Cosmetic Dentistry Center NYC

Treatment

Facelift Dentistry in NYC

Facelift dentistry is a non-surgical treatment that rebuilds worn, shortened, or collapsed teeth to restore height and support to the lower third of the face. At Cosmetic Dentistry NYC, Dr. Pia Lieb performs facelift dentistry at her Park Avenue South practice in Manhattan.

What is facelift dentistry?

Facelift dentistry is a restorative approach that rebuilds the height, width, and position of worn teeth to lift the lower third of the face, using porcelain restorations and bite correction instead of incisions, sutures, or injectables.

Dr. Pia sequences veneers, orthodontic alignment, and posterior restorations to rebuild vertical dimension, the measured height of the lower face when the back teeth close together. Four mechanisms shorten that height: attrition, erosion, tooth loss, and bite collapse. Patients who grind protect finished restorations with night guards fitted after treatment.

How does facelift dentistry rebuild the lower face?

Dr. Pia rebuilds vertical dimension by restoring tooth height first, then correcting arch position and gum proportion. Handmade porcelain replaces lost structure. The lips, cheeks, and chin regain support because the teeth beneath them return to their original dimensions.

Dr. Pia enforces one sequencing rule without exception: posterior teeth are restored before anterior veneers are placed. In her words,

“We chew with our back teeth. Front teeth are for biting, not chewing. Porcelain will break.”

Treatment targets four structural outcomes:

Restoring vertical height to lengthen the lower face and reduce overclosure

Correcting collapsed bites caused by grinding, wear, or missing posterior teeth

Expanding the arch to eliminate the dark buccal corridors at the corners of the smile

Rebuilding lip support so the upper lip sits forward and displays tooth structure at rest

Which treatments create a dental facelift?

Dr. Pia combines four treatment categories to produce the lift. The specific combination depends on how much tooth structure has been lost and whether the arches are correctly aligned.

No-drill handmade porcelain veneers

The practice specializes in no-drill veneers, a prepless technique that adds porcelain without removing natural tooth structure. Because the underlying tooth is untouched, the restoration is reversible. Each veneer is handmade porcelain rather than 3D printed, which allows precise control of length, translucency, and shade.

Invisalign as the structural foundation

Dr. Pia assesses every patient for Invisalign before planning veneers. Rotated teeth, narrow arches, and misalignment must be corrected first, or the veneers will require drilling to compensate. She prices Invisalign deliberately low to remove the financial reason patients skip it, and describes occlusion as the holy grail of dentistry:

“You have to build a basement in order to build a house.”

Porcelain inlays, onlays, and crowns

Worn and broken posterior teeth are rebuilt with dental inlays and onlays or dental crowns. These restorations re-establish the vertical stops that hold the jaw open at its correct height, which is what physically lengthens the lower face.

Gum design and shade correction

Gum design reshapes the gingival line so tooth proportions read as balanced rather than short or gummy. Laser teeth whitening corrects the shade of natural teeth before restorative work, so the finished result matches across the full arch.

How does facelift dentistry compare to a surgical facelift and injectables?

Facelift dentistry changes facial structure from underneath. Surgical facelifts reposition skin and soft tissue. Injectables add volume above the bone. Only dentistry addresses the skeletal and dental height that caused the collapse.

ApproachWhat It ChangesInvasivenessDowntime
Facelift dentistryTooth height, bite position, arch width, lip supportNo incisions, no sutures, no anesthesia beyond localNone
Surgical faceliftSkin laxity and soft tissue positionSurgical, general or twilight anesthesia2 to 4 weeks
Dermal fillersSoft tissue volumeInjectableMinimal, with bruising possible
BotoxMuscle activity and dynamic linesInjectableNone

Fillers and surgery do not restore a shortened lower face, because the cause sits in the teeth rather than the skin. Dr. Pia also offers lip augmentation with fillers as an adjunct once the dental foundation is complete.

Who is a candidate for facelift dentistry in NYC?

Candidates have measurable tooth wear, a collapsed or overclosed bite, and adequate periodontal health. Dr. Pia treats cosmetic cases exclusively and refers periodontal disease, extractions, root canals, and implant placement to her specialist network before restorative work begins.

Patients with misaligned arches complete Invisalign first. Patients missing posterior teeth restore the back of the mouth before any anterior porcelain is placed.

Signs that indicate structural loss include:

  • Shortened or flattened front teeth that no longer show below the upper lip at rest
  • Deepening folds running from the nose to the corners of the mouth
  • Thinning lip display where the upper lip has lost forward support
  • Dark corners at the sides of the smile caused by a narrowed arch
  • Chipping or fracture on the incisal edges of the front teeth
  • Missing back teeth that have never been replaced

What does facelift dentistry cost in NYC?

Cost depends on the number of teeth restored and whether orthodontic correction is required first. Dr. Pia prices each component separately rather than selling a fixed package, so patients pay only for the structural work their case requires.

$4,500

Handmade porcelain veneers, per tooth.

$2,500–$3,500

3D printed veneers, per tooth, offered only when budget prevents handmade porcelain.

$3,500–$14,000

Invisalign, with complex cases reaching the top of the range.

$995

Laser teeth whitening, for a single 90-minute appointment.

$500

Consultation, credited in full toward the cost of treatment.

Financing is available through CareCredit and Alphaeon. The practice accepts credit cards, wire transfers, checks, and cash.

What happens at a facelift dentistry consultation with Dr. Pia?

The consultation runs one hour with Dr. Pia personally. She completes a full diagnostic evaluation, reviews radiographs, assesses Invisalign eligibility, and presents every treatment option with its cost and its limitations.

Patients email existing X-rays before the appointment. The $500 fee is charged at booking to hold the time and requires 72 hours notice. There is no online booking, and consultations are scheduled by phone at 212-829-1515.

Dr. Pia presents options without pressure and asks patients to decide at home. She attributes her 85% consultation-to-treatment conversion rate to this approach, and states it plainly:

“I don't want to hear what you decide.”

Why choose Dr. Pia Lieb for facelift dentistry in NYC?

Dr. Pia Lieb, DDS has practiced cosmetic dentistry exclusively for more than 30 years and serves as Clinical Assistant Professor Emerita at NYU College of Dentistry. She taught at NYU and Tel Aviv University for roughly 19 years before returning to full-time practice.

The practice runs on a single-provider, single-location model. Dr. Pia performs every procedure herself, and no associate covers her cases. Patients are scheduled one at a time with a 15-minute buffer between appointments, so no two patients encounter one another.

Every member of staff signs an NDA. Dr. Pia has never used a patient's name or likeness in press or marketing in over 30 years of practice. The Dr. Pia Method documents how she sequences diagnosis, alignment, and handmade porcelain into a single restorative plan.

The office is located at 381 Park Avenue South, Suite 908, New York, NY 10016, and is open 10:00 AM to 6:00 PM Monday through Thursday.

Frequently Asked Questions About Facelift Dentistry

No. Facelift dentistry uses porcelain restorations and bite correction to lift the lower face, with no incisions, sutures, or general anesthesia. Treatment happens entirely inside the mouth. Patients return to normal activity immediately after each appointment. The lift comes from restoring tooth height and arch width, which supports the lips and cheeks from underneath rather than tightening skin from above.

Patient Reviews

Featured Review

Nancy Edsparr

Dr Pia is the absolute best! Her attention to detail, her care and concern for her patient, and her hard-headed determination to settle for nothing but perfection makes both the experience in her chair and the resulting smile exemplary. I consulted with 5 different cosmetic dentists before finding Dr Pia and realizing that she was the only one I could trust with my teeth. While her results are magnificent, her care for the health and well being of your teeth is really unmatched. She doesn't unnecessarily cut your gums or grind your teeth. She spent a full day making sure that all my teeth were healthy and there was no decay before starting the cosmetic part of my case. When I finally saw my beautiful veneers, Dr Pia felt the margin between the gum and veneer on one of them was not tight enough and needed to be fixed. I didn't even notice it, but she wasn't satisfied. Veneers are a big investment in money and time, but healthy teeth are the most important. When you put yourself in Dr Pia's care, you can rest easy that under the beautiful smile she creates for you, you have a healthy foundation that will keep your new smile looking good for years to come.

Brooke Shields

Dr. Pia is a perfectionist and this is what you want for a dentist! She goes out of her way to accommodate her clients. Thanks, Pia!

Achilles Zarbis

I've been seeing Dr Pia for 20 years and she is the best- Dr. Pia is amazing, after my visit I felt much more clean and confident than any other dentist has ever made me feel. I am so appreciative of how much she helped me, her great office, and her kind personality, and I am excited to come back.

Patti Schmidt

Dr. Pia has an attention to detail like my own and really listens to what you want for your teeth. She’s a true artist, and my experience has been wonderful!

Eric Price

Dr. Pia was very helpful and straightforward with options available to me. She took her time to understand what I was looking for and how to be of best help. Unlike other dentists, she doesn’t rush you in/out, and you can tell immediately she actually cares about her work & patients. 10/10 would recommend for anyone seeking cosmetic dentistry work. Thanks!

Agnes Lermani

Dr. Pia is the ultimate cosmetic dentist in New York. Her precision, artistry, and expertise in smile makeovers are unmatched. My results are natural and flawless. Truly life changing. If you want the best, Dr. Pia is the one to trust.

Danielle T

Dr. Pia at Cosmetic Dentistry Center is the best cosmetic dentist I’ve ever been to! I’ve been seeing her for years and I’ve never had a dentist take better care of me. And the best part is they have a massage chair for while you’re waiting!

Aymun Salman

Dr. Pia is the best! Her practice is a far cry from your usual stuffy and boring dentist's office. I came to her specifically because she has been a cosmetic dentistry mainstay in Manhattan for a long time, and her results are consistent and natural.

Emily Van Raay

Dr. Pia is the best for cosmetic dentistry - she flawlessly fixed a discoloration on my tooth as well as my alignment !!

Alina Senkiv

I came here for the Dr.Pia’s experience for do my veneers, and I left very satisfied. The consultation lasted 1 hour and 30 minutes, and the doctor provided me with all the information. She saw me and helped bring all my wishes to life.

Nathalie Lyon

Pia is amazing. She is an excellent doctor. Clear communicator and painless as possible. Her knowledge and craftsmanship is incredible. No one compares. She always goes above and beyond, she gave me my smile back!

Electra Zarbis

Dr. Pia changed my life and gave me better advice than any other dentist. I have had a lot of dental issues and the orthodontists I’ve been to haven’t been very helpful, but Dr. Pia told me exactly what I need to do and what help I need to request from my orthodontist.

Theodora Z

Dr. Pia is a smile MIRACLE WORKER! I had some very challenging dental problems that I had tried to resolve at two other dental offices. I was so disappointed that my front teeth supposedly could not be restored properly.

Paul Marron

I've been seeing Dr Pia for 20 years and she is the best- she's always paid close attention to my dental health and pointed out exactly what was happening (in my case it was grinding) she helped get me fixed up with a proper night guard. She also gave excellent advice to take with me after my appointment. Her staff is also exceptional with scheduling- thank you Maryem for sorting us all out! see you in 6 months!

Nicole

Dra Pia is one of a kind an the best in every way. Her work is outstanding, she is the Michelangelo of smiles! I had the experience myself and highly recommend Cosmetic Dentistry Center NYC. You will be treated as royalty, she is so good in what she does! Her office is beautiful, elegant and chic, and her staff very nice and friendly.

Bryanna John

I just had the best experience with Dr.Pia and her assistant Luz! I had a veneer emergency and Dr.Pia saw me right away. She is so skilled, so knowledgeable, funny, and her office is really a vibe. I love it here. If you ever thought about coming here don’t think about it, JUST DO IT! This office is really the best

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