As the years go by, even with the best skincare and healthy habits, time inevitably leaves its mark. For many people, the changes start subtly — a little sagging here, a loss of firmness there — until one day, the mirror reflects a version of you that doesn’t quite match how you feel inside. If this sounds familiar, you may be wondering if it’s time to consider a facelift.
At Manhattan Facial Plastic Surgery, Dr. Joseph J. Rousso, MD, FACS, offers patients a refined, natural approach to facial rejuvenation. A double board-certified and internationally renowned facial plastic surgeon, Dr. Rousso specializes exclusively in facial aesthetics and reconstructive surgery. Based in Manhattan’s Gramercy neighborhood, he has helped thousands of patients restore a youthful, refreshed appearance with artistry, precision, and compassion.
Here are five subtle signs you might be ready for a facelift in 2026 — and how Dr. Rousso’s expertise can help you look as vibrant as you feel.
1. Your Jawline Has Lost Its Definition
One of the earliest and most noticeable signs of aging is the loss of a sharp, contoured jawline. Skin laxity, reduced collagen, and shifting facial fat pads can create jowls or a sagging lower face.
According to the American Society of Plastic Surgeons (ASPS), facelifts remain one of the most popular surgical rejuvenation procedures, with more than 79,000 performed annually in the U.S. The primary reason? To restore that youthful, defined jawline.
A modern facelift, like the deep-plane or SMAS technique performed by Dr. Rousso, repositions the underlying muscles and tissues rather than simply tightening the skin. This creates lasting, natural definition — not the “pulled” look of older methods.
2. Your Cheeks Look Flattened or Hollow
Volume loss in the midface is another subtle but telling sign of aging. When facial fat diminishes or shifts downward, the cheeks appear deflated, and the face takes on a tired look.
While dermal fillers can temporarily restore fullness, a facelift can lift and reposition your natural tissues for a more balanced, youthful contour. Dr. Rousso often combines facelifts with fat grafting or volume restoration techniques to rejuvenate the entire midface harmoniously.
3. You’re Noticing Deeper Nasolabial Folds and Marionette Lines
The deep creases that form around the mouth — often called smile lines or laugh lines — can become more pronounced over time. When these folds deepen despite non-surgical treatments, it may be a sign that skin laxity, not just surface wrinkles, is to blame.
A facelift gently elevates sagging facial structures, softening these lines naturally. This approach restores smoothness and dimension without freezing expression or relying solely on injectables.
4. Non-Surgical Treatments Aren’t Giving You the Same Results
Injectables, laser treatments, and skin tightening devices can work wonders in your 30s and 40s. However, as collagen and elastin production continues to decline, the skin’s ability to “snap back” weakens. If you’ve noticed your results aren’t lasting as long or aren’t as dramatic as before, a facelift might be the next logical step.
Dr. Rousso helps patients transition from non-invasive to surgical rejuvenation gracefully. His expertise ensures results that still look like you — simply refreshed, youthful, and rested.
5. You Want to Look as Young as You Feel
Ultimately, the decision to pursue a facelift is personal. Many patients come in not because they want to look “different,” but because they want their appearance to reflect their energy and confidence.
A study published in JAMA Facial Plastic Surgery found that patients who underwent facelifts reported looking on average 7–9 years younger, with high satisfaction rates and long-lasting confidence boosts. For many, the procedure is less about vanity and more about harmony — aligning how they look on the outside with how they feel on the inside.
The Expertise of Dr. Joseph J. Rousso, MD, FACS
With advanced training and decades of experience, Dr. Rousso is a trusted expert in both cosmetic and reconstructive facial surgery. His double board certification in Facial Plastic and Reconstructive Surgery and Otolaryngology – Head and Neck Surgery underscores his deep understanding of facial anatomy and aesthetics. Patients from New York City and around the world seek him for his natural results, meticulous artistry, and compassionate care.
Located in Gramercy, Manhattan, Manhattan Facial Plastic Surgery provides a private, state-of-the-art environment where every detail of your care is customized to your goals. Whether you’re just starting to explore facial rejuvenation or are ready to take the next step, Dr. Rousso will guide you with honesty, precision, and skill.
Rediscover a Timeless, Natural You in 2026
If you’ve begun noticing these subtle changes — and want to restore a youthful, refreshed appearance without looking “overdone” — it may be time to explore facelift options.
Schedule your private consultation with Dr. Joseph J. Rousso, MD, FACS, at Manhattan Facial Plastic Surgery today. Let 2026 be the year you rediscover your most confident self.