Understanding Facelift Surgery

A facelift, or rhytidectomy, is a surgical procedure that rejuvenates the lower two-thirds of the face by tightening loose skin, smoothing deep creases, and repositioning sagging facial tissues. It’s designed to restore youthful contours while preserving your natural expressions—so you still look like you, just more refreshed. Dr. Iyengar brings extensive training in facial aesthetics to each procedure, ensuring results that look natural, elegant, and true to you.

When should I consider a facelift?

If you’ve noticed deep folds around your mouth and nose, sagging in the cheeks or jawline, or loose skin along the neck, a facelift may be the right option. Many patients choose this procedure when non-surgical treatments are no longer providing the results they want.

What are the details of this procedure?

Dr. Iyengar performs customized facelifts based on your anatomy and goals. During the procedure, small incisions are placed around the ears and possibly along the hairline or under the chin. He lifts and repositions the underlying facial structures (SMAS layer) and removes excess skin for a firmer, smoother appearance.

For even more refined results, a facelift is often combined with a neck lift, eyelid surgery, or fat grafting to restore volume.

Why choose Dr. Iyengar for this procedure?

Dr. Iyengar focuses on creating subtle, natural-looking results—not an overly tight or windswept appearance. With his advanced training in facial anatomy and cosmetic surgery, he uses proven techniques that restore youthful contours while maintaining facial harmony and expression.

What does recovery look like?

Initial recovery takes about 1–2 weeks, with swelling and bruising gradually subsiding. Most patients feel comfortable returning to social settings within 2–3 weeks. As healing progresses, you'll notice firmer skin, a defined jawline, and smoother facial contours.

Final results are typically visible by 6–8 weeks and can last 10 years or more with proper skincare and sun protection.

Check out what our patients have to say.

5

Aimee S.

There isn't a bad thing I can say about Dr. Iyengar or my experience. I found Dr. Iyengar after I had been to a friend's consultation up in Bellevue. I heard her quote and options, and knew I wanted to be closer to home for my procedure. I got in for my consultation the same week as I had inquired about my procedure. Dr. Iyengar won me over with the fact that we both grew up in Puyallup, we share a love for Olive Garden breadsticks, he is friendly, knowledgeable, has an incredible bedside manner, taking time to answer questions and get to know your needs, professional, and funny. From consultation to 3 weeks post op, and everything in between has been an experience that I would recommend to family and friends, and have recommend to anyone that asks. If you're going back and forth, do yourself a favor and stop looking. Dr. Iyengar is your guy!! My BFF and I are proof that this guy is THE. BEST.

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5

Lawrence W.

I was having trouble getting a grip on some hand tools, and at a restaurant that used round table ware rather than flat and edged utensils I notice I couldn't seem to hold them from rolling. My primary physician referred me to Dr. Iyengar. Probably one of the better 20 mile appointments I've had.Dupuytren's contracture, is the culprit the good doctor diagnosed and showed how it prevents my hand from lying flat on a table top because the little, and ring finger were closing on the palm. I mentioned that the middle finger of that hand also locked often with some pain associated with the nuisance. "We can take care of these two procedures today if you'd like" he offered and it made sense if he was willing, I'd travelled 20 miles for the diagnosis, getting the cure at the same time was more than just good sense.

In less than an hour, a pain free hour, the troublesome contracting cord had been freed up and a needle shot of a drug, perhaps cortisone, though I've forgotten, and I was on my way to the physical therapist to learn what I could do following up on the minimal surgery.

From the time I entered the office until I left was a pleasant and friendly exchange of information and personal stories. I didn't wait long, so short I could not get through reading the diplomas and advanced training and education certificates hanging on the walls that Dr. Iyengar has garnered from his studies and surgical skills.

The good doctor keeps a friendly atmosphere for staff and patients, for me 20 miles no longer seemed inconvenient. I'll see him for the followup and look forward to that. You'll be in good hands with Dr. Iyengar and staff.

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5

Lisa R.

I have lived my entire adult life self conscious of my neck sagging and double chin. Dr. Iyengar took such good care and gave me a tight neck and for once in my life I have a jawline! I had a neck and lower face lift with lipo in my chin.

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5

Liza C.

From my very first consultation, I was blown away by the level of care and professionalism at this practice. Every single team member, from the front desk to the medical coordinators and assistants, was friendly, attentive, and truly made me feel at ease. The customer service is top-notch!

Dr. Iyengar is exceptional. His experience, skill, and depth of knowledge shine through in every interaction. His bedside manner is warm and reassuring, and he takes the time to truly listen to your goals without ever being pushy. He’s incredibly responsive and makes you feel confident and cared for from day one. Honestly, his fresh perspective combined with his expertise is a major positive!

The aftercare has also been outstanding! Thorough, diligent, and consistently supportive. I’ve felt cared for every step of the way.

My entire experience has been nothing short of excellent. I’d highly recommend this practice to anyone looking for a team that’s professional, compassionate, and truly invested in your care. They set the bar high!

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5

Jenny M.

I’m incredibly grateful that I was referred to Dr. Iyengar for my breast reconstruction surgery. From the very first consultation, he has been an absolute blessing throughout the entire process. His kindness, super friendliness (a rare trait), helpfulness, caring nature, and outstanding service are truly remarkable. Additionally, his extensive knowledge and confident responses to my questions, along with his ability to treat me with personable care, make him an exceptional surgeon.

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Quality care in all realms of plastic and reconstructive surgery.

We see our patients as individuals, not just cases on the schedule. Dr. Iyengar makes every effort to get to know his patients personally and thoroughly understand their goals. This personalized approach ensures that every patient receives the highest quality care and achieves the results of their dreams! Dr. Iyengar executes every procedure with precision, integrity and utmost care.

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Got questions about facelift procedures?

What areas does a facelift address?

Are there different types of facelifts?

Will I look like a different person?

What’s the difference between a facelift and fillers?

How long do results last?