The LiteLift® Modified Facelift in Orange County

Better than a Mini Facelift, SMAS Facelift

Lite Lift before and after photo

Lite Lift before and after photo

About the LiteLift®

The LiteLift® is an innovative facelift developed by board-certified plastic surgeons, Dr. Jed Horowitz and Dr. Larry Nichter, with the goal of providing a less invasive option for women and men wanting to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.

The technique developed by the doctors requires limited incisions and takes a vertical lifting approach, in contrast to the traditional facelift, which requires extensive incisions and lifts or pulls the face towards the ears horizontally. The modern techniques used by Dr. Horowitz and Dr. Nichter allow them to perform most LiteLift® procedures in the office under local anesthesia. Removing the risk of general anesthesia opens the door for more people to pursue facial surgery. All too often people don’t move forward with having facelift surgery due to their overwhelming fear of the risks associated with general anesthesia.

The LiteLift® is not a “Thread-lift” or “String-lift,” and is not to be confused with the mega facelift chain the Lifestyle Lift, which has closed it’s doors nationwide. It is a real procedure that yields real results. The procedure does not give patients the over-done plastic look so many people are fearful of looking like after facial surgery. Patients look years younger in a refreshed natural way.

The Litelift® facelift reduces the signs of aging of the lower face, jawline, and neck. Other complimentary facial procedures can be combined with the LiteLift such as upper and lower eyelid surgery, temple lift or brow lift and fat transfer.

The modified facelift technique perfected by Doctors Horowitz and Nichter results in less swelling, bruising, and healing compared to traditional facelift procedures. Many patients can go back to work one week after surgery, while others may require up to two weeks. Recovery varies from patient to patient. Some people naturally heal faster than others. There are a variety of factors that can prolong healing such as age, medical conditions, certain prescription medications and supplements, and combining multiple procedures into one surgery.

Dr. Horowitz and Dr. Nichter have over 27 years of combined experience performing every type of facelift, browlift, midface-lift and eyelid surgery. Their medical spa; BioSpa offers add-on treatments such as lasers, medical peels, botox and injectable fillers, and skincare for those who are interested in further enhancing their overall result.

What to expect during your consultation

The LiteLift® consultation begins with an introduction to our office. One of our knowledgable patient coordinators will escort you to a private consultation room where she will review your completed paperwork and get to know more about your goals and desires. Your patient coordinator will then introduce you to the surgeon you have requested. Your surgeon will review your medical history, followed by an examination of your face, keeping in mind the concerns that brought you into the office. Dr. Horowitz or Dr. Nichter will determine if you are a good candidate for the Lite-lift®. If so, he will explain and demonstrate how the procedure will improve your appearance. If any other procedures are recommended as part of your treatment plan, he will make the appropriate recommendation.

Common procedures added to the LiteLift®: liposuction of the neck and jawline, upper eyelid surgery, lower eyelid surgery, temple lift, brow lift, fat transfer, platysmaplasty, and sometimes a chin implant. The Obagi Blue Peel is frequently recommended for men or women who have severe sun damage, discoloration, or skin texture issues. A LiteLift® and even traditional facelift will not address these issues, so non-surgical treatments may be recommended for optimal results.

Patients who have severe aging: very loose, sun-damaged skin, severe laxity of the neck, heavy naso-labial folds, drooping of the lower lids and mid-face will need to have multiple procedures to achieve a good result. In these cases, it may be recommended for the surgery to be performed under general anesthesia. This will allow your surgeon to perform all procedures in one surgery.

How is the LiteLift® performed?

We ask that you arrive at our office wearing comfortable, loose clothing. Socks are recommended so you don’t get chilly in our treatment room. Your nurse will take you back to one of our waiting rooms. Your surgeon will meet with you to re-confirm your treatment plan and answer any last minute questions you may have. The nurse will then administer an oral sedative such as Valium or Xanax. Once it is determined that you are at the appropriate relaxation state, you will be taken to our procedure room. Your surgeon will then administer tiny injections containing a local anesthetic. These injections will completely numb the area/s being treated. The combination of the oral sedative and local anesthesia provides a pain-free, comfortable surgery setting. Some of our patients fall completely asleep due to the sedative medication, while others will dose off intermittently throughout surgery.

The LiteLift® usually requires limited incisions within the ear, the sideburn, and around the earlobe. These are well hidden and will become undetectable over time. The strong layers under the skin that support the jowl and neck are lifted with long lasting sutures that define and rejuvenate the jawline and neckline. The Lite-lift® takes about two hours. Additional minor procedures can be added to enhance the result of this fast-recovery facelift. Examples of minor procedures are: liposuction of the neck, “mini-browlift” (temple lift), eyelid skin pinch, laser skin rejuvenation, Obagi Blue Peel, and injectables (i.e. Botox, Juvederm, Voluma, Radiesse).

How long is the healing process?

Healing time for the Lite-lift® is relatively quick, requiring no more than a week for most patients’ early recovery period. Many patients can resume work after just one week as long as the job doesn’t require much physical activity. For those with strenuous jobs such as fitness instructor, firefighter, law enforcement, ER doctor or nurse, your surgeon may require several weeks off work. This is to ensure you don’t cause any unnecessary complications or delay your healing by resuming physical activity to early. Please note: Adding procedures to your LiteLift® can lengthen the recovery period.

Throughout the healing process you will be seen frequently by your doctor and one of our registered nurses to ensure you are following instructions properly and your recovery is going well. The healing process in general can take up to one month for the majority of swelling to subside, incisions to close, sutures to come out, and for bruising to completely go away. This does not mean you are unable to resume regular daily activities, go to work, etc. For those who are susceptible to bruising, we have prescription grade make-up that is very good at hiding the signs of surgery, and is also formulated to allow necessary oxygen to your face for optimal healing. The make-up is called Oxygenetix and can be purchased at our front desk.

*If you are having surgery prior to a big event, trip, etc., please let your surgeon know, so he can inform you of how much time to allow for recovery to ensure you are ready to go in time!* Dr. Horowitz or Dr. Nichter will discuss the recovery process in detail during your initial consultation visit and it will be covered again by our registered nurse during your pre-op visit. RealSelf Patient Reviews of Jed H. Horowitz, MD, FACS

RealSelf Patient Reviews of Jed H. Horowitz, MD, FACS

Top 10 LiteLift® Questions Answered

What is the Lite Lift® and how does it differ from a traditional facelift?

The Lite Lift® provides:

  • less scaring (short scar technique)
  • a quicker recovery
  • no need for general anesthesia
  • a more natural look (pull is vertical in direction)

Not everyone requires a traditional facelift to provide beautiful, long lasting results. The Lite Lift® is a minimally invasive option that addresses aging of the face and neck. The LiteLift® is customized to the patient’s needs and goals. This is not a one-size fit all approach.

How does the Lite Lift® differ from a mini facelift?

“Mini Facelift” is a generalized “catch all” term that can mean different things depending on the doctor you ask. This often makes the real definition difficult for a patient to pin down. It typically only addresses the skin. The, Lite Lift®, however, addresses the deeper muscle layer providing the patient with a thorough, natural, long lasting result.

Who are the best candidates?

Any healthy individual wishing to address the signs of aging in the lower face and neck. Male and female patients wanting to look younger naturally are ideal candidates. Individuals who are unable to have surgery under general anesthesia, may be good candidates to have the LiteLift under local anesthesia.

Does the Lite Lift® offer natural results?

YES! This is one of the best attributes the Lite Lift® offers. You will still look like yourself, but with a more youthful, rested appearance. The vertical approach to the lift, simply re-positions the facial tissues back where they were prior to the aging process resulting in a very natural look. Imagine a picture of yourself 10 years ago. This is what the LiteLift is capable of achieving.

Is general anesthesia necessary?

In the majority of cases not. Our primary goal is to ensure the comfort and safety of our patients. About 75% of our patients choose to have the Lite Lift® with an oral sedation and local anesthetic. However, we’re happy to offer other anesthesia options so our patients are able to choose which one they’re most comfortable with. We offer the following options:

  • IV Sedation (aka Twilight)
  • Oral sedation with local anesthetic
  • General anesthesia

How long will the results of the Lite Lift® last?

Forever. You will continue to age which depends on many factors including genetics, lifestyle, and skin elasticity, but you will always look younger. The effects of the Lite Lift® will be with you forever.

What is the recovery like? How soon will a patient feel comfortable being seen in public?

Patients usually feel some tightness, firmness under the skin, and moderate swelling & bruising during the first week. Most patients feel comfortable being out in public shortly thereafter. It’s best to allow one to two weeks depending on the individual.

How does the Lite Lift® differ from the Life Style Lift that you hear so much about?

Life Style Lift is a national chain with surgeons of various training & experience; not all have been board certified by the American Board of Plastic Surgery. Our surgeons offer several anesthesia options to ensure the patient’s optimal comfort.

  • We’re an aesthetic practice with board certified plastic surgeons who have been serving Orange County for over 25 years. They are both credentialed at Hoag and Long Beach Memorial.
  • We strive to give our patients individual attention and care – While the Lite Lift® is a vertical shortscar facelift, each one is customized to meet the patients unique needs.

Why don’t all plastic surgeons perform this procedure?

Our doctors have pioneered the Lite Lift® procedure. It is individualized for each patient; not one a “one size fits all” approach.

How long have Drs. Horowitz and Nichter been performing the Lite Lift®?

For more than 10 years. We’re proud that our doctors are passionate about continuing their education; they are always researching the latest in plastic surgery techniques to ensure their patients are getting the best possible care and results. Our doctors paid attention to their our patient’s comments about wanting a procedure with a quick recovery, shorter incisions, local anesthetic, and a more natural looking result.

Q&A at LiteLift® Event

Our doctors answer patients’ questions at one of our LiteLift® Events.

Part one:

Part two:

How long would the fat last?

So the question was can you actually transfer fat into the face rather than using fillers?

I have enough to transfer.


There’s actually donors. We have witnessed a donor [INAUDIBLE]. But first of all, that’s a great question. And the answer is yes. Fat turns out to be a very interesting cell of the body. In fact, it’s a stem cell. A lot of you have probably heard that term, stem cell.

It can actually even improve the overlying skin if there was severe damage to the skin. Not completely, but to some extent. But it’s great, because it’s a great time. And more and more of this is one of the ancillary procedures I was mentioning that we do. And we recommend it often.

The reason it’s a great question is it’s true that as with time and gravity, that tissues sag, you also tend to lose volume in your cheeks. And of interest, it’s not just these cheeks. It’s on the side of these cheeks too. But there’s other places– simultaneously fat cells and other locations that must have receptors, we figure, because in other locations, in a woman, on a cello or pear shaped distribution in a man, the spare tire distribution, where the fat cells tend to grow, we can take fat cells from those areas and transplant it.

And when they’re transplanted, they always remember their home address. So they to keep their volume up, and so it’s a great thing to do. And sometimes, it even requires more than one injection, because the fat cells that are native there tend to fade with time. But it’s a wonderful thing to do. And that could be done at the very same time or later. And that’s a wonderful question, and it’s a great thing to do.

The sign of youth is like an egg. And when you’re early on in life, and younger, the skinny side off the egg is down. And then, as you get older, it goes in the opposite direction. And that’s just with gravity. So it’s not just the loose skin and everything, as well. It’s also restoring the volume up high on the cheeks. And yes, it can be done. It’s a wonderful thing to do.

Part three

The question about thin skinned. I’ve used Differin for about 20 years, and I notice that my skin seems to be extra delicate. How does that affect what you do, if at all?

OK, so we take care of patients that have run a gamut of ages. We have patients that are probably in their early ’40s, and we have patients who are substantially older than that. And all different types of skin types, based on age, based on ethnicity, based on where they grew up, and sun damage in California. Skin that’s been taken care of, because they live in a more Northeastern climate. So we really have a gamut of skin types that we take care of.

The procedure, because it’s less invasive than a standard, a traditional face lift, we clearly have– there are less issues. Even patients that we worry about, patients who smoke, are always a higher risk for having problems. Because there’s less tissues with circulation with this particular technique, those patients do better. We’re a little bit less concerned when we operate on those patients.