Frankel Facial Plastic Surgery, LLC: Jonathan Frankel, MD

Facial rejuvenation, done well, restores your natural features rather than altering them.

Every treatment plan begins the same way: assessing what has changed, evaluating the underlying anatomy, and selecting precise treatments to address your specific needs.

✅ SURGERY
For jawline and neck definition, we offer deep plane facelift, neck lift, submental liposuction, and chin augmentation. To address upper facial heaviness, options include brow lift and upper or lower blepharoplasty. Midface volume loss can be treated with facial fat grafting. For nasal form or function, we provide rhinoplasty and septorhinoplasty.

✅ NONSURGICAL
We treat dynamic lines with Botox and Dysport. We use dermal fillers to restore volume and contour, perform nonsurgical rhinoplasty and chin augmentation We address texture, tone, and photodamage with CO₂ laser resurfacing, microneedling, and medical-grade skincare.

✅ WOMEN'S HEALTH
Lindi DeFrances, CNP, provides personalized midlife care—addressing sleep disruption, fatigue, mood changes, and skin changes related to perimenopause and menopause with an evidence-based, individualized approach.

Hundreds of patients, including many who travel from across the country, have entrusted us with their care.

We're grateful for that trust, and we don't take it lightly.

Every treatment begins with a consultation, an honest assessment, and a plan built around your anatomy and goals. Contact our office to get started.
[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]

Facial volume is not determined by soft tissue alone. The underlying skeleton provides the framework that supports the cheeks, lower eyelids, lips, and overall facial proportions.

Dr. Margaret Frankel’s own experience offers an interesting example. Her palatal expansion was undertaken to address her individual dental and skeletal anatomy. In addition to widening her smile and improving the transverse structure of her maxilla, it also enhanced support through the midface—creating a visible improvement in cheek contour without filler or other soft-tissue augmentation.

This does not mean that skeletal treatment is appropriate for every patient seeking greater midface volume. Palatal expansion and other structural interventions are significant treatments, and their suitability depends on a patient’s anatomy, age, dental and airway health, and overall goals. For some patients, filler, fat grafting, or facial surgery may be most appropriate. For others, an underlying dental or skeletal issue deserves consideration before attempting to camouflage it with additional volume.

As a facial plastic surgeon and a cosmetic and restorative dentist with a focus on airway health and facial development, Margaret and I evaluate the face from complementary perspectives. We understand how the teeth, jaws, airway, facial skeleton, and soft tissues influence one another—and how treating one component may affect the whole.

When patients elect to be evaluated through both of our practices, we collaborate closely to develop a comprehensive treatment plan focused on long-term well-being, facial balance, and natural aesthetic results.

And please excuse Bowie’s barking in the background. He was not formally invited to the multidisciplinary discussion but felt strongly that his perspective should be included.

[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]

Eight months after a deep plane face and neck lift, this patient demonstrates a more defined, rested, and natural appearance.

As the cheeks descend and the jawline softens, neck laxity and platysmal banding may also develop. Together, these changes can create an appearance that seems tired or stern and does not reflect how a patient feels.

A deep plane facelift addresses these concerns at their anatomical source. By releasing and repositioning the deeper tissues of the face, the procedure restores support to the midface and improves definition along the jawline. The neck lift addresses laxity and banding by tightening and repositioning the platysma muscle rather than relying on skin tension alone.

The goal is a sculpted, durable contour that preserves natural movement and avoids an overtightened appearance.

At eight months postoperatively, he has a stronger jawline, a smoother neck, and improved lower facial structure—while remaining completely recognizable as himself. The overall effect is balanced, vibrant, and naturally refreshed.

[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]

“Is hormone replacement therapy too risky—and is medication the only option?”

These common misconceptions may prevent women from seeking care that could meaningfully improve their quality of life.

Modern midlife care includes a range of hormonal and nonhormonal treatment options. Concerns about hormone therapy are often based on early interpretations of the Women’s Health Initiative, published more than two decades ago. Subsequent analyses have provided a more nuanced understanding of its benefits and risks, particularly for healthy women who begin treatment before age 60 or within 10 years of menopause.

Our approach begins with a comprehensive assessment of each patient’s symptoms, health history, risk factors, and goals. We then develop a treatment plan collaboratively, reviewing the current evidence as well as the potential benefits, risks, and alternatives.

Perimenopause and menopause care should never be one-size-fits-all. Hormone therapy may be appropriate for some women, while nonhormonal treatments or lifestyle interventions may be preferable for others. You should be informed and actively involved in every decision regarding your health.

Contact our office to schedule a personalized consultation. Together, we can explore safe, evidence-based options and develop a plan tailored to your individual needs.

[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]

We are proud to be part of a long-overdue movement that recognizes internal wellness and aesthetic goals are deeply connected.

Sleep, energy, hormonal health, and skin quality do not exist in isolation.

By integrating evidence-based perimenopause and menopause care with our aesthetic services, we can offer women a more thoughtful and comprehensive approach to looking and feeling their best.

Our commitment begins with listening carefully, understanding each patient’s individual concerns, and providing personalized support throughout her experience.

Contact our office to schedule a consultation with Wendy Landi and learn how our integrated approach can support you through midlife and beyond.

[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]

Five months after a deep plane face and neck lift, full-face microfat grafting, minimally invasive brow lift, and full-face CO₂ laser resurfacing, this patient demonstrates the benefits of a comprehensive approach to facial rejuvenation.

Each procedure addresses a different component of facial aging. The deep plane face and neck lift restores support and definition by repositioning the deeper tissues rather than simply tightening the skin. Microfat grafting restores age-related volume loss, particularly through the cheeks and other areas of facial hollowing.

The brow lift subtly repositions a heavy brow, creating a more open and relaxed appearance around the eyes. Finally, CO₂ laser resurfacing improves skin texture, tone, and fine lines—changes that surgery alone cannot address.

Together, these procedures have created a more defined jawline, restored facial volume, opened the eye area, and improved the overall quality and evenness of her skin.

At five months, her results will continue to soften and settle. Even at this stage, however, the benefits of treating facial structure, volume, brow position, and skin quality together are clearly evident.

[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]

Perimenopause and menopause can bring a wide range of changes that women may not immediately connect to shifting hormone levels.

These may include drier, thinner, or less elastic skin; disrupted sleep; mood changes; hot flashes and night sweats; joint discomfort; and decreased energy. Although every woman’s experience is different, these symptoms are often interconnected and influenced by declining estrogen and fluctuating progesterone levels.

The effects can also compound one another. Poor sleep may affect energy, mood, and the body’s ability to recover, while declining estrogen accelerates collagen loss and affects the skin’s hydration, thickness, and elasticity. Women are estimated to lose approximately 30% of their skin collagen during the first five years after menopause, which helps explain why these changes can seem to occur so quickly.

We believe effective midlife care should consider the full range of symptoms, their effect on quality of life, and each woman’s individual health history.

For appropriately selected patients, hormone replacement therapy can be an effective treatment for symptoms such as hot flashes and night sweats and may also support sleep, mood, bone health, and overall well-being. Treatment is never one-size-fits-all; the potential benefits, risks, and alternatives should be carefully reviewed for each patient.

If you are wondering whether hormone replacement therapy may be appropriate for you, our team is available to provide thoughtful, evidence-based guidance.

Contact us to schedule a personalized consultation.

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