Real Face Lift

Face Lift Plastic Surgeon in New York

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Prasad Cosmetic Surgery

Fractional CO2

Fractional CO2


The Micro Fractional CO2 Laser technology is particularly effective for treatment of skin conditions such as fine and coarse wrinkles, raised or unsightly scars (such as from acne), dilated pores, uneven pigmentation and sun damaged skin. Developed during 25 years of scientific research, the technology uses a beam of mixed light that is filtered through CO2 and isolates specific wavelengths that comes into contact with the outer layer of skin. The light beam heats and vaporizes the skin tissue and instantly removes superficial layers, scars and wrinkles while smoothing out the surface of the skin. The resultant remodeling in the deeper layers stimulates new collagen growth which yields firmer and more glowing skin.

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What is the best treatment for my wrinkles under my eye and my dark eye circles?

Hi, I am aged 24 and have under eye wrinkles.  My eyes no longer look youthful and I would like to prevent them from getting worse.  Also, I have very dark eye circles and I cannot tell if they are green or purple.  Please advise.  My eyes also look like they are slightly sunken, too.  What can I do to treat this and the dark eye circles?

Thank you for your question.  You’re asking what’s the best treatment for the dark circles and wrinkles under your eyes, and what is the best way to prevent them from getting worse.  Well, at the age of 24, it’s obvious that it is just not about aging changes but more about a combination of hereditary factors as well as environmental factors.  When I look at your pictures, and you sent several very very good pictures, I already have basically a concept in mind on what I would do if you were to come to my practice.

In our office we see a lot of patients who want improvement of under eye dark circles and to treat wrinkles.  One of the first things that people do of course, is they try every over-the-counter cream they can find, they go to Sephora or any of these other places, or they’ll watch infomercials, or hear things on the radio, and try things that are guaranteed to improve the appearance of fine lines and wrinkles.  And naturally, most of them don’t do anything.  Essentially, most of them are basically glorified moisturizers.  So, what we do in our practice is that we address the problem in a couple of ways.  First, we talk about skin texture.  Now eyelid skin is the thinnest skin in the body, and because of that, it is very very susceptible to environmental damage or stress, even dehydration.  So what we try to do is try to build up  the collagen.  And so we use a technique employing something called platelet-rich plasma.  Now platelet rich plasma is actually drawn from your own blood.  And as if you are going to a regular routine lab test, we actually draw the blood, spin it and concentrate the platelets, which is the most important part of the blood when it comes to clotting and healing.  And so what we are doing is injecting that under the skin, and it basically generates these collagen building growth factors, as well as factors that stimulate blood supply.  So blood supply to the skin improves and the skin texture and quality improves.  This is very leading edge stuff, and we’ve been doing it in our practice for several years, and have been getting very very good results with it.  Now, in addition to this, some people with fine lines and wrinkles we will treat with lasers and radio frequency devices.  Basically, what we are doing is stimulating new collagen formation using heat.  So whether it’s a laser employing heat, or radio frequency, the collagen, the backbone of the skin, is being tightened.

Now, on top of all that, we will also consider the application of fillers.  And what fillers do is they basically fill in some deeper areas such as the tear trough area.  Now the tear trough area we often use a material called Restylane.  And Restylane is in the hyaluronic acid family.  And basically if there is an under eye hollow, we try to fill that space ever so artistically so that it looks natural and that it blends very well.  In addition to that you showed a picture where you are squinting or smiling. And so when I look at a picture like that I think of dynamic wrinkles.  Dynamic means basically when you have an activity like smiling.  So you may want to consider a treatment such as Botox or Dysport and do it periodically.  Naturally you may be thinking at 24 you are too young to be doing this, but if you have this genetic tendency and you want to prevent lines from happening, then Botox and Dysport is worth considering.

So, there is a combination of treatment options that are medical.  Now, in our practice we also have a skin care line, and one of our skin care products is called Eye Rescue.  And basically that is something that works on the top layers of the skin and improves hydration and overall appearance.  It alone isn’t going to be a treatment, but it’s a good combination with all the other things we do.  So, I hope that was helpful and thank you for your question.



For his practice, Dr. Prasad has selected the miXto SX Micro Fractional CO2 Laser as it best suits busy miXto SX Micro Fractional CO2 Laser Treatment at New Yorkpeople who want healthy, younger looking skin with minimal discomfort in a short period of time. The miXto SX Fractional CO2 Laser uses a computerized pattern generator and a new, efficient scanning algorithm (program) so that heat is dispersed within the epidermis(superficial skin layer) while evenly treating damaged areas. This particular algorithm effectively reduces discomfort, the need for anesthesia, and recovery time. A single treatment can show dramatic improvement in skin texture and color and leave it smooth, firm and even-toned.

The Micro Fractional CO2 Laser Treatment may be combined with other facial procedures such as a facelift, eyelift, rhinoplasty, or browlift. It can be a remarkable achievement to be able to do this single treatment procedure with a facelift. With Micro Fractional CO2 Laser, the whole face may be treated at the same time.


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You asked:


Will Face Revert to Pre-Facelift Appearance Within a Year?


Hello! I’ve had 4 consultations for an upper/lower bleph & a face/neck lift. The last doctor I saw said that I didn’t have enough skin to remove and that within 8 months of the facelift, my face and neck would go back to looking the same as prior to the operation. He said the risks would outweigh the few benefits. What do you think? My face is a train wreck. I want the lift but I want it to last for a while and not give out within a year or two. I’m 51. Is there also any way to straighten my mouth?




Thank you for your question!


The age of 51, you are a little bit confused from all the opinions you got and you feel like your face is a train wreck and one of your one of your doctor said that if you were to have a facelift that it would just regress back. So you also asked a question about straightening out the mouth.


Well, a few years ago, I wrote a book called “The Fine Art of Looking Younger” and I could certainly tell you that there as many opinions about how to improve a person’s appearance as there are the doctors who offer the services to deal with facial aging.


And there are basically two parts of facial aging to understand. One is the weakening of the soft tissue. When you showed one of your photos where there is a jowl, that could mean laxity. The skin and the supporting tissue under the skin referred to as the SMAS which is the superficial musculoaponeurotic system has descended. So that’s one part that’s of sagging. The second part is volume loss. As we get older, we lose bone, muscle and fat.


So, coming up with a game plan is the most significant part of my practice for every consultation I do. Essentially, when people come in and say why don’t I just pull up and I help them understand that when you’re pulling up, you’re doing a couple of things. One is, for facelift, you want to improve the jawline, the neck definition. However, when you’re pulling up, you’re also shifting soft tissue and shifting soft tissue and moving it from places where there is some volume to place where there isn’t also makes sense. So it’s a balance. It’s a balance of lifting and restoring volume.


As far as the question about whether or not the facelift would regress this is a question that has a lot to do with the surgeons experience and the type of skin you have and what your expectations are. For most face lifting surgery, regardless of  who does the surgery, there is a certain amount of elastic regression of the skin in other words with the face moving turning as tight as it can be in the beginning there always going to be a little bit regression and that could be what the surgeon is referring to.


The one thing I can’t do is do a physical exam on your photo so I would of course respect the opinion of the colleague whose experience that maybe the doctor felt that by the time it will all settle down. Maybe you still have a little of laxity and you wouldn’t be happy again. Happiness is a personal subjective experience so what can one patient or what can make another patient not so happy so you have to define for yourself what would be a satisfactory result.


So for most of my patients, for example, it would be a combination of lifting and adding volume. strategically, some patients would even add volume intraoperatively form like a cheek implant or some malar implant and volume in the mid face and then lifting the rest of the face or placing a chin implant to add some projection of the chin so the jaw line looks enhanced. Again this is truly an art and it’s a matter of communication and being in sync together between the patient and the doctor.


As far as your mouth is concerned, one thing that I also explain to my patients is that the human face or the human body is asymmetric so regardless of how when you look at yourself, so critically you always find a lot of things that are different one side to the other. When I do my surgeries for my patients,  I always tell them that  I’ll try to improve the symmetry. I’ll try to compensate for the variability between the two sides of the face but I can’t do everything to make it symmetric because the skin symmetry comes from the base from the bone structure. And so I always tell patients that our faces and bodies are beautifully asymmetric and that there is always going to be a little bit difference. So I would probably not recommend anything like straightening of the mouth but there are things to do with injectibles and other things to kind of enhance the balance of your mouth so that it looks a little bit more balanced to you.


So I think you have to make some decisions about what your definition of a successful procedure would be. Meet with a qualified cosmetic surgeon and maybe take little steps and take it from there. So I hope that was helpful and thank you for your question.


The miXto SX Laser has been very successful in helping patients who are not ready for a facelift. Since the laser rejuvenates by improving the tone and luster of the skin, it can refresh the face by leveling out small to medium sized wrinkles. For patients who have had already had a facelift within the past few years, this laser treatment is a great way to obtain a refreshed look without having another surgical procedure. Another very important application of laser therapy is to rejuvenate the hands to match the rejuvenated face. Take a look below to see whether miXto SX Fractional CO2 Laser is a good choice for you. In each photo, notice the remarkable changes in skin texture and smoothness after one treatment. Most Post procedure photos were taken after 3 to 6 months, but there are effects that are noticeable almost immediately. Dr. Prasad’s patients have been very pleased with the results and delighted with the remarkable results:

“I had resigned myself to the fact that I was going to have to live with my ‘sun worshipping’ practices of my carefree youth forever. The fine wrinkles and leathery appearance made me look much older than my age and no cream, moisturizer, or peel made a real difference. The CO2 laser gave me back smooth skin and I am totally thrilled! Now people can’t believe how young I look, I am amazed that one treatment could have changed my apprearance so dramatically! Thank you to you and your staff for your wonderful care and attention and for my brand new face!!”  -T.R. 54 year old middle school teacher

miXto SX Micro Fractional CO2 Laser Treatment – Before & After Photos


Acne Scars

Sun Damaged Skin

Mouth (Perioral) – Wrinkles/Smoker’s Lines

Hands with signs of aging 

Before making a decision, you really need a personal evaluation with New York facelift specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.

Schedule An Appointment Today!

To schedule a consultation with Dr. Prasad to determine the best procedure for you, submit the form below or call our Manhattan office at (646) 461-7258 or Garden City Long Island Office at (516) 307-0254. Our phones are open 24 Hours a Day / 7 Days a Week.

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