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Facial Rejuvenation in NYC

Facial rejuvenation is a broad category of treatments designed to restore a firmer, smoother, and more youthful appearance to the face and neck. At the practice of Dr. Ariel Ostad in Manhattan, patients have access to a full spectrum of options — from nonsurgical facial rejuvenation treatments like injectables, lasers, and skin-tightening devices, to surgical procedures such as neck lift and eyelid surgery. Whether you’re noticing early signs of facial aging or you’re ready for a more comprehensive approach, Dr. Ostad builds a plan around your goals, your skin, and your timeline for recovery.

This page is designed to help you understand your options for facial rejuvenation in NYC — what each treatment does, who it’s best suited for, and how to decide what’s right for you.

What Is Facial Rejuvenation?

Facial rejuvenation refers to any treatment or combination of treatments used to address the visible signs of aging in the face and neck. This can mean restoring lost volume, tightening loose or sagging skin, smoothing lines and wrinkles, or improving skin texture and tone.

Facial aging happens on multiple levels at once — the skin loses elasticity and collagen, fat pads shift and shrink, and underlying muscle and bone structure gradually change shape. Because of this, effective facial rejuvenation rarely relies on a single treatment. Dr. Ostad typically evaluates all of these layers together to determine which combination of nonsurgical or surgical options will produce the most natural, balanced result for your face.

Facial Aging

Common Signs of Facial Aging

Most patients come in with a mix of the following concerns, rather than just one isolated issue.

Skin Laxity

Loss of collagen and elastin causes the skin to lose its ability to “snap back,” leading to sagging along the jawline, cheeks, and neck.

Volume Loss

Fat pads in the cheeks, temples, and under the eyes diminish with age, which can create a hollowed or tired appearance even in people who are otherwise healthy and well-rested.

Wrinkles

Fine lines and deeper wrinkles develop from a combination of repeated muscle movement (dynamic wrinkles), sun exposure, and the gradual breakdown of collagen (static wrinkles).

Texture and Tone

Uneven pigmentation, enlarged pores, rough texture, and dullness are often related to sun damage, and become more noticeable as skin cell turnover slows with age. Identifying which of these factors is driving your particular concerns is the first step toward choosing the right facial rejuvenation treatment.

Nonsurgical Facial Rejuvenation Options

For many patients, nonsurgical facial rejuvenation can meaningfully improve the appearance of the skin and face with little to no downtime. Dr. Ostad offers a range of nonsurgical treatments that can be used on their own or layered together as part of a broader plan.

Ellacor: Ellacor is an FDA-cleared micro-coring device that removes small “cores” of excess skin to reduce mild-to-moderate laxity, primarily in the lower face. It’s a minimally invasive option for patients who want visible skin tightening without surgery.

Injectables: Neuromodulators (such as Botox) relax the muscles responsible for dynamic wrinkles, while dermal fillers restore lost volume in the cheeks, temples, lips, and under-eye area. Injectables are often the starting point for nonsurgical facial rejuvenation because results are immediate and downtime is minimal.

Lasers: Laser treatments such as Fraxel and PicoWay work at different depths of the skin to address texture, tone, pigmentation, and fine lines. Depending on the device and setting, lasers can be used with little downtime or as a more intensive resurfacing treatment for more dramatic improvement.

EMFACE: EMFACE is a non-invasive treatment that uses radiofrequency and muscle stimulation technology to lift and tone the facial muscles while simultaneously improving skin quality — with no needles and no downtime.

MyEllevate: MyEllevate is a minimally invasive thread-based neck rejuvenation technique that tightens the platysma muscle to improve the jawline and neck contour, offering an alternative to a traditional neck lift for the right candidate.

Together, these nonsurgical facial rejuvenation treatments give patients meaningful options for improving the look of aging skin without committing to surgery.

Skin Laxity and Skin Tightening

Skin laxity — the loss of firmness and elasticity that causes skin to sag — is one of the most common reasons patients seek facial rejuvenation. As collagen production slows, the skin becomes thinner and less able to hold its shape against gravity.

Depending on the degree of laxity, Dr. Ostad may recommend energy-based skin tightening treatments, micro-coring with Ellacor, or radiofrequency microneedling to stimulate new collagen production. For more advanced laxity, a surgical approach may ultimately deliver a more predictable and longer-lasting result. Determining the right threshold between nonsurgical and surgical skin tightening is part of the evaluation Dr. Ostad performs during a consultation.

Jawline and Neck Rejuvenation

The jawline and neck are often the first areas to show visible signs of aging, and they’re frequently the areas patients are most focused on improving.

Jawline rejuvenation may involve dermal fillers to redefine contour, Ellacor or skin-tightening devices to address mild sagging, or injectables to soften jowling. Neck rejuvenation can range from nonsurgical options like MyEllevate and radiofrequency skin tightening to a formal neck lift for patients with more significant loose skin or banding.

Because the jawline and neck are closely connected both structurally and aesthetically, Dr. Ostad typically evaluates them together to make sure the final result looks proportionate and natural from every angle.

Facial Rejuvenation After Weight Loss

Significant weight loss — whether from lifestyle changes or GLP-1 medications — can leave patients with looser, more deflated-looking skin in the face and neck, even at a healthier body weight. Volume that once filled out the cheeks and jawline can diminish quickly, sometimes making the face look older or more gaunt than before.

Facial rejuvenation after weight loss often combines volume restoration (through fillers or fat transfer) with skin-tightening treatments to address the laxity left behind. Dr. Ostad frequently sees patients in this exact situation and can help design a plan that restores a fuller, firmer look following weight loss.

Surgical Options

For patients with more advanced skin laxity or structural changes that nonsurgical treatments can’t fully address, surgery may offer the most effective and longest-lasting result.

  • Neck Lift: A neck lift addresses loose skin, excess fat, and muscle banding in the neck that isn’t well suited to nonsurgical treatment, restoring a cleaner, more defined neck and jawline contour.
  • Eyelid Surgery: Upper and lower blepharoplasty removes excess skin and fat around the eyes, addressing hooding of the upper lids or puffiness and bags under the eyes that can make patients look tired or older than they feel.
    Surgical facial rejuvenation isn’t the right choice for everyone, but for the appropriate candidate, it can accomplish what nonsurgical treatments alone cannot.
Ellacor Non-surgical option

Before & After

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Choosing the Right Treatment

There’s no single “best” facial rejuvenation treatment — the right approach depends on your specific signs of aging, your goals, how much downtime you can accommodate, and how long you’d like results to last. A patient with mostly fine lines and early volume loss will typically need a very different plan than a patient with significant skin laxity in the neck.

Dr. Ostad’s approach is to start with a thorough evaluation of your face and skin, discuss your priorities and timeline, and then recommend the combination of treatments most likely to get you a natural-looking result — whether that means starting with injectables and lasers, or moving directly to a surgical consultation.

Why Dr. Ariel Ostad?

Dr. Ariel Ostad is a board-certified dermatologic surgeon based in Manhattan, with extensive experience in both nonsurgical and surgical facial rejuvenation. His practice offers one of the broadest ranges of treatment options in NYC — from injectables and laser resurfacing to advanced technologies like Ellacor and EMFACE, as well as surgical procedures including neck lift and eyelid surgery.

Because Dr. Ostad performs and oversees such a wide range of treatments himself, he’s able to recommend the option that’s genuinely best for your face, rather than being limited to a narrow menu of services.

Frequently Asked Questions

What is facial rejuvenation?

Facial rejuvenation is a general term for treatments — both nonsurgical and surgical — that address the visible signs of aging in the face and neck, such as wrinkles, volume loss, skin laxity, and uneven texture or tone.

What is the best nonsurgical facial rejuvenation treatment?

There isn’t one universal answer, since it depends on your specific concerns. Injectables are often a good starting point for wrinkles and volume loss, while devices like Ellacor or EMFACE are better suited for skin laxity and jawline definition. A consultation helps determine which nonsurgical options fit your goals best.

How do you treat facial skin laxity?

Mild to moderate skin laxity is often treated with energy-based devices, micro-coring (Ellacor), or radiofrequency microneedling to stimulate collagen. More advanced laxity may respond better to a surgical approach for a longer-lasting result.

What helps a sagging jawline?

Options for a sagging jawline range from dermal fillers and skin-tightening devices to more targeted treatments like Ellacor, depending on how much laxity is present. In more advanced cases, a lower face and neck lift may be recommended.

What changes happen to the face after weight loss?

Weight loss can reduce facial volume and leave skin looser than before, sometimes making the face appear more aged. This is commonly addressed with a combination of volume restoration and skin-tightening treatments.

BOTOX in NYC Doctor - Dr. Ariel Ostad

Awards and Certifications

BOTOX® Cosmetic

Fillers

SKINVIVE™

Fraxel CO2

Microneedling

Fraxel Dual Restore

Cutera Laser

PicoWay® Laser

Microinfusion

Chemical Peels

AviClear™

EMFACE®

Double Chin

Photodynamic Therapy

MyEllevate®

Eyelid Surgery

Neck Lift

Oxylight® Facial

Diamond Glow

Mole Removal

Scar Revision

Fat Transfer

Brown Spots/Age Spots/Sun Spots

Skincare

AccuTite/BodyTite/FaceTite

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