Dr. Michael Roskies

Dr. Michael Roskies Facial Plastic & Reconstructive Surgeon

05/01/2026


The #1 question I get is "how much skin are you removing?" — but that's the wrong question. Let me show you why the aging neck is like a hypotenuse.
Save this for when someone tells you a facelift is "just cutting off skin." It's so much deeper than that. Literally.
Drop a 📐 in the comments if this finally made it click

04/30/2026

Upper eyelid surgery isn't what it used to be.
For years it was one thing: cut skin away. That's it.
But skin removal alone doesn't make eyes look younger — it makes them look hollow.
Modern upper lid rejuvenation is many layers working together:
→ Ptosis repair to lift the lid itself
→ Conservative skin adjustment (never aggressive)
→ Fat transfer to restore the volume and light reflex above the eye
And let's not forget the temple stabilization.

We're not subtracting anymore. We're restoring architecture.
Ptosis repair is quickly becoming my favorite little procedure. The change isn't subtle — patients walk in saying they look tired and walk out looking like themselves again.
This is where eyelid surgery is going. What is your favorite part?

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04/29/2026

I'm often asked if I want my sons to go into medicine and in the past I would have said absolutely not. But with time I have come to learn that there is no such thing as the "best decision", only decisions that you make the best of. I don't care what they do, as long as they make the most of it. Because in the end, it's about the life you live and not what you do for a living that matters most.

There's a quiet shift happening in how we think about facelift timing. The patients I see aging most gracefully tend to ...
04/28/2026

There's a quiet shift happening in how we think about facelift timing. The patients I see aging most gracefully tend to be the ones who chose to address things earlier — not later. That's not always with surgery, but it's with surgery in mind.
Her plan: deep plane facelift, necklift, browlift, lip lift with corner lift, fat transfer, and laser resurfacing — done together as one thoughtful plan rather than chased piece by piece.
A few things I love about operating at this stage of life:
→ We can focus on shaping — refining a jawline, restoring volume where it's been lost — rather than just lifting tissue
→ Tissue quality tends to be better, which often means a more natural-looking result
→ Skin generally responds beautifully to laser
→ Recovery tends to be smoother
→ And in my experience, results from a well-planned, earlier intervention tend to hold up wonderfully over time
The goal was never to make her look like someone else. Just more like herself.

04/26/2026

Someone mentioned how they as the consumer deserve to know the differences and I agree. But this is not a message for the consumer, it's a message for the producer. While we soapbox who is better and why what we do is best, patients are actually getting confused. Also, we need to remind ourselves that this bubble we live in represents a small fraction of the overall world thought process. There's more to life...

Let's switch gears for a sec and give love to this beautiful person after we rhinoplasty. On the surface, it looks simpl...
04/21/2026

Let's switch gears for a sec and give love to this beautiful person after we rhinoplasty.
On the surface, it looks simple- hump, hanging columella, bulbous tip.
But the reality is, the nose required a bit more attention during surgery. If I just lowered the hump, she was at risk of a shortened nose (ie overdone). If I just tu ked up her columella, her nostril asymmetry was at risk of being accentuated. If I addressed her tip cartilages the same, her deviation would remain or become worse.
Every detail matters.

What I think is the best part? The fact that you don't notice the nose at all. It should always fall into the background. I think we achieved it here. Do you?

04/20/2026

Jennifer is 8 months out from something she waited 10 years to do. She's still on her health journey but I am so pleased with her result and honored to have played a small role in her transformation!
More to come soon...

04/20/2026

Jennifer is 8 months out from something she's wanted to do for 10 years. This was just one part of her overall health journey and I'm so honored to have played a small role in it!
More to come soon....

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.

Remember the beautiful Maria? 58 years old. 7 months out from facial rejuvenation surgery. ✨And she. looks. incredible.B...
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. 🤍

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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
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66 Avenue Road, # 1
Toronto, ON
M5R3N8

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