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At a certain point in life many people look in the mirror and discover that they don’t look the way they feel. It may come after a special birthday, after seeing old friends or seeing grandchildren who, can be brutally honest. We see people daily in the office who want to look their best without being a caricature of themselves or looking “done”. Both men and women want to look refreshed without looking pulled or over tightened. Over the past 30 years we have tried many, if not all, of the facelift innovations that have been published and learned a great deal from our results and how patients have reacted to various techniques. We have gone from doing a “skin only” to deeper planes to plications of the connective tissue to achieve the goals we desire. We have seen that enough has to be done to make a lasting difference but that sometimes doing more results in less. With this in mind and acknowledging that every patient is unique we have developed the NaturalLift™.
Recovery:
10-14 days
Cost:
Starts at $21K
Results:
3-6 months
WHAT IS NATURALLIFT™?
The NaturalLift™ is a procedure that can be done under sedation and local anesthesia to provide a safe, comfortable experience with a quicker recovery. It involves incisions in the sideburn hairline area, then down inside the ear (to avoid a scar in front of the ear), under the earlobe and then behind the ear and into the hairline again. After the skin is elevated, the deeper structures are tightened. A deep plane technique is used to tighten the neck muscles and address the neck bands through a small incision well hidden under the chin. The SMAS is tightened in the cheek with long lasting sutures. Fat is also removed in the neck and jowls. Buccal fat may also be removed from the lower cheeks through an incision in the mouth at the same time. The excess skin that naturally occurs from the underlying tightening is removed and the flaps “glued” down with a spray fibrin matrix that decreases bruising and leads to faster healing. No drains are required.
The NaturalLift™ addresses aging from the lateral orbit down to the lower neck. It elevates the cheeks, sharpens the jawline and defines the neck. It may be combined with improvements to the upper and lower eyelids as well as the brow at the same time. The results of the NaturalLift™ facelift last a long time, providing results for 10-15 years.
What to Expect
The NaturalLift™ is performed in our QuadA approved operating suite in a safe, caring environment. The procedure itself takes between 3-5 hours depending on what else is being done. Often patients will want to have excess eyelid skin and bags corrected at the same time. We have excellent caring nurses and staff who have many years of experience.
NaturalLift™ Recovery
People go home with a friend or loved one the day of surgery and rest for the remainder of the evening with their head elevated. The next day the bandage can come off and within a week you can resume many of your normal activities.
NaturalLift™ Candidates
Good candidates are those people who have been found to be medically fit, are off medications and supplements that can lead to bruising and have a few weeks to recover. We have done this procedure in people as young as their 40’s all the way to people in their 80’s with excellent results. All of the sutures used dissolve with no need to have them removed.
NaturalLift™ Recovery
After the procedure you will go home and rest most likely not recalling any of the events of the procedure. You will be in little to no discomfort and will have the personal phone number of your surgeon should you have question or concerns. You will return to the office in a few days after the procedure for a quick check and then return home to rest. Arrangements can be made for visiting nurses if desired (not required) and/or local accommodation for our out of town/country guests.
The incisions will mature with time and become almost invisible. We ask that you refrain from direct sun exposure for a few months after the procedure. Exercise may resume after 5 weeks.
Schedule a Consultation
To get the natural “unoperated-on” look of the NaturalLift™ facelift please contact our office to schedule a complimentary consultation.
Keshav Magge, MD, FACS
Board-Certified Plastic Surgeon
Honored as a Top Doctor by Bethesda Magazine and Washingtonian in both 2024 and 2025, Dr. Magge is recognized for his exceptional surgical skill, artistic precision, and patient-centered approach. A leading plastic surgeon in Bethesda, Maryland, he completed a fellowship in Craniofacial and Pediatric Plastic Surgery at Children’s National Medical Center in Washington, D.C., where he gained advanced expertise in facial rejuvenation and aesthetic surgery innovations.
Meet Dr. Magge
A. Dean Jabs, MD, PhD, FACS
Board-Certified Plastic Surgeon
Dr. Jabs is an award-winning, board-certified plastic surgeon recognized nationally for his expertise in creating natural-looking results and his warm, compassionate approach to patient care. Trained in NY at Columbia University, he served in the US Army and has special expertise in facial rejuvenation. He has over 35 years of experience and has consistently been voted a top plastic surgeon by Washingtonian and Bethesda magazine.
Meet Dr. Jabs
Franklin D. Richards, MD, FACS
Board-Certified Plastic Surgeon
Dr. Richards has been recognized as a Top Doctor by several prestigious organizations, including Castle Connolly, Consumers’ Research Council of America, and Washingtonian magazine. A leading plastic surgeon in Bethesda, Maryland, Dr. Richards is the past Chief of Plastic Surgery at Johns Hopkins Suburban Hospital. His expertise is in achieving natural results in facelift and eyelid surgery, with additional interests in cosmetic surgery of the breast and abdomen.
Meet Dr. Richards
Complementary Procedures
Eyelid Surgery
Eyelid surgery, or blepharoplasty, addresses sagging upper eyelids and heavy under-eye bags. Upper and lower eyelid surgery can be performed separately or together to turn back the clock on aging and rejuvenate brighter, more alert eyes.
Neck Lift
A neck lift creates a more sculpted and youthful neck by removing loose skin from the neck and jawline, and tightening the vertical bands that may have lost elasticity due to natural aging.
Rhinoplasty
Rhinoplasty, or cosmetic nose surgery, can have aesthetic and functional benefits for patients. Various concerns, including a dorsal hump, crooked nose, large nose, or breathing difficulties, can all be addressed with customized rhinoplasty procedures.
The staff was amazing and made me feel comfortable every step of the way.
Get it DONE! The staff was amazing and made me feel comfortable every step of the way. My results are amazing, and I conquered the biggest hurdle in this journey - picking the correct Doctor and team. No regrets. Thank you, CSA.
– verified patient
I have been going to CSA for over a year, and it’s always such a nice visit.
I have been going to CSA for over a year, and it's always such a nice visit. Super professional, and I always feel taken care of.
– verified patient
I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES.
I had such an amazing overall experience at Cosmetic Surgery Associates. The staff is very pleasant. I had my first invasive cosmetic procedure done back in September, and the final results are amazing. I LOVE IT. I'm so much happier with my body now. HIGHLY RECOMMEND. Prior to my surgery, I had been thinking about this for a while, and I'm so happy I made the decision to go through with it. I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES. HIGHLY HIGHLY RECOMMEND!!
– verified patient
Their equipment, skill level, and expertise are superb.
This practice is truly outstanding! Their equipment, skill level, and expertise are superb. The staff is extremely friendly, kind, and professional; they make you feel comfortable as soon as you walk in the door.
– verified patient
Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office.
Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office. The day of my surgery, the staff took amazing care of me and went above and beyond to calm my nerves, talk me through it, and made it such a great experience. I highly recommend this office. I can't thank them enough for all that they did for me!
– verified patient
My experience there was beyond 5 stars.
My experience there was beyond 5 stars. From taking the appointment to post surgery. Even now after 10 months, the follow ups are outstanding. The whole staff took great care of me and the results are what I expected. Thank you for everything. Don't think twice and use this clinic if you want best in class service and the best result.
– verified patient
All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff.
Literally every staff member I interacted with from the front desk down to the surgical team gave stellar customer service and truly made me feel comfortable. My sister even felt the warm energy from the staff after meeting them the morning of surgery. All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff. I would highly recommend Cosmetic Surgery Associates to anyone seeking a cosmetic procedure!
– verified patient
I can’t stress enough how great this whole experience has been.
I can't stress enough how great this whole experience has been. Not only did he make me feel comfortable in my body, but 10x more confident. His work is truly beautiful. 100% recommend!!
– verified patient
I feel very comfortable and look better in my clothes.
The staff are professional, caring, and pay attention to detail. Almost 10 months post op. The results exceeded my expectations. I feel very comfortable and look better in my clothes. I'm so grateful. I highly recommend this practice.
– verified patient
The staff was wonderful, respectful, accommodating, and very knowledgeable!
The staff was wonderful, respectful, accommodating, and very knowledgeable! The facility was very clean and one of the staff members helped me work the coffee machine for a fresh cup of coffee!
– verified patient
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