Norman Pastorek, MD, PC, FACS

Facelift, Brow Lift, & Neck Lift

As a person ages, years of exposure to the sun’s harmful rays, gravity, genetics, and the natural aging process can take its toll and leave the face appearing tired and weary. Sagging skin and wrinkles replace the once youthful presence so many wish to regain. Fortunately, there are many proven cosmetic rejuvenation procedures available to effectively restore a youthful facial appearance. The most common cosmetic procedures for facial rejuvenation are the facelift, brow lift, and neck lift. These procedures can improve the following signs of aging:


  • Loose skin and deep lines on the face and neck
  • Sagging of cheek fat in the midface
  • Deep creases from the nose to the corner of the mouth
  • Jowls at the chin line

Brow Lift

  • Lines on the forehead
  • Drooping eyebrows
  • Creases between the brows

Neck Lift

  • Vertical muscle cords in front of the neck
  • Loose skin and fatty tissue below the chin

Why Choose Dr. Pastorek?

Dr. Pastorek has performed over 2,500 facial rejuvenation procedures! Highly trained, experienced, and world-renowned in facial plastic surgery, Dr. Norman Pastorek understands that facial plastic surgery is as much an art as it is a science. Each facial rejuvenation procedure requires the utilization of every nuance of knowledge and experience to assure the best possible results. Not only is Dr. Pastorek double board certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery, he also has over 30 years of experience in the field of facial plastic surgery. He is passionate about the quality of care and excellence in aesthetic facial plastic surgery, and he is committed to providing each of his patients with long-lasting and natural-looking results. His extensive education, training, and experience in facial plastic surgery, along with his impeccable attention to detail, are just a few of the many qualities that set him apart and enable him to provide beautiful results for his patients.

Initial Consultation

When you come in for a facial rejuvenation consultation, Dr. Pastorek will personally meet with you to thoroughly discuss your medical history, goals, and desires, and he will evaluate your individual needs. Some patients may require several procedures while others may need just one.  Dr. Pastorek wants to be absolutely certain during the consultation that your aesthetic facial plastic surgery is both appropriate and safe for your individual needs. No matter what plan is necessary, the goals are always to provide:

  • Safe surgery
  • A natural, non-operated appearance
  • Long-lasting results
  • Rapid recovery

During your consultation Dr. Pastorek will discuss all of the important issues as you prepare for surgery, including:

  • Which prescription medications you should take and which you should not take
  • Refrain from taking anti-inflammatory drugs (such as aspirin and Advil) and certain other medications, as they increase the risk of bleeding
  • Avoid smoking for at least one month before surgery
  • No alcohol for at least four days prior to surgery
  • Use of a specific antibacterial ointment in the nose to prevent infection five days preoperatively
  • Approximate surgical time and recovery time
  • Arrangements for someone to be with you for your trip home or to your hotel to care for you the day of surgery
  • Anticipated postop course, such as bandage changes, suture removal, wound care, bathing, and returning to an active lifestyle

At the conclusion of your consultation, photographs are taken.

The Surgery

Dr. Pastorek performs facial rejuvenation surgery in an outpatient hospital operating room with the patient usually under intravenous analgesia by an experienced, board-certified anesthesiologist. In certain cases, general anesthesia may be appropriate. Dr. Pastorek carefully places all facial rejuvenation incisions in the natural contours of face and ears to make them as inconspicuous as possible.


Dr. Pastorek utilizes his own modification of the deep plane facelift technique because it addresses all of the aspects of the face, especially the fat that has fallen from the cheek bones at the center of the face. Traditional facelift procedures only target the outer cheek areas of the face. The neck lift part of the procedure begins with a “keyhole” incision beneath the chin at the top of the neck. Fat is removed with a fine cannula. The neck cords (muscle bands) are sutured to eliminate them. The upper face procedure is performed by placing incisions in the hairline that taper around the ears, but behind the tragus so that no scar shows in front of the little cartilage at the ear canal opening. After muscle and fat tissue have been elevated and repositioned, the remaining skin is redraped, and any excess is removed.The facial skin is then sealed down with fibrin glue. The incisions are then closed with fine sutures, and a light pressure bandage is applied. Usually no drains are necessary.

Brow Lift

This procedure can be performed through an incision in the hairline where excess tissue is removed. It can also be performed endoscopically through small scalp incisions, or through upper eyelid crease incisions. The upper eyelid crease incision technique gives a very natural and subtle appearance immediately, avoiding the “overly elevated” brow appearance of other procedures. This is called an internal brow lift. Sutures are placed between the  undersurface of the brow and the firm tissues just above the bony orbital rim. Dr. Pastorek believes in providing a conservative and realistic brow appearance, and effectiveness and longevity are paramount when he plans the brow lift procedure that is right for you.

Neck Lift

A neck lift can be performed alone without the facelift component. Dr. Pastorek makes a continuous incision that begins in front of each earlobe and continues to the back of the earlobe, into the crease between back of the ear and the head, and then into the hair at the area near the top of the ear. Another incision is made just beneath the chin to remove any excess fat and/or to control the muscle bands at the front of the neck. Liposuction is performed through a small incision beneath the chin to permanently eliminate fat deposits. The muscle cords (bands) can also be controlled through this same small incision beneath the chin. The neck skin is elevated and redraped to the back of the ear, and excess skin is removed. The incisions are then closed, and a light pressure bandage is applied.

The Recovery

Bandages are removed on the day following surgery so the areas can be fully inspected. At this time, the patient can get a “preview” of their results. A NASA lightwave treatment is administered to reduce swelling and advance healing, and a smaller, lighter bandage is then applied. The sutures in front of the ear are removed on the fourth or fifth postop day, and all bandages are also removed at this time. Makeup may be worn after the bandages are removed, and most patients can be out and about by the sixth or seventh day. Any sutures at the hairline are removed on the seventh day, and staples in the hairline are removed on the 10th or 11th day. Levels of activity, social drinking, sports, and exercise will be discussed during the recovery period. If an eyelid incision has been used to lift the brows, the sutures are also removed on the fifth day postop.

The Results

Most patients can feel good about being in public by the sixth or seventh day postop. While you will look good within a few days after your surgery, the final results of your facial rejuvenation procedures will not be visible immediately; a more youthful appearance will become apparent over the coming weeks. Facial rejuvenation is a very rewarding procedure that produces enduring results. The twin goals of having a natural, unoperated look and still looking like yourself are always paramount. Dr. Pastorek’s patients are usually very satisfied with the outcome of their procedure(s), and they tend to develop a renewed sense of self-confidence. For more information or to discuss fees, logistics, and scheduling, we encourage you to contact our New York practice. Please call (212) 987-4700 or fill out our online consultation form to get started today. We look forward to seeing you soon!