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Dr. Michael Roskies

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Toronto, ON
Dr. Michael Roskies

Facial Plastic & Reconstructive Surgeon

04/14/2026

"$300k for a facelift??" isn't the flex you think it is.
The patients spending that aren't confused about what things cost. They're not being taken advantage of. They've done more research than most physicians — and they made a decision.
Because they're not buying a facelift. They're buying an outcome. From someone whose name, track record, and reputation is the guarantee.
The surgeons operating at that level aren't just providers. They're brands. And the patients who seek them out understand something a lot of us in medicine haven't figured out yet:
Price is never the objective. Value is.
Dream outcome × certainty of delivery — that's what they're paying for. Not a procedure code.
So before we say "give me a break" — maybe ask why those patients aren't saying it.

04/10/2026

Remember the beautiful Maria? 58 years old. 7 months out from facial rejuvenation surgery. ✨

And she. looks. incredible.

But here's what most people don't realize — she's not even at her final result yet.

Maria lives part time in a warmer climate, which means her body is still holding onto some residual swelling. Lymphatic drainage is slower in the heat. The tissues are still settling. And that's not a setback — that's just biology.

Healing isn't linear. And it isn't the same for everyone.

If you look at her frontal view, you'll notice her lower face still carries a bit of width — that fullness along the jawline and into the neck is residual swelling, not her final shape. As that clears over the next few months, the lower face will slim and narrow beautifully, and that heart-shaped facial contour will really start to emerge. We discussed her intention to get on an anti-inflammatory diet and this might make a nice difference.

But it's just going to take some vitamin T.

So what actually happens between months 6 and 12?

→ The last of the deep swelling fully resolves — and that lower face width disappears
→ Skin continues to redrape and refine over the underlying structure
→ Scars fade from pink to skin-tone and become nearly invisible
→ The jawline and neck sharpen as residual oedema clears
→ Facial contours soften into their natural, rested position — not tight, not pulled, just *you*

And the thing my patients say most when they hit that 10, 11, 12 month mark? *"Everything just looks… softer."*

Not a dramatic change they can point to. Just a warmth and ease to their face that wasn't there before. The tightness they felt in the early months is gone. The features settle. The result stops looking like a recovery and starts looking like them — just rested, refreshed, and lifted.

The surgery reshapes the foundation. But the final sculpture? That happens quietly, over months.

Maria has a few more months to go. I can't wait to show you where she lands. 🤍

---
DrMikeRoskies Yorkville TorontoPlasticSurgery DeepPlaneFacelift NonLinearHealing

04/09/2026

Most people think lower eyelid surgery is about removing fat. It's not that simple — and understanding why explains a lot about why results vary so much.
The orbital septum is a fibrous sheet sitting right between the orbital fat and your skin. When fat prolapses forward against it, you get bags — the septum bows outward and the lower lid looks long and prominent.
When surgery is done well, the septum is released. That changes everything. The fat can be repositioned or supplemented, it distributes freely into the spaces where it belongs, and the lid-cheek junction becomes smooth and natural.
Here's where it gets important: fat transfer without releasing the septum means injecting fat into the preseptal space — a tight pocket with nowhere to go. The septum acts like a trampoline and bounces the fat into unpredictable pockets. Under the thinnest skin on your face, that means nodules.
The sequence matters. Surgery creates the conditions for fat to actually work.
📍 Toronto | Consultations at the link in bio
facialanatomy eyesurgery torontoplasticsurgery torontofacialplastic yorkville

04/08/2026

She's 64 years old and only 1 month post-op — wait until you see her side profile.
When the goal is genuine rejuvenation, one procedure rarely tells the whole story. The brow and temple restore the upper third. The deep plane addresses the structural foundation — not surface tension. Fat transfer rebuilds what time took. And laser addresses the one thing surgery can't: skin quality.
Everything working together. Everything still healing.
This is 30 days out. Come back at 6 months. This is a great start 💜

04/07/2026

Six lower eyelid inquiries this morning. All in their 20s. None were candidates.

This is what social media is doing to surgical decision-making.

Lower blepharoplasty addresses three things: fat removal, fat transposition, or tightening the muscle and the lid. A skin pinch — removing excess skin — is almost never appropriate in younger patients. You simply don't have excess skin.

What most of you are actually seeing in the mirror is hollowing. Volume loss under the eye. That is a structural and volumetric problem, not a surgical eyelid problem.

Hollowing is treated with filler, fat transfer, or improving periorbital skin quality with skin care and lasers. Not by operating on a normal eyelid.

The algorithm is showing you early young people results or appropriate 60-year-old results and making you think you need the same operation at 26. You don't.

Protect your eyelids.

—

📍 Toronto | Facial plastic surgery
🔗 Consultations: link in bio
cosmeticsurgery torontosurgeon socialmedia realtalk blepharoplasty

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04/06/2026

This is for my patients only currently. Would you be interested in this for your recovery?

04/03/2026

Revision facelift surgery is one of the most technically demanding procedures in facial plastic surgery.
The anatomy has been altered. Tissue planes are scarred. Landmarks that guide a primary facelift may no longer exist in the same form. Every step requires more dissection, more judgment, and more patience.
But the technical challenge is only half of it.

The patient sitting across from me has already been through this once. They trusted a surgeon, went through a recovery, and still found themselves here — wanting more, or wanting something corrected. That takes courage. And it means the trust I need to earn is different.

Revision facelift isn't just about what I can do in the OR. It's about building a partnership — honest conversations about what went wrong, what's realistic, and what the path forward actually looks like.

Helen is 63 (you read that right). She had a facelift years ago and while she was originally happy with the results, they didn't last long. We did our first consult years ago and last year she was finally prepared to move forward.

Brow temple face neck, upper lids, lips, fat and laser. That's what we did. The real ingredients however were trust and humility.

She's almost one year out and looking spectacular. I'm just blown away by the confidence you can see through the camera lens. It's still her, naturally beautiful- with some tweaks.

Revision surgery is hard. But when it works, it works because both of us showed up fully.

03/31/2026

Full circle moment for me. Thank you and

03/20/2026

There are multiple witnesses and video evidence to follow that prove this is the same woman separated by 4 days. And also brow, temple, face and neck lift with upper bleph, fat transfer and laser.
She's 56 years young, for those wondering. 🪄

03/19/2026

Sylvia is one of the sweetest nicest people in the world and I was so honored to help her move into the next phase of her life. As a nurse, she took care of others, but decided now was the time to take care of herself. she's early in post op here. still bruised and swollen. but we can already see that this is going to be a great headstart into retirement!

03/18/2026

My favorite part of my job is that I don't have to make videos speaking about why what I do is best. I just have to show the photos.

When I'm playing sports with my sons and they complain or make excuses, our motto is "less talky, more hockey". Just let your actions speak for you instead.

Nikki is 6 weeks out from DEEP PLANE preservation face and neck lift with lip lift. enjoy!

Address

66 Avenue Road, # 1
Toronto, ON
M5R3N8

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm

Website

http://drmikeroskies.com/

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