Facelift Dentistry in NYC

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.

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.

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 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 consultation fee is confirmed when you book and is credited in full toward treatment if you proceed. The appointment runs one hour and requires at least 72 hours advance notice; your card is charged at the time of booking. 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 puts it plainly:

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

Frequently Asked Questions About Facelift Dentistry