Facelift and Necklift Surgeon in Santa Monica


A facelift is among the most complex procedures performed among plastic surgeons because it requires an exact understanding of facial biometrics, balance, and aesthetics. During a facelift, excess skin is removed from the face in order to efface deep wrinkles caused by sun damage and facial aging. In addition, our Beverly Hills plastic surgeon reinforces the underlying structural matrix fo the face and neck in order to exact a tightening effect on the face overall. Schedule a consultation with Dr. Raffy Karamanoukian to discuss options for a surgical facelift or a non-surgical facelift. 


One of the most commonly experienced problems with facelifts is the lack of attention placed onto the skin before and after surgery. Dr. Raffy Karamanoukian has lectured on the topic and has labelled the problem as 'facelift skin discordance,' in which a surgeon places great emphasis on the surgical treatment of the excess skin but fails to address deep wrinkling of the face that is not removed during a facelift procedure. At Kare Plastic Surgery + Skin Health Center in Santa Monica, we have developed skin resurfacing protocols that can improve the results of a facelift. By tightening and improving the skin of the face, facelift results are improved and wrinkles are decreased. 

Our office utilizes the DEKA Smartxide Fractional CO2 laser to resurface the skin. Dr. Karamanoukian can titrate the depth of laser penetration so that teh dermis is tightened and deep wrinkles are eliminated. Combined with facelift scar revision, fractional CO2 laser skin resurfacing can dramatically improve your skin complexion and tighten your face and neck. 


Kybella is an FDA-Approved injection that can melt away fat from the area below the chin, also known as the 'double-chin." Unlike a necklift or neck liposuction, Kybella is non-invasive and requires no surgery or incisions. Moderate amounts of excess fat without significantly loose skin can be corrected with this minimally-invasive procedure. The goal of Kybella is to inject small amounts of a medicine into the fat cells in the upper neck in order to rupture the fat cells and permanently destroy them. Once the fat cells are destroyed, it is unlikely that you will regain significant amounts of the fat in the area.

Dr. Karamanoukian is certified in Kybella and uses it as an alternative to chin liposuction. Treatments are generally conservative with two to three weeks of mild swelling post-procedure. Depending on the amount of fat you have under the chin, you may need more than one treatment.