Nancy Edsparr
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.
| Approach | What It Changes | Invasiveness | Downtime |
|---|---|---|---|
| Facelift dentistry | Tooth height, bite position, arch width, lip support | No incisions, no sutures, no anesthesia beyond local | None |
| Surgical facelift | Skin laxity and soft tissue position | Surgical, general or twilight anesthesia | 2 to 4 weeks |
| Dermal fillers | Soft tissue volume | Injectable | Minimal, with bruising possible |
| Botox | Muscle activity and dynamic lines | Injectable | None |
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.
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