Conveniently located to serve Carmel and Indianapolis

The board-certified surgeons at My Plastic Surgery Group perform variations of the facelift in Carmel and Indianapolis. A facelift (rhytidectomy) is a facial rejuvenation procedure that will improve visible signs of aging in your face and your neck allowing you to look as young and refreshed as you feel.

When how you feel inside is no longer what you see reflecting back to you when you look in the mirror, it can eventually take its toll on your emotions and your confidence. You want to look as young and healthy as you feel. Now, with a facelift, you can.

WHAT? Facelifting is a term that actually doesn’t “say it all” about facial rejuvenation. Is aging only a falling down of skin? No! Aging is a change in stressed tissue: trying life events, environmental poisons like nicotine or ultraviolet rays, altered body chemistries from weight or hormone shifts. The results: fat loss and relocation, thinning and drying of skin, color changes, skin redraping inward and downward.

The goal of surgery is to turn these pages backward, and therefore requires the orchestration of pharmaceutical agents which help the skin chemistry (through better collagen, elasticity, texture, color, and thickness) and surgery which repositions skin and fat, and strategically enhances volume. What better affirmation of success than for loved ones or even strangers to comment: “What a glow!” “You must be younger than that!” “ You look rested!”

…You guys really made my day! My recovery is going well. I also wanted to Thank you and the plastic surgery team for being so welcoming and making me feel so comfortable during my procedure. I’m very happy with the results so far, I’m excited for the full outcome and I’m sure I’ll be more than 100% pleased. I’m so grateful I had your teams support though out my decision and I couldn’t think of any place better to work with. I hope you all have a wonderful day.
Read More Testimonials

WHO? The best candidates (i.e. those who can reasonably expect nice improvements) are those who generally are healthy: non-smokers (at least 8 weeks total nicotine abstinence), reasonable weight, controlled blood pressure, treated skin conditions (e.g. rosacea), absence of active acne or Herpes, on healthy low-salt diet with minimization of white starches.

A skin-care program to prepare the skin for quick and easy healing can be started 6-8 weeks before surgery. During the week prior to surgery all blood thinners must be halted including prescribed agents, non-steroidal anti-inflammatory agents, Vitamin E, fish oil.

HOW? Surgery involves going under the skin via incisions around the ears and possibly also under the chin, optionally up in the scalp, adjusting the underlying tissues to create in women a beautiful pear shape and in men a squared shape in the lower face, to tidy up the unwanted hanging neck skin, to smooth the uneven jowls along the jawlines, to highlight the cheekbone prominences, to refine the eyelids, to highlight the shape and position of the eyebrows

Surface-smoothing treatments may be included (e.g. dermabrasion, laser, or chemical peeling). The goal is recognizability and naturalness. (Alien beings can only show up at Halloween parties or UFO sightings!!)

AND THEN? One can expect some swelling and bruising for 1-2 weeks on average. Good preventative measures include continuing the low-salt diet, head elevation on extra pillows, skin and scar moisturizers and good SPF sun protection. Strenuous activities should be postponed for a couple of weeks. The skin typically is numb for several weeks.

It is common to identify small irregularities or asymmetries during the early healing, most often related to focal swelling. A small residual amount of swelling actually creates pleasant additional skin smoothness, winding down over 3 months. The wonderful effect of facial (cheek and neck) rejuvenation typically lasts 5 years or longer.

Your facelift will be performed in Dr. Aker and Dr. Sando’s surgery center located in Carmel, IN

Call us to schedule a consultation with Carmel and Indianapolis plastic surgeons, Dr. Sando or Dr. Aker.


  • Castle Connolly Top Doctors
  • Indianapolis Top Doctors 2018
  • Diplomate of the American Board of Plastic Surgery
  • Member of the American Society of Plastic Surgeons
  • Member of Indiana State Medical Association

Before & After
Before & After

* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of John Aker, William Sando

View Before & Afters

Frequently Asked Questions

  • I have deep vertical lines around my mouth. Will facelift surgery get rid of these?

    Although a facelift creates dramatic changes in the facial contour, these stubborn lines benefit more from resurfacing procedures such as dermabrasion, laser or chemical peels. Injectable fillers such as Restylane and Juvederm, done in our office, are also beneficial.
  • How long can I expect my results to last once I’ve had facelift surgery?

    There will be slight relaxation of facial tissues 3-4 months after facelift surgery, but the major beneficial effects are evident for 5 years and longer. Minor revisions can be done to “freshen” those results.
  • What if I’m just concerned about my jowls but don’t really want to commit to a facelift?

    The jowls, which represent lax skin down along the lower cheeks and jawline, usually respond very nicely to the “lower facelift” or “meloplasty” procedure. Simultaneously, the neck appearance is also improved.
  • Will I have drains following this cosmetic procedure?

    Ordinarily, drains are not required.
  • I’ve heard I might be numb after this procedure. Is that true?

    It is normal and expected to have facial skin numbness for a number of weeks following facelift surgery. Full recovery of feeling is expected, although, occasionally there may be small areas of persistent numbness.
  • How long will my face be swollen? Will I be able to go out in public soon after my facelift?

    Most patients take 2-3 weeks to recover at home following facelift surgery. Most will resume public engagements after that time.
  • I am a smoker. Is that ok?

    No. Any nicotine use places you in significant jeopardy of having skin death in very conspicuous areas such as the cheek area. The skin has very delicate circulation pathways which are shut off by nicotine, robbing the skin of it’s nutrition. You must not have any nicotine products at least 8 weeks prior to facelift surgery.
  • Will I look like a completely different person after my surgery?

    Most patients seek changes that give them a more refreshed look, or one that appears to “turn the clock back” a few years.
  • Is facelift surgery safe?

    Yes. Facelift surgery avoids major organ compartments and major blood vessels. The risk of infection is extremely low. Anesthesia is used but is considered quite safe.
  • How much does a facelift cost?

    The cost of a facelift is dependent on the details of the surgery. The techniques utilized, the anesthesia required, and the amount of time needed to perform the surgery all affect the price.

Procedure Information

When you first look at a picture of a young person followed by one of an older person, what differences do you most notice? The older person projects less energy, less vitality, and perhaps even tiredness or sadness. These communicated features are the result of fat and skin descent, deflation and laxity. Time, genetics, nicotine, sun damage, stress, medications, etc. are all contributing factors.

Facelift surgery is a rejuvenating cosmetic surgery. Facelift surgery will lift, tighten, re-drape and smooth facial and neck soft tissues. The location (e.g. temple, cheeks, jowls/jawline, or neck) and degree of aging will be major factors in deciding the extent of this operation. A conversation between you and your surgeon will be key in deciding what to expect throughout the recovery period. Typically, incisions for a facelift are around the ear or under the chin and may extend into or along the hairline.

Many times a facelift is combined with other procedures such as a forehead lift, or eyelid surgery (blepharoplasty). Significant visible improvement can also be achieved by smaller procedures that can be performed under local anesthesia in the office such as a variety of mini-facelift procedures, eyelid surgeries or lip enhancement surgery. Botox and Dysport (which weaken muscles that produce lines or furrows), or “fillers” such as Restylane and Juvederm are very useful treatment that can help maintain surgical results or delay the need for surgery.

Facelift surgery may be outpatient or overnight stay and is usually done under a general anesthetic.

We invite and encourage you to view some before and after facelift photos on our website.

Get Started Today

Arrange a consultation to find out more about the facelift in Carmel – contact our office today to make your appointment.

Additional Face Procedures

top doc 1999
top doc 2001
top doc 2003
top doc 2005
top doc 2007
top doc 2019
Castle Connolly Top Doctors
Indianapolis Top Doctors 2018
Diplomate of the American Board of Plastic Surgery
Member of the American Society of Plastic Surgeons
Member of Indiana State Medical Association
Indianapolis Top Doctors 2020
Contact Us