Facelift in Englewood & New Jersey

What Causes Facial Aging?

Facial aging happens gradually and affects more than just the skin. Over time, collagen and elastin production decrease, causing the skin to lose firmness and elasticity. At the same time, facial fat shifts downward due to gravity, leading to jowls, deeper folds around the mouth, and loss of jawline definition.

Beneath the skin, the SMAS layer (Superficial Muscular Aponeurotic System) also relaxes. This deeper structural change contributes significantly to sagging in the lower face and neck. Because aging affects both the surface and the underlying support system, effective rejuvenation often requires lifting and repositioning these deeper tissues, not simply tightening the skin.

Environmental factors such as sun exposure and lifestyle habits can further accelerate visible aging.

By addressing these structural changes, a facelift restores natural contour and definition while preserving your unique facial expression.

Dr. Parakh’s SMAS Facelift Technique

Dr. Shwetambara Parakh performs a SMAS facelift to address the deeper structural changes responsible for sagging in the lower face and neck. The SMAS (Superficial Muscular Aponeurotic System) is the supportive layer beneath the skin that weakens over time, contributing to jowls, loss of jawline definition, and facial descent.

Rather than tightening the skin alone, Dr. Parakh repositions and secures the SMAS layer to restore natural contour and support. By addressing these deeper tissues, the procedure creates longer-lasting results and reduces tension on the skin, which helps minimize visible scarring and maintain a natural appearance.

Each facelift is customized based on your anatomy, degree of skin laxity, and aesthetic goals. Dr. Parakh carefully refines the lower two-thirds of the face while preserving your natural facial expression and proportions. The goal is not to change how you look, but to restore structure and definition in a way that appears balanced and refreshed.

This deeper structural approach allows for meaningful rejuvenation while maintaining subtle, elegant results.

Caring for Drains After a Facelift

Following your facelift procedure, small surgical drains may be placed to prevent fluid buildup and promote proper healing. These drains are typically thin, flexible tubes connected to a small bulb that collects fluid from beneath the skin.

Here’s how to care for them at home:

• Empty the drain bulb 2–3 times a day or as instructed by your surgical team. Record the amount and color of fluid to help monitor healing.
• Keep the area clean and dry. Gently clean around the drain site with mild soap and water or saline if directed, and pat dry.
• Secure the drain properly to prevent accidental pulling or tension. Clip it to your clothing with a safety pin or use provided supports.
• Do not try to remove or reposition the drains on your own. They will be removed during a follow-up appointment, usually within 3–5 days.

It’s normal to see some pink-tinged fluid early on. However, notify your provider if the fluid becomes bright red, foul-smelling, or increases suddenly. Following these steps supports a smooth recovery and helps reduce swelling and bruising.

References

• "Shwetambara Parakh, M.D., FACS" - Bergen Magazine
• "Dr. Shwetambara Parakh, MD" - Castle Connolly
• "Haute Beauty Welcomes Renowned New Jersey Plastic Surgeon Dr. Shwetambara Parakh To The Haute Beauty Network" - PRWeb