Name: Facelift Westport, CT | Dr. Joseph O'Connell
Brand: Dr. Joseph O'Connell
Rating: 5 (23 reviews)

Westport Plastic Surgeon, Dr. O’Connell, believes that the role of aesthetic procedures is not just to reverse the signs of aging but to help reflect how we feel — the beauty of youth combined with the appearance of health and well-being.

Because each face is unique and is affected differently by the aging process, at Total Aesthetics each patient’s aesthetics and goals are carefully reviewed and an individualized treatment plan is formulated to help achieve a refreshed, natural, balanced facial appearance through safe and effective aesthetic procedures. Dr. O’Connell’s preference is toward less-invasive approaches and we’re pleased to offer the latest technology, procedures, and products to optimize your results with the shortest recovery time. Dr. O’Connell performs the majority of facial procedures under local anesthesia, sometimes with sedation, in the privacy of our accredited outpatient surgical facility.

Facelift Surgery (Rhytidectomy), or Traditional Facelift

Our face and eyes show the natural changes of age more than any other area of our body. A traditional facelift can dramatically restore the face to a more youthful appearance with smoothing of creases, elevation of the cheek and jowl, with the restoration of a more defined jawline and neck.

Dr. Joseph O’Connell believes that the goal is not to look unnaturally tight or over-pulled but rather to recreate a more youthful, relaxed, confident, and more beautiful version of yourself. Dr. O’Connell also believes that facelifts should be volumizing and tailored specifically for you. His techniques are designed to provide a natural, unoperated look, with the shortest recovery time for a facelift Westport has to offer.

What is a Facelift

A facelift, or rhytidectomy, is a procedure that is designed to achieve a more youthful appearance by addressing the changes caused by gravity and volume loss. While fat is often removed from the neck, Dr. O’Connell prefers to either add volume or simulate the appearance of added volume elsewhere in the face. Facelifts reposition sagging, lax tissues in the face and neck and also refine the jawline and sculpt the jowl area.

Benefits of a Facelift

A facelift at Total Aesthetics does more than tighten skin—it can help you feel like yourself again. When signs of aging start to make you look tired or less vibrant than you feel, a facelift can help restore a more rested, refreshed appearance.

Here's what a facelift can help with:

Softens deep lines and creases around the mouth and jaw
Lifts sagging cheeks and jowls
Smooths and reshapes the lower face and neck
Helps your face better reflect how young and energetic you feel
Offers long-lasting improvements that support your confidence every day

Many people feel more comfortable in photos, at work, and in social settings after surgery. It's a deeply personal choice, but when done right, the results can feel like a quiet return to your best self.

Am I a Candidate for a Facelift

The best candidates for a traditional facelift have laxity in the face, especially the cheek and lower mid-face along the jawline and jowl and also laxity in the neck. Fat accumulation below the chin is commonly removed during the procedure.

In addition, patients considering a facelift should be:

In good physical and mental health.
Accepting of the associated risks as well as the inevitable scarring and asymmetry that accompany the procedure.
Have realistic expectations about what a facelift can and cannot accomplish.
Willing to use their hair to camouflage the scars for several months and perhaps even permanently, especially in the areas in front of the sideburn and behind the ear.

Facelift Results

You'll start to notice changes soon after your facelift, but those results settle in gradually. Most swelling and bruising fade in a few weeks, and things keep improving from there. You'll likely see your final results a few months after surgery.

A facelift won't stop aging, but it turns back the clock. You'll always look younger than if you hadn't had the procedure. For most patients, results last 10 to 15 years, sometimes longer, depending on skin quality, lifestyle, and genetics. Some people never have another facelift, while others choose smaller touch-up procedures down the line.

Facelift Recovery

Planning for your recovery is important, and we'll guide you every step of the way. Most people are back to light, desk-type work in about 10 days. You'll want to wait a little longer before attending major social events, usually around two to three weeks.

Here's a general timeline:

First Few Days: Expect swelling, bruising, and tightness—this is normal. Take it easy and follow your aftercare instructions closely.
Around Day 10: Many people feel comfortable going back to work.
2 to 3 Weeks: Swelling continues to go down, and you'll start feeling like yourself again.
1 Month and Beyond: You'll be healed enough for big social plans and start seeing the full results.

Mini-facelifts often have a slightly shorter recovery time. We'll talk with you about the approach that fits your goals and lifestyle best.

Facelift Aftercare

Keeping your results looking fresh takes just a little care. The best things you can do are stay consistent with sun protection, stick to a solid skincare routine, and keep your overall health in check.

Here are a few simple tips:

Wear sunscreen every day, even when it's cloudy
Stay hydrated and eat nourishing foods
Use gentle skincare products and avoid harsh treatments unless we recommend them
Don't smoke—it slows healing and can age your skin faster
Keep in touch with us for occasional check-ins or maintenance treatments like IPL or skin tightening

With the right care, you'll continue to look rested and refreshed for years to come.

Why Choose Dr. Joseph O'Connell at Total Aesthetics

When it comes to your face, experience matters. Dr. Joseph O'Connell is a double board-certified plastic surgeon who's been helping people in Fairfield County look and feel their best for over 35 years. He trained at top institutions in New York and served as Chief of Plastic Surgery at a Yale-affiliated hospital.

You won't find a cookie-cutter approach here. Every facelift is done in our fully accredited private surgical suite, where privacy, safety, and comfort come first. Dr. O'Connell's approach is all about subtle, natural-looking results—think refreshed, not overdone.

He's been named a Castle Connolly Top Doctor in the New York Metro Area for 23 years and has been featured in both New York Magazine and Connecticut Magazine for his work. Patients trust him because he listens, he cares, and he has the surgical skill to back it up.

Facelift FAQs

Total Aesthetics in Westport and Fairfield County

What is a MACS lift?
Is anything removed from the face during a facelift?
What type of anesthesia is used for a short incision facelift?
What are the risks of a short incision facelift?
Can a facelift be done without scars?
How long is the facelift recovery process?
Are other facial procedures performed at the same time?
What type of anesthesia is used in facelift surgery?
What should I bring to my consultation with Dr. O'Connell?
Are there risks involved with facial rejuvenation surgery?

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What is a MACS lift?

A MACS lift is one type of short-incision facelift that utilizes specialized techniques of suturing the internal structures of the face. This type of facelift has achieved great popularity worldwide. A MACS lift is an acronym for the Minimal Access Cranial Suspension lift pioneered by Drs. Tonnard and Verpaele in Belgium.

Is anything removed from the face during a facelift?

Because the natural aging process will result in volume loss over time, Dr. O’Connell believes that nothing should be removed from the face, with the exception of fat in the neck and jowl area. Dr. O’Connell’s Westport facelift techniques are volumizing in that they actually add or simulate the addition of volume to the face.

What type of anesthesia is used for a short incision facelift?

Dr. O’Connell prefers to perform facelift procedures under local anesthesia. Sometimes sedation is administered during the procedure. Many short-incision facelift procedures are performed without need for sedation in our office-based surgical facility.

What are the risks of a short incision facelift?

All surgery carries uncertainty and risk and a discussion of the alternatives and potential complications is an important part of your preoperative consultation(s) with Dr. O’Connell. The more common risks of a minimal incision facelift are bleeding, infection, unsatisfactory scars, hair loss and minor wound healing difficulties.

Can a facelift be done without scars?

Unfortunately no. All surgery leaves scars although facelifts are designed to hide the scars in natural creases or camouflage them with hair. At Total Aesthetics, Dr. O'Connell strives to deliver the best facelift Westport, Fairfield and all of Connecticut has to offer.

Are other facial procedures performed at the same time?

Additional facial procedures such as eyelid surgery, brow lifting, liposuction of the neck, and fat transfers are often performed at the time of a facelift. Dr. O’Connell’s techniques are individualized for each patient, depending upon their aesthetic goals as well as the manifestations of facial aging that are present.

What type of anesthesia is used in facelift surgery?

Dr. O’Connell performs most traditional facelifts under local anesthesia with monitored anesthesia sedation. Many short-scar facelifts, or mini-lifts, are performed solely with local anesthesia.

What should I bring to my consultation with Dr. O'Connell?

Please bring some facial photographs in both profile and frontal view from approximately 10 years ago to your consultation. This helps Dr. O’Connell evaluate the effects of the aging process upon your face.

Are there risks involved with facial rejuvenation surgery?

As with any surgical procedure, there are risks and potential complications. A careful consideration of the risks, alternatives, and potential benefits of any surgical procedure is an important part of the pre-operative consultative process that you will have with Dr. O’Connell.

Facelift Types

At Total Aesthetics two types of facelifts are performed – Short-scar facelifts and traditional facelifts.

Short-incision Facelifts

There comes a time where non-surgical alternatives just aren’t enough to reverse those troublesome signs of aging. With a mini facelift, also known as a short-incision facelift or short-scar facelift, the cheeks are gently lifted, the jawline and jowl areas are smoothed, and the facial shape is refined to convey the appearance of youth.

A short-scar facelift can often be performed in the privacy of our accredited surgical facility under local anesthesia. The incisions are shorter and the facelift recovery time is faster than a full-incision traditional facelift. Dr. O’Connell is a published authority on short-incision facelifts and his landmark article outlining the Bidirectional and Extended Bidirectional Lifts was published in the prestigious Aesthetic Surgery Journal in late 2015.

What is a short incision facelift procedure?

For many patients, particularly those between ages 45-62, a mini-facelift, rather than a traditional facelift, is an excellent choice for facial rejuvenation. The scars are shorter and stop at the base of the ear.

This technique works best for those with sagging of the mid-face, especially the jawline and jowl, without significant laxity of the neck. Dr. Joseph O’Connell utilizes his Bidirectional technique to gently and naturally elevate the cheeks and mid-face. This is a highly specialized, more advanced lift than other short-incision techniques, that incorporates features of a MACS lift, offering long-lasting results.

Traditional Facelifts

A traditional facelift addresses laxity in the neck in addition to the facial laxity addressed by a short-incision facelift. Because of this scars are necessary behind the ear and usually extend into or along the posterior hairline. Dr. O'Connell’s Extended BiDirectional Lift is a traditional facelift technique.

Am I a candidate for a short incision lift?

The best candidates for a short-incision lift have laxity in the mid-face, especially the lower mid-face along the jawline and jowl but without significant laxity in the neck. Fat below the chin can be removed during the procedure.

In addition, patients considering a short-incision facelift should be:

In good physical and mental health.
Accepting of the associated risks as well as the inevitable scarring and asymmetry that accompany the procedure.
Have realistic expectations about what a short-incision lift can and cannot accomplish.
Understand that only minimal improvement in neck contour will result.
Willing to use their hair to camouflage the incisions for several months and perhaps even permanently, especially in the area in front of the sideburn.

American Society for Aesthetic Plastic Surgery, Inc

Reoperative Facial Surgery

While the benefits of facial cosmetic surgery can be visible for many years, the aging process continues inexorably – we continue to lose volume over time, the sun still shines, and the law of gravity still applies.

One of the greatest challenges in facial aesthetics is maintaining a youthful appearance without looking artificial or “operated upon” and this especially holds true for secondary or revisional facelift surgery. Today, many patients have also had non-surgical aesthetic procedures that need to be taken into consideration when planning aesthetic surgery.

Dr. O’Connell especially enjoys the challenges that accompany revisional or secondary surgical procedures. He will carefully help you navigate through such concerns as pre-existing scars, changes in ear shape, and the occasional functional issue, to find a safe and cost-effective approach to your aesthetic goals.

At the time of your Westport facelift consultation, complete copies of your medical records are usually not required; however, it is helpful to bring copies of prior surgical notes as well as any preoperative photographs that may be available.

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The Bidirectional (Quill) Facelift

What is a quill lift?

The Quill-lift is a facelift technique developed by Dr. O’Connell that utilizes self-retaining knotless sutures to elevate, tighten and re-suspend the tissues of the face and neck.

Who is a candidate for a Bidirectional Lift?

There are two versions of the Bidirectional Lift – the minimal incision, or standard, Bidirectional Lift and the Extended Bidirectional Lift. Because of this, the Bidirectional Lift can be performed on virtually anyone who is a candidate for a minimal-incision or traditional facelift. Candidates for the Extended Bidirectional Lift usually have more noticeable laxity in the neck.

What are the advantages of a Bidirectional Lift?

Because no knots are necessary there’s no need to dissect deep into the face in the areas of important nerves and blood vessels. Without knots, there’s less inflammation, less swelling and less risk of infection.

Dr. O’Connell’s special interest within the field of plastic surgery is in less-invasive facial rejuvenation. His work on the “Baby-Boomer Facelift” was published in 1999 and in 2003 his article entitled “Refinements of minimal incision rhytidectomy” was published. In late 2015 his article entitled “Rhytidectomy Utilizing Bidirectional Self-Retaining Sutures: the Bidirectional Lift and the Extended Bidirectional Lift” was published as a lead article in the prestigious Aesthetic Surgery Journal. In this article, he set forth his techniques for both the short-incision facelift and the traditional, full-incision facelift and he outlined the safety advantages provided by his technique. These procedures are also known as the Quill Facelift or Quill-Lift.

Because bi-directional, self-retaining “Quill” sutures are used to elevate the structures of the face and tighten the neck, no knots are required. This provides an important safety advantage because there’s no need to dissect into the deeper tissues of the face in order to anchor and bury the suture knots. The Quill sutures are slowly absorbed by the body so they can’t serve as a focus for infection down the road.

The Bidirectional Lift incorporates some of the key elements of a highly specialized technique, the MACS lift. Both techniques result in volumization of the cheek area, without the need for implants or injections. The result is a natural, refreshed, fuller, healthier, and more youthful appearing image of yourself. At Total Aesthetics, Dr. O'Connell strives to deliver the best facelift Westport patients' individual needs, desires, and facial structure can get them.

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