Trifecta Facelift: Next-Level Face and Neck Rejuvenation

Trifecta Facelift is Dr. Lacerna’s signature surgery. The Trifecta Facelift is a safe and effective procedure that combines three great cosmetic techniques for long-lasting, transformative rejuvenation.


Trifecta Facelift: The first component is classic facelift and neck lift. Dr. Lacerna customizes a surgical plan using advanced techniques that best address each patient’s goals and anatomy. The surgical techniques can vary between Deep Plane Face and Neck lift, High SMAS Imbrication, or SMAS plication (Minimal Access Cranial Suspension or MACS short scar facelift). Additional procedures can also be performed such as Minimally Invasive Browlift with Renuvion, Upper and Lower Eyelid Blepharoplasty, Rhinoplasty, and Upper Lip Lift, to complete the facial rejuvenation process.  

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Common Reasons for a Facelift

The Facelift. There are many different reasons someone may choose to undergo a facelift. Patients looking for this procedure may choose to do so for these common reasons:

  • Aging: The most common reason for getting a facelift is to address the signs of aging. As people get older, the skin loses elasticity, resulting in  wrinkles, fine lines, and soft tissue sagging. A facelift can help tighten the skin, remove excess fat and skin, and lift and reposition the underlying facial tissues, resulting in a more youthful appearance and restoring facial balance.
  • Self-confidence: Some individuals may feel self-conscious or unhappy with the changes that occur in their face as they age. They may perceive their appearance as tired, worn, or less vibrant. A facelift can bring empowerment and help improve self-confidence  by restoring a natural, aesthetically pleasing and youthful appearance. Our face is what the world sees first, let’s project our best self forward!
  • Genetics: Some people may have genetically inherited facial features that theywish to change. For example, they may have a weak chin, prominent jowls, or heavy jowls that they find unappealing. A facelift can reshape and redefine these areas, enhancing facial balance and harmony.
  • Weight loss: Significant weight loss can lead to excess skin and sagging in the face, particularly around the jowls and neck area. A facelift can help address these issues and restore a more contoured and defined appearance.
  • Sun damage: Prolonged exposure to the sun’s harmful rays can accelerate the aging process, leading to premature wrinkles, sunspots, and sagging skin. A facelift can help reverse some of the sun damage and restore a more youthful and even complexion.
  • Cancer : Skin cancer procedures such as MOHS surgeries and skin cancer excisional and reconstructive surgeries can cause unfavorable scarring and disharmony to one’s facial features. Facelift procedures, specially when combined with plasma skin resurfacing and fat grafting, can almost erase prior scars and restore facial harmony. Systemic cancer treatments and radiation can also cause facial volume atrophy. Facelift with fat grafting can restore the healthy and vibrant appearance of the face.
  • Trauma: Traumatic experiences such as facial fracture injuries and reconstructive procedures to correct them can cause imbalance and disfigurement to the face. Facelifts combined with fat grafting can restore the symmetry that was offset by the injuries.
  • Stress : Our stressful lives and harsh environments can adversely affect our immune system, which in turn decreases our bodies’ regenerative abilities and collagen and elastin production, making our skin and tissue have less elasticity. Facelift and fat grafting jump starts our skin and facial tissue to start repairing itself again. The fat grafting with platelet rich plasma restores the growth factors in the face needed to produce more collagen and elastin.

Dr. Lacerna’s state of the art facility in Sarasota & Bradenton is THE one stop center for facial and skin rejuvenation, and anti-aging. Our 9,000 SF brand new facility is the home of LA PLASTIC SURGERY, LA SKIN SPA, and ELITE AESTHETIC SURGERY CENTER.  In addition, our sister practice ORCHID DERMATOLOGY is in the same location for all your medical and surgical dermatology needs.

Planning Your Facelift

Facelifts are very individualized procedures. During your initial consultation, Dr. Lacerna will evaluate your facial and neck anatomy, and will perform a high tech computerized skin analysis. Dr. Lacerna will perform a personalized interview with you to asses your aesthetic goals, your schedule for downtime and recovery, as well as your financial budget for the procedures. Dr. Lacerna will ask you to present a photo of yourself when you were younger and happy with your skin and facial features. This is Dr. Lacerna’s very unique approach in order to make you look as natural as possible, just like yourself when you were younger.    Dr. Lacerna will check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars. Be sure to Dr. Lacerna know if you smoke, vape, or are taking any drugs or medications, especially aspirin and other drugs that affect clotting.    Dr. Lacerna will explain the techniques and anesthesia she will use, and formulate the best treatment plan for your facial and skin rejuvenation. The treatment plan also includes the adjunct procedures that will be performed at our LA SKIN SPA after the surgery such as Oxygen Dome facials and lymphatic massages, in order to improve the healing process.





If you decide to proceed with your facelift surgery,  Dr. Lacerna’s Practice Manager Brianna Koperna will provide you a date for your surgery as well as a Pre-op visit. You will meet with the rest of our amazing team who will help take care of you during this very exciting journey!

Facelift Recovery and Results

Facelift is an outpatient procedure, which means that patients return home a couple of hours after their surgery. Dr. Lacerna safely performs these procedures under IV sedation at her private, state-of-the-art Elite Aesthetic ambulatory surgery center. Bruising and swelling are typically significant at first, but usually subside after a week or two. Most patients feel well enough to return to work in that same timeframe. During  follow-up appointments, Dr. Lacerna checks on your progress and removes the sutures typically one week after surgery. Concurrently, Oxygen dome facials and lymphatic massages are performed at our LA SKIN SPA to hasten the recovery process.


Dr. Lacerna deliberately makes her incisions within the hairline and around the ear where these scars are easy to conceal. Thanks to her advanced technique, they usually fade from visibility altogether. 


Full facelift results are visible after a couple of months. While the aging process continues, most patients can enjoy their results for 10-15 years or more. Results can be maintained by patients who avoid the sun and smoking, and take care of their skin and overall health. Dr. Lacerna will recommend a specialized medical-grade skin care regimen as well as a maintenance treatment plan at our LA SKIN SPA so patients can maintain their excellent results for years to come.

beautiful before & afters

What Our Beautiful Clients Say About Us

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Phone: 941-954-4500

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