Frankel Facial Plastic Surgery, LLC: Jonathan Frankel, MD

Watch our esthetician Jen walk you through a simple lymphatic massage you can do yourself after surgery to help move fluid, ease swelling, and keep you comfortable as everything settles.

One of the most common things patients tell us in the early weeks is that their faces can feel tight and full.

This is completely normal, and gentle lymphatic massage helps that process along, encouraging the fluid to drain so the swelling comes down more evenly.

A little circulation really does go a long way.

The best part is how easy it is; it's gentle, takes just a couple of minutes, and fits right into your morning or nighttime routine while you wash your face.

Follow along with Jen and make it part of your recovery.

[Frankel Facial Plastic Surgery, facial plastic surgery, facial rejuvenation, natural results, expert facial surgeon, board-certified facial plastic surgeon, anti-aging solutions, Cleveland facial plastic surgeon, Ohio facelift expert, patient-centered care, surgical education]

Six months following rhinoplasty, this patient is healing beautifully and already showing a wonderful result.

One of her primary goals was to address the prominence of the nasal bridge.

At this stage, the profile is smoother and more balanced, creating a straighter contour that fits naturally with her other facial features. The bridge has been refined, the tip is more defined, and the overall shape of the nose feels harmonious with the rest of her face.

What is important to remember is that healing after rhinoplasty continues well beyond the first few months. While she already looks excellent, subtle refinements will continue as the remaining swelling resolves, particularly in the nasal tip.
This is one of the reasons patience is so important after rhinoplasty.

The best results often reveal themselves gradually as the nose continues to settle and define over time.

[Frankel Facial Plastic Surgery, facial plastic surgery, facial rejuvenation, natural results, expert facial surgeon, board-certified facial plastic surgeon, anti-aging solutions, Cleveland facial plastic surgeon, Ohio facelift expert, patient-centered care, surgical education]

There's no single “right” age for facial rejuvenation, and the answer is very individual. Two people the same age can be in completely different places, and that's exactly why I never go by a number.

What actually matters is your anatomy: how your skin is aging, the quality and elasticity of your tissues, the degree of laxity along your jawline and neck, and your bone structure underneath.

I've seen patients in their 40s who are ideal candidates because they want to address early changes before they progress, and patients well into their sixties and seventies who get beautiful, natural results because their tissue quality is excellent.

The best time is simply when the changes that bother you are present.

Wondering if this is for you? Book a consultation today!

[Frankel Facial Plastic Surgery, facial plastic surgery, facial rejuvenation, natural results, expert facial surgeon, board-certified facial plastic surgeon, anti-aging solutions, Cleveland facial plastic surgeon, Ohio facelift expert, patient-centered care, surgical education]

“Can one side be better than the other?”

It is a reasonable question, but in my experience, significant side-to-side differences are not something I commonly see.

During fat grafting, the fat is carefully purified and placed in a smooth, layered pattern from multiple directions. Once transferred, the surrounding tissues develop a blood supply to support the grafted fat. When meticulous technique is used, the process is remarkably predictable.

There are factors that can influence how much of the transferred fat survives, including age, overall health, and smoking history. However, those factors generally affect the face as a whole rather than causing one side to behave differently from the other.

Typically, about two-thirds of the transferred fat establishes a blood supply and remains long term, while the remainder is naturally absorbed by the body over the first several weeks of healing.

What I appreciate most about fat grafting is how natural the results can be. When performed thoughtfully, it is an excellent way to restore volume and create a refreshed, balanced appearance.

[Frankel Facial Plastic Surgery, facial plastic surgery, facial rejuvenation, natural results, expert facial surgeon, board-certified facial plastic surgeon, anti-aging solutions, Cleveland facial plastic surgeon, Ohio facelift expert, patient-centered care, surgical education]

Two and a half months following a rhinoplasty, and she is already looking fantastic!

These are still early results, with more refinement to come as swelling continues to settle, especially in the tip.

Her primary goals were:

- Straighten the nasal profile
- Reduce the dorsal hump
- Rotate the nasal tip to correct tip ptosis
- Correct the groove of the nasal tip
- Refine and support the nasal tip

Excited to watch her results continue to come together over the next few months.

[Frankel Facial Plastic Surgery, facial plastic surgery, facial rejuvenation, natural results, expert facial surgeon, board-certified facial plastic surgeon, anti-aging solutions, Cleveland facial plastic surgeon, Ohio facelift expert, patient-centered care, surgical education]

Do you ever wonder why some people develop under-eye bags more than others, no matter how well they take care of themselves?

A lot of it comes down to facial structure, which influences how the eyes look and how they age over time.

Things like the position of your cheekbones and the support along the lower edge of the eye socket basically decide how much "scaffolding" your under-eye area has.

When there's less bony support there, the fat and soft tissue have less to rest on, so puffiness, hollows, and shadows tend to show up earlier and look more noticeable as you age.

That's why two people can have the same routine and totally different under-eyes.

And that’s exactly why I look at the bone supporting the eyes before anything else.

Understanding that foundation is what lets me build a plan around your specific structure rather than a one-size-fits-all fix.

[Frankel Facial Plastic Surgery, facial plastic surgery, facial rejuvenation, natural results, expert facial surgeon, board-certified facial plastic surgeon, anti-aging solutions, Cleveland facial plastic surgeon, Ohio facelift expert, patient-centered care, surgical education]

One question I occasionally get from patients is whether I use endotines during brow lift surgery.

Endotines are small, dissolvable implants used to anchor the brows after they have been repositioned. They are effective, but because they can sometimes be felt through the scalp while they dissolve, many patients prefer other options.

What I think is more important than the specific anchoring method is how the brow is released before it is lifted.

A key part of the procedure is releasing the arcus marginalis, one of the structures that help hold the brow in its descended position. When the brow is fully released, it can be repositioned without significant tension.

At that point, the anchoring technique simply needs to hold the brow in place while healing occurs over the next several weeks.

As with many aspects of facial plastic surgery, the discussion often focuses on the tools being used. In reality, the success and longevity of the result usually depend more on the surgical technique and thoughtful ex*****on than on any single device.

[Frankel Facial Plastic Surgery, facial plastic surgery, facial rejuvenation, natural results, expert facial surgeon, board-certified facial plastic surgeon, anti-aging solutions, Cleveland facial plastic surgeon, Ohio facelift expert, patient-centered care, surgical education]