Trifecta Lift™ & Quadfecta Lift® in Beverly Hills
In a city known for setting global standards in beauty and aesthetics, maintaining a refreshed, youthful appearance matters, but so does looking like yourself. Dr. Kami Parsa developed two distinct signature procedures for patients in Beverly Hills and throughout Los Angeles who want to address aging around the eyes with precision and subtlety. The Trifecta Lift™ is a combined lower eyelid and midface rejuvenation procedure, while the Quadfecta Lift® is a separate, more comprehensive procedure that pairs the Trifecta Lift™ with upper eyelid rejuvenation. Both are designed to deliver results that look natural and refined, not “done.”
Dr. Parsa does more than perform these techniques. He teaches them. As founder and program director of Core Aesthetics, he trains physicians in advanced aesthetic and oculoplastic techniques, and he has lectured nationally and internationally on “The Trifecta Lift™: A Modern Surgical Approach to Lower Eyelid and Midface Rejuvenation,” facial fat grafting, and the presurgical approach to patients who have previously had under-eye filler. His oculoplastic and reconstructive surgery fellowship at Bascom Palmer Eye Institute included research on customized facial implants for reconstruction, giving him a detailed understanding of the midface structures these procedures address. With more than 20 years of clinical experience, he also serves as an Adjunct Clinical Professor at the Keck School of Medicine of USC. His full training and publications are listed on his credentials page.
“I developed the Trifecta Lift™ because removing under-eye bags alone can leave the area looking hollow. Aging around the eyes involves fat, skin, and volume, and the most natural results come from treating all three together.” — Dr. Kami Parsa
Trifecta Lift™ vs. Quadfecta Lift®: Understanding the Difference
Although the two names are related, the Trifecta Lift™ and the Quadfecta Lift® are separate procedures chosen for different patients. The right choice depends on where your signs of aging appear.
- Trifecta Lift™: Focuses on the lower eyelids and midface. It is typically recommended for patients whose main concerns are under-eye bags, crepey lower eyelid skin, and hollowing between the eyelid and cheek, while the upper eyelids still look youthful.
- Quadfecta Lift®: Includes every element of the Trifecta Lift™ and adds upper eyelid rejuvenation. It is typically recommended for patients who have lower eyelid concerns along with heavy, hooded, or sagging upper eyelids.
During your consultation, Dr. Parsa will examine both your upper and lower eyelids and explain which procedure, if either, fits your anatomy and goals.
What the Trifecta Lift™ Treats in Beverly Hills
Many practices in Los Angeles offer blepharoplasty, but the Trifecta Lift™ was designed to go beyond removing excess tissue. It addresses three of the most common contributors to lower eyelid aging:
- Fat Herniation and Eye Bags: Through an internal transconjunctival approach with no external incision, Dr. Parsa repositions or removes bulging fat pads to smooth the under-eye contour.
- Skin Laxity: Tailored resurfacing or tightening techniques, such as CO2 laser resurfacing, improve fine lines and crepey skin without compromising eyelid structure.
- Volume Loss: Strategic fat grafting restores volume to the tear trough, lateral hollow, and midface, softening the sunken look that often accompanies aging.
These three components work together to restore a rested, natural appearance without altering your unique facial identity. Every aspect of the Trifecta Lift™ is customized to your anatomy, skin quality, and aesthetic goals. You can see examples in the Trifecta Lift™ gallery.
What the Quadfecta Lift® Treats in Beverly Hills
For patients with signs of aging in both the upper and lower eyelids, Dr. Parsa offers the Quadfecta Lift®. This procedure includes all three components of the Trifecta Lift™ plus:
- Upper Eyelid Blepharoplasty: Removes excess upper eyelid skin and refines the eyelid contour to reduce heaviness and hooding.
When additional concerns are present, such as a low brow position or hollowing of the temples, Dr. Parsa may recommend a brow lift or additional fat grafting alongside the Quadfecta Lift®. By treating the full periocular region in a coordinated plan, the Quadfecta Lift® is designed to deliver cohesive, balanced results for patients seeking more complete rejuvenation without an artificial look. You can see examples in the Quadfecta Lift® gallery.
Aging in Southern California and Why Specialized Care Matters
Living in Beverly Hills or Los Angeles often means increased sun exposure, demanding work schedules, and a high value placed on personal appearance. Combined with genetics, these factors can accelerate visible aging in the eyelids and midface.
According to the American Society of Plastic Surgeons, eyelid surgery ranks among the top five cosmetic surgical procedures performed nationwide. Results, however, vary widely depending on a surgeon’s training, specialization, and technique. Patients who choose Dr. Parsa benefit from:
- A practice focused exclusively on the eyelids and surrounding facial structures
- More than two decades of oculoplastic surgery experience
- Access to current surgical and non-surgical technologies
- Personalized treatment plans grounded in detailed anatomical assessment
What to Expect: Procedure, Recovery, and Results
Both the Trifecta Lift™ and the Quadfecta Lift® are performed under general anesthesia or conscious sedation in a fully accredited surgical facility in Beverly Hills. Dr. Parsa uses techniques designed to minimize bruising, support efficient healing, and keep incisions well hidden.
- Downtime: Most patients experience swelling or bruising for about 7 to 10 days. Discomfort is usually mild and managed with cold compresses and medications recommended by Dr. Parsa.
- Return to Work: Many patients return to professional and social activities within about one week. Recovery after the Quadfecta Lift® may take slightly longer because both upper and lower eyelids are treated.
- Exercise: Light walking is encouraged early, but strenuous activity should be avoided for 2 to 3 weeks.
- Results Timeline: Initial improvements are often visible within two weeks, while full healing and final results typically develop over 3 to 6 months.
Dr. Parsa and his team provide individualized aftercare instructions to support healing. You can review the pre and post surgery instructions before your procedure.
Why Choose Dr. Kami Parsa for the Trifecta Lift™ or Quadfecta Lift®
When you choose a signature procedure, choosing the surgeon who created it matters. These are some of the reasons patients travel to Beverly Hills for Dr. Parsa’s care.
- Performed by the Surgeon Who Developed Them: Dr. Parsa created both procedures and continues to refine them based on his own clinical experience.
- The Right Procedure, Not the Biggest One: Dr. Parsa recommends the Quadfecta Lift® only when your upper eyelids need treatment, and he will tell you if a smaller procedure is a better fit.
- Experience With Patients Who Have Had Filler: Many patients come to Dr. Parsa with chronic under-eye swelling after tear trough filler, and he plans treatment carefully for this situation, including patients with malar edema.
- Exclusive Focus on the Eyelids and Midface: His practice is limited to the delicate anatomy of the eyelids, midface, and orbit, and he is also trusted for revisional eyelid surgery.
- Care That Extends Beyond Beverly Hills: As founder of the Surgical Friends Foundation, Dr. Parsa has traveled internationally to provide reconstructive surgery to patients without access to quality medical care.
Schedule a Trifecta Lift™ or Quadfecta Lift® Consultation in Beverly Hills
If you are ready to look refreshed and confident while preserving your natural appearance, we invite you to schedule a personalized consultation with Dr. Kami Parsa at his Beverly Hills office. The practice serves patients throughout Los Angeles, including West Hollywood, Santa Monica, Century City, and Brentwood, as well as patients who travel from out of town. Call (310) 777-8880 or schedule your consultation online, and Dr. Parsa and his team will guide you through every step with expertise, care, and discretion.
Frequently Asked Questions About the Trifecta Lift™ and Quadfecta Lift®
Medically reviewed by Kambiz K. Parsa, M.D. on
- Who is a candidate for the Trifecta Lift™ or Quadfecta Lift®?
- What is the difference between the Trifecta Lift™ and the Quadfecta Lift®?
- Does the procedure leave visible scars?
- Can the procedure be customized for my facial structure?
- Are the results long-lasting?
- When can I expect final results?
You may be a good candidate for the Trifecta Lift™ if you have under-eye bags, loose lower eyelid skin, or hollowing under the eyes. If you also have heavy or hooded upper eyelids, the Quadfecta Lift® may be more appropriate. A consultation in the Beverly Hills office will determine which procedure aligns with your goals.
Go To TopThey are separate procedures. The Trifecta Lift™ treats the lower eyelids and midface, while the Quadfecta Lift® includes the Trifecta Lift™ plus upper eyelid blepharoplasty for patients who need rejuvenation of both the upper and lower eyelids.
Go To TopThe lower eyelid portion of both procedures is performed through a hidden internal incision, so there is no external lower eyelid scar. In the Quadfecta Lift®, the upper eyelid incision is placed in the natural eyelid crease, where it typically heals as a fine, well-concealed line.
Go To TopYes. Every procedure is tailored to your facial anatomy, aging pattern, and desired outcomes. Dr. Parsa does not use a “one-size-fits-all” approach.
Go To TopYes. While aging continues, most patients enjoy long-lasting results (7–10+ years) with healthy lifestyle habits and sun protection.
Go To TopDr. Parsa tells patients that about 20% of healing takes place by the end of the first week and roughly 60% to 70% during the first month, with the most refined results appearing between 3 and 6 months after surgery. Healing is a continuous process, and caring for yourself after surgery supports a smoother recovery.
Go To TopExample Patient Story Videos
Trifecta Lift™:
Quadfecta Lift®:
For more examples and real patient stories, please follow us on Instagram @kamiparsamd
