Vampire Facelift™ Video – Performed by Dr. Prasad

New York’s Dr. Amiya Prasad explains and performs The Vampire Facelift™ on a patient. Dr. Amiya Prasad was trained by Dr. Charles Runels, inventor of the “Vampire Facelift™, and now offers his patients in New York and Long Island The Vampire Facelift™. Used to treat hollowing under eye area and cheeks losing volume with age as well as the area around the mouth, The Vampire Facelift™ is a great non-surgical solution without any downtime.

The patient undergoes a Vampire Facelift™ performed using a combination of hyaluronic acid (such as Restylane or Juvederm) with platelet rich fibrin matrix (activated platelet rich plasma or PRP) using the Selphyl of RegenLab system in an artistic way to restore the lost volume in the face. Dr. Prasad’s Vampire Facelift™ patients enjoy natural results using their own blood that is then specially processed for use as a natural filler for the face, eyes, cheeks and mouth with immediate results and minimal bruising and swelling.

Administered like an injectable filler, the benefit of the Vampire Facelift™ continues over time after the procedure as the growth factors in the blood stimulate the body to create collagen and new blood vessels which create a beautiful complexion to the skin and enhance the face.

Dr. Prasad offers the Vampire Facelift™ procedure at his offices in Manhattan and Garden City, Long Island.

To schedule a consultation with Dr. Prasad for the Vampire Facelift™, call 212-265-8877 or email

Facial Reshaping As we Age

Q: Hi, i’d like to know if a face lift can be used to reshape the face and not just for sagging skin. i’m 30 years old so my skin is still pretty tight but the whole face is kinda “droopy”, i wonder if a face lift or a forehead lift could just be used to reshape the upper part of my face and make it wider and make the eyes a little more almond shape or make the jawline tighter.

A: Someone who is 30 years old or younger may not be ready for a facelift surgery, but may be showing signs of aging. This question identifies elements of the face that define a youthful face and elements of the face that change due to aging that make one appear older that he or she is. Instead of lifting, there are options to add volume. In my book “The Fine Art of Looking Younger”, I address facial aging as 2 processes: dissent and volume loss. Dissent is when part of the face or body begin to droop downward, such as the skin, cheeks, and eyes. Volume loss is when the features lose their fullness, such as hollowing in the cheek area. This question asks to add volume to the cheek area and make the eyes appear more almond shape and upturned- both of those are the elements of a youthful face. Facial aging has been described by many of our colleagues,that when we are younger, our face is like an upside down triangle (in which the top part of the face is wider); as we get older, it is more like a triangle in the proper orientation (in which the lower part of the face is wider). There are choices to help you improve your appearance. My advice: find a qualified cosmetic surgeon, (who doesn’t necessarily have to perform surgery) that is familiar and comfortable with facial work and can provide the results you.

Are you a candidate for a neck lift?

Cosmetic surgeon Dr. Amiya Prasad answers Question on neck lift surgery:

75 Year Old Male in Good Health: Am I too old for a neck lift? What procedure options do I have for neck lines?

Neck Nonsurgical Rejuvenation: Beware of Media Hype, It’s Your Neck, Your Results

When your neck skin started sagging, you took it in stride. Then, you invested in neck-firming creams and serums that your friends swore by. Now, after too many turtlenecks and failed DIY efforts, you’re in search of a serious solution. Can a nonsurgical procedure tighten your turkey neck? The answer may depend more on whom you ask than the state of your sinking skin. If a cosmetic cure sounds too good to be true, it just might be. Use my guidelines to tease out the truth behind neck treatments:

Proper Prep:

After you book a consultation with an M.D., do your neck rejuvenation research. But, don’t scour the Internet for every statistic and story of woe—too much info might confuse rather than clarify. Brush up on the basics:

When and Why: When middle age rears its head, you may notice neck skin sinking south. With aging, you lose muscle tone and subcutaneous fat, which define your jaw line and maintain skin elasticity.

Surgical Neck Rejuvenation, or a neck lift, refers to two procedures:

  Cervicoplasty: the removal of excess loose skin.

Platysmaplasty: the tightening of the neck muscle.

  Nonsurgical procedures address different levels and types of surface damage. Once skin loses elasticity, however, surgical neck rejuvenation is the only solution. Don’t trust anyone—expert or friend—who contends otherwise.

Injectibles: Botox can help reduce horizontal neck wrinkles when skin is still elastic. One treatment may last three or four months.

Noninvasive Ultrasound Therapy: Thermage, Titan, the newer Ulthera, and Pelleve, which I prefer and offer, tighten skin and treat wrinkles by heating the skin to generate collagen.. This, however, only applies to finer wrinkles and minor conditions-it should never substitute for real surgery in more extreme cases.

  Laser Treatment: Fraxel, among other laser treatments, can improve skin quality, but it cannot tighten loose skin.

The Devil’s in the Details: Regardless of the procedure, make sure you’re picturing the same jowl-free jaw as your doctor. Don’t let anyone use vague beauty buzzwords like “tight” or “smooth,” to describe expected results. If you don’t establish shared expectations early on, you risk hearing the dreaded, “it looks good to me…” Remember, as the patient, you have leverage—use it! They should have pictures, facts, and figures, and you have the power of “next, please.” Don’t leave any consultation without knowing:

The Cost: non-surgical treatments may require upkeep, which drives up cost considerably. Ask your doctor how long the results from a given procedure last, and always compare apples with apples. Permanent means one procedure; temporary keeps the tab rolling.

The Physical Impact: Simply put, people don’t want surgery. But surgical procedures keep improving. Before you equate neck surgery with extensive recovery and unbearable pain, get the whole post-operative picture—from the minute you wake to the last painkiller you take.

What if…?” Don’t avoid asking hypothetical questions. You have a right to probe into the possibility of something not going as planned. Ask about the guarantee for non-surgical and surgical procedures.

Confusing Fact with Fiction: Thanks to powerful marketing campaigns, new technology can earn a reputation before it deserves one. When hype builds and word spreads, even physicians feel comfortable recommending something “they hear has gotten great results…” Tread lightly around treatments until they’ve been on the market for at least a year, preferably two.

Doctor Knows Best:  An M.D. should be part of any medical decision, neck rejuvenation included. Doctors who perform the full scope of surgical and non-surgical procedures are most likely to furnish impartial advice. Don’t rely on a cosmetic center that isn’t affiliated with a certified physician, especially since a number of doctors, like myself, have added medical spas to our surgical practices.  I engage every patient in an open dialogue about treatment options, and establish a mutual understanding of realistic expectations. When a non-surgical procedure will best remedy minimal sagging or wrinkling, I explain and recommend the appropriate non-surgical approach.

Do I Need a Facelift? What Happened to Me? I Look 20 Years Older

Dr. Amiya Prasad, author of “The Fine Art of Looking Younger” answers Question:

Q. Do I Need a Facelift? What Happened to Me? I Look 20 Years Older

Hello.. I am 34 years old, 5″2 147lbs..I am about 20 lbs overweight, however looking at my face and all the fat concentrated on my neck looks like I am more like 50 lbs overweight…I already had a chin lipo 2 years ago. Should I get a facelift? Am I too young? my family says I am paranoid..but I see other people with beautiful jawlines specially TV anchors..My eyes are also droopy…What happened to me? How can I look younger? My skin has large pores also.

View Dr. Prasad’s video response below.

A. Lifestyle adjustments or facial cosmetic surgery to look younger

You’ve described a lot of elements of what a youthful face is, and many people on television illustrate that: bright beautiful eyes and a sharp jawline makes one look young or even energetic. When you are younger and overweight, not just on the body but also in the face – due to genetics and the way the fat is distributed- can make you look older. You have choices for procedure. However, if you are 20 pounds overweight, adjustments to your lifestyle and diet will build a strong foundation for your appearance. Being in peak physical fitness and looking young goes together – basically, being healthier helps! To better define the jawline, you can opt to have facial liposuction or other procedures determined by a board certified cosmetic surgeon. If you do consider improving the appearance of the eyelids, eyelid surgery is an option.

Quick recovery facelift technique

Dr. Prasad compares his quick recovery facelift technique using safer local anesthesia and light IV sedation to traditional facelifts, which may use general anesthesia, bandages and drains, and have long downtime.


Q: Can You Tell Me The Differences Between Traditional Facelifts Depending on the Surgeon?

My husband had a face/neck lift 3 days ago. He wore a thick bandage with drains for 2 days, took anti-inflammatory and antibiotics. His face is very swollen, and he is asked to sleep on his back for a month. My sister is having the same procedure in Paris but tells me she won’t even stay overnight, she plans to rest at home for a few days and start work after 7 days. Her doctor says she can sleep on her side no problem. Same procedure – why the difference? Asking because I’m scheduled for same!

A: Facelift Surgery Recovery Factors

Depending on your facelift surgeon’s technique, certain factors will affect your recovery downtime after having facial cosmetic surgery. The goal of a facelift is to lift the cheeks, improve the jawline and neck. A lot of surgeons who are more traditionally trained use general anesthesia, and the surgery often has trauma to the area resulting to swelling requiring drains and bandages, as you’ve described.. A quicker recovery facelift method, such as the one used at my practice in New York, has been developed to alleviate the recovery process and at the same time produce the same goals with great, natural-looking results. At our practice, we use local anesthesia with light IV sedation (“twilight”) with no drains and some facial bandages placed. Local anesthesia for facelift surgery is also safer than general anesthesia.

Ptosis in Asian Eyelids

Dr. Prasad is a frequent contributor to, a forum for cosmetic medicine Q & A’s

Q:  I am a 32 year old Asian female and I was diagnosed as left eye ptosis (2mm-2.5mm). My oculoplastic surgeon suggested an internal incision method based on the fact that I responded well to the neo eye drops. I have the following questions: 1.Is mullerectomy more difficult to perform on Asian eyelids because of the eyelid structure difference? 2.Can you recommend a good oculoplastic surgeon who is experienced in repairing Asian eyelid ptosis in the Washington DC area?

A:  In my opinion, considering eyelid surgery, it is reasonable to consider Muller’s muscle shortening to improve the symmetry of your eyes. The anatomy of Asian eyes in my hands does not have much of an impact on the surgical plan compared to Occidental eyes. As far as recommending someone for Asian Eyelid Surgery in the Washington DC area, you can visit the website of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS).

Q: Dear Doctors, I’m 28 years old Asian girl and I’ve been considering having surgery to fix my droopy eyelids for a long time. It is so annoying when people tell me I look tired, lazy and sad all the time. I want to look more awake and alert after the surgery. Is it also possible for the eye surgery to make my eyes bigger?

 A: Based on your photograph, you have “eyelid ptosis” which appears to be quite significant. Ptosis surgery can be beneficial and is worth pursuing to correct your appearance (i.e. tired, lazy, or sad disposition). Eyelid ptosis surgery can actually help your vision as well.


Increasing Safety in Anesthesia – Using a Brain Monitor

A special message from Amiya Prasad, M.D.:

I just returned from a conference in Charlotte, North Carolina run by Dr. Barry L. Friedberg. If you’ve been keeping up with the trial of Dr. Conrad Murray, who was the physician who administed Propofol to Michael Jackson, you would recognize Dr. Friedberg as being a vocal advocate for patient safety through proper monitoring. Having met Dr. Friedberg at a Cosmetic Surgery Conference (The Annual meeting of the American Academy of Cosmetic Surgery), I was very impressed by his knowledge in providing anesthesia in a safer way using a brain monitor. During surgery, we routinely monitor the heart rate, blood pressure, oxygen levels in the blood and the EKG (electrocardiogram). Ironically, it’s not been routine to monitor the brain which is the organ that the sedation is working on.  I incorporated the use of a brain monitor (also called a BIS Monitor), to monitor the level of sedation being given to our patients during surgery and have been absolutely delighted. Although this technology has been available for more than 10 years, very few operating facilities use BIS monitors. I’m very fortunate to have met Dr. Friedberg and my patients now benefit from his experience. To encourage people to advocate for themselves when it comes to proper and safe anesthesia during any surgery (not just Cosmetic), Dr. Friedberg created “The Goldilocks Foundation” [] . Essentially it’s important in the modern era of health care for people to advocate for themselves. Dr. Friedberg advises to ask the questions “Do you use a brain monitor when I will be under anesthesia?”.

The practice of medicine requires a lifetime commitment to learning and flexibilty to provide the best care for our patients. Unfortunately, the practice of plastic surgery tends to be inflexible and focused on the use of general anesthesia which in my opinion is more for the surgeon’s convenience rather than the patient’s in many cases. As it has been my focus to perform natural aesthetic procedures which are safe, under local anesthesia with light sedation and with a quicker recovery, Dr. Friedberg’s contribution to my practice through his experience is truly appreciated.

“Facing” the Holidays … A Pre-holiday Pick-Me-Up Can Help You Through The Busy Season!

Plan Now to “Face” the Holidays … Here’s my Seasonal Timetable for Personal Facial Rejuvenation.  With the holiday season fast approaching, I’d like to remind you that October through mid-November as the ideal time to rejuvenate your face for the holidays – not just to look better, but because with all the emotional stress the holidays can bring, looking your best can be an incredible confidence boost.

For many people, what should be a joyous season of fun, family and fellowship becomes a season of foreboding instead.  School plays, office parties, winter weddings, family portraits, social activities, holiday dinners, shopping, and religious events all put demands on individuals – including demands to look their best.  From mid-November through New Year’s Day, the stress-filled list of “must-attend” soirees and celebrations can feel endless.

I see it every year.  When you become overwhelmed by these social obligations, the holiday blues can start to set in.  The result?  You start to feel tired and stressed, your confidence can slip and self-doubts can surface. Gazing in the mirror and noticing a few extra laugh lines, frown lines, puffiness in the eyes – or even slight sagging at the jaw line or neck – all of these only make the thought of socializing during the holiday season even more agonizing.

Every year, I’ve witnessed an increase in surgical and non-surgical treatments during this time of year – and, for a lot of reasons, this is a good thing.  Men and women want to present their ‘best’ at this time of year, and each year thousands of them realize that – when facing activities they are obligated to attend, they want the added confidence that a facial rejuvenation procedure delivers.

However, if you are considering a facial rejuvenation, scheduling the procedure well in advance of the holiday is important, both to allow full healing and to let the added self-confidence that naturally comes with a facial rejuvenation procedure to “sink in.”

You can’t wait until the night before the family photo or party to have a botox, restylane or other injectible procedure, much less a facelift.

To assist you in planning ahead, I have developed a timeline for scheduling your cosmetic appointments, leaving a sufficient time to recuperate, and to prepare for a successful and enjoyable holiday season.   You can learn more about these procedures at:

Facelifts – Forget the Six-week Healing Process

The healing process for a traditional facelift takes up to 6 weeks – sometimes longer. However, with the minimally-invasive surgical techniques I have pioneered, the recuperation time for my natural-appearance facelift is diminished considerably – generally to 2-to-3 weeks.

Four Weeks Before The Event

If you are looking for a Sculptra session to fill in the minor fatty tissues that, when lost result in wrinkles, or if you want to minimize wrinkles with the Pelleve process, book these treatments at least four weeks before your first event.

Two Weeks Out

Even just a few weeks before the festivities begin, eyelid rejuvenation, cheek implants, brow lifts, and fractional CO2 laser treatment– which lessens the visibility of wrinkles, scars and discoloration – can be performed, and recovery completed.  Book these no later than two weeks before your first event.

One Week and Counting!

With just a week to go, either a light chemical peel – or the use of injectibles – is the best way to combat those laugh and frown lines. There are many types of injectibles, each targeting a different part of the face. Botox focuses on the brow bone area and around the eye, fighting frown lines found between the eyebrows. Restylane is used for diminishing wrinkles and replenishing areas lacking firmness.  Juvederm is used for reducing wrinkles and used as a filler for facial areas and lips.  Finally, Radiesse is also used for lessening wrinkles. Injectibles should be given a week before you expect to see effective results.

If you want to have a successful, relaxed and beautiful holiday, plan now to rejuvenate your face, roll back the clock and experience the beauty that is waiting to be revealed.
Dr. Amiya Prasad ( is a pre-eminent Manhattan and New York area facial cosmetic surgeon with offices in Park Avenue Manhattan and Garden City Long Island.  He is the author of the forthcoming beauty guide, “The Fine Art of Looking Younger – A Leading Cosmetic Surgeon’s Guide to Long Lasting Beauty.”