery to do your research and schedule a consultation with Dr. Parikh. You will be happy you did! N.J.

Facial Volume

Loss of volume also occurs with age. This volume loss occurs can be seen easily in the cheeks and lips. This is a separate issue and needs to be restored. This can be accomplished with fillers or fat transfer procedures. Restoring the volume is part of facial rejuvenation and should be evaluated as part of the facelift consultation.

Facelift vs Necklift

Facelift: Wider area of skin elevation down in the neck and upwards towards the cheek Necklift: Skin elevation down in the neck may involve tightening the muscles in the midline neck aka plastyma muscles through a separate incision under the chin

Facelift with Fat Transfer

Fat can be taken from other areas of the body such as the abdomen or thighs. This fat is then processed and injected into the areas needed. Common areas of fat transfer are the nasolabial folds and cheek area and lips.


Great candidates are those with excess skin in the neck and lower face. They should be healthy and nonsmokers. Smoking should be completely stopped prior to the procedure and after the procedure for over one month. High blood pressure should be controlled at all times prior to the procedure and after the procedure.
With any surgical procedure complications can occur, but are generally low. We encourage that you ask about complications during your visit with Dr. Parikh. Dr. Parikh will ensure that your safety is first and discuss any concern in great detail that is tailored to your specific medical history.