Our Procedures
Surgical Artistry for the Face & Neck
Each procedure is performed personally by our board-certified surgeon — with precision, restraint, and an unwavering commitment to natural results.
Rhytidectomy
Facelift
The facelift remains the gold standard for comprehensive facial rejuvenation. Our approach addresses the deep structural layers of the face — the SMAS — rather than simply tightening skin, producing results that are natural, lasting, and unmistakably refined.
Jowling, deep nasolabial folds, midface descent, and loss of jawline definition are hallmarks of facial aging that cannot be adequately addressed with non-surgical treatments. A properly performed facelift restores the underlying architecture of the face, repositioning descended tissue and removing only the excess skin that results from that descent.
- Deep-plane SMAS technique
- Natural, long-lasting results
- Frequently combined with neck lift
- 2–3 week social recovery
Platysmaplasty
Neck Lift
The neck lift restores the clean cervicomental angle and eliminates the platysmal banding, submental fullness, and skin laxity that define an aged neck. It is one of the most transformative procedures we perform.
The neck is often the first area to show signs of aging, and it is frequently undertreated. Our neck lift addresses the platysma muscle directly — tightening and repairing the midline to eliminate banding — while removing excess fat and skin to restore a youthful, defined jawline-to-neck transition.
- Platysmal repair and tightening
- Submental fat removal
- Restores cervicomental angle
- 10–14 day recovery when isolated
Structural Fat Transfer
Autologous Facial Fat Grafting
Autologous facial fat grafting restores the volumetric dimension of facial youth — the fullness of the midface, temples, and periorbital region that deflates with age. Using the patient's own fat, it is the most biocompatible and natural method of facial volumization available, producing results that integrate seamlessly with surrounding tissue and, for the surviving graft, remain permanently.
A facelift repositions and lifts descended tissue. Fat grafting restores what has been lost. These are complementary — not competing — interventions, and the most natural-looking facial rejuvenation results are achieved when both are addressed. As the facial fat compartments deflate over time, the face develops hollowness, shadowing, and a skeletonized appearance that no amount of lifting can correct. Dr. Lemelman harvests fat from a donor site — typically the abdomen or inner thigh — using a small-cannula technique that preserves fat cell viability. The fat is processed in a closed, sterile system and reintroduced through blunt micro-cannula injections in precise micro-aliquots at multiple tissue planes, following the principles of structural fat grafting (Coleman technique). Target areas include the midface fat compartments, temporal fossa, tear troughs, perioral region, and lips. A portion of the transferred fat establishes a permanent blood supply and remains indefinitely; the non-engrafted fraction resorbs over 3–4 months.
- Patient's own fat — no foreign material
- Permanent results from surviving graft
- Complements deep-plane facelift
- Midface, temples, tear troughs & lips
Upper Eyelid Surgery
Upper Blepharoplasty
Upper blepharoplasty is among the most impactful procedures for facial rejuvenation. Removal of excess upper eyelid skin and precisely targeted fat restores an open, alert, and rested appearance — often taking years off the face with minimal recovery.
Dermatochalasis — the excess skin that accumulates on the upper eyelid — creates a heavy, tired appearance and can even impair peripheral vision in advanced cases. Our technique removes only what is necessary, preserving the natural eyelid crease and maintaining the subtle fullness that characterizes a youthful upper lid.
- Restores open, alert appearance
- Natural crease preservation
- 7–10 day recovery
- Can improve peripheral vision
Lower Eyelid Surgery
Lower Blepharoplasty
Lower blepharoplasty addresses the under-eye bags, hollowing, and skin laxity that create a perpetually fatigued appearance. It is a technically demanding procedure that, when performed with precision, produces a remarkably refreshed result.
The lower eyelid is one of the most complex anatomical regions of the face. Our approach favors fat repositioning over simple excision — redistributing the herniated orbital fat into the tear trough to eliminate the shadow and hollow that characterize under-eye aging, rather than creating a hollowed, operated appearance.
- Fat repositioning technique
- Eliminates under-eye bags
- Addresses tear trough hollowing
- 2–3 week social recovery
Browplasty / Forehead Lift
Brow Lift
A brow lift elevates a descended or asymmetric brow to its youthful position, opening the upper face and restoring the natural arch that defines a rested, alert expression. It is one of the most effective procedures for correcting the heavy, stern appearance caused by brow ptosis.
Brow descent is a primary driver of upper facial aging — and one of the most commonly overlooked. As the brow falls below the orbital rim, it compresses the upper eyelid and creates a hooded, fatigued appearance that upper blepharoplasty alone cannot fully correct. Dr. Lemelman performs the brow lift through small, concealed incisions behind the hairline, repositioning the brow and forehead tissues without a long scar. Sometimes a direct brow lift, using an incision directly above the lateral eyebrow is a good technique depending on the individual's anatomy.
- Hairline technique — minimal scarring
- Restores natural brow arch and position
- Frequently combined with blepharoplasty
- 10–14 day social recovery
Discuss Your Goals
Every surgical plan begins with a private, unhurried consultation. We take the time to understand your anatomy, your goals, and your expectations — and to design a plan that is right for you.
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