Face and Neck Lift
Face and neck lift is a radical rejuvenation surgery that repositions the deep tissue layers, giving a stable result of 8–12 years. It is indicated for pronounced tissue ptosis, deep nasolabial folds and changes in the facial oval and neck contour.
A facelift (SMAS lifting) is facial and neck rejuvenation surgery in which not only the skin but also the deep musculo-aponeurotic layer (SMAS) that supports the soft tissues is lifted. It is this repositioning of the SMAS that provides a stable result lasting 8–12 years and looks natural, without a “stretched mask” effect.
Indications
- Ptosis (sagging) of facial and neck tissues
- Pronounced nasolabial folds and jowls
- Loss of a defined facial oval, double chin
- Deep wrinkles and changes in neck contours
- A gap between biological age and facial appearance
Contraindications
- Active infections or exacerbation of chronic disease
- Uncompensated cardiovascular disease, decompensated diabetes
- Blood clotting disorders and anticoagulant intake that cannot be stopped
- Pronounced skin disease in the surgical area
- Pregnancy and lactation
How the operation goes
From the first consultation to follow-up visits.
Consultation: examination, tissue assessment, photo planning, discussing the expected result
Work-up: lab tests, ECG, anaesthesiologist consultation
Surgery under general anaesthesia: access incisions in the temporal hairline and around the ears, mobilisation and repositioning of the SMAS layer
Inpatient observation — usually 1–2 days
Follow-up and suture removal at approximately days 7–14
Scheduled visits to monitor healing and assess the result
Week-by-week recovery
Timeframes are approximate: the individual recovery plan is set at the consultation.
Early post-operative period
Swelling and bruising gradually decrease; compression dressing, limited facial expression and physical exertion.
Return to social life
Most patients return to work; swelling is still visible but make-up is allowed.
Stabilisation
Swelling resolves, tissues soften, the feeling of tightness passes.
Final result
Scars fade and become invisible within natural creases; the result can be fully assessed.
Frequently asked questions
How much does an SMAS facelift cost?
The approximate price starts from $3430 (MACS facelift). The exact cost is set at the consultation and depends on the scope (face, neck, brows) and the length of the inpatient stay.
How many years does the result last?
The SMAS facelift gives the most stable result among facial rejuvenation surgeries — approximately 8–12 years. Ageing continues, but from a younger starting point.
Will the scars be visible?
Incisions are placed along natural borders: in the temporal hairline, around the ears and in the crease behind the ear. With proper healing the scars become inconspicuous.
When can I return to work?
Home regime — 2–3 weeks. Returning to social life with make-up — approximately after 3–4 weeks, depending on individual healing speed.
At what age is a facelift performed?
By indication, not by age: usually 45–60 years, but with pronounced ptosis surgery may be possible earlier. The decision is made at the consultation after examining the tissues.
Results: before and after
Before 
After Other procedures in this area
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Brow lift (endoscopic)
Endoscopic brow lift is a minimally invasive procedure to correct brow position and smooth forehead wrinkles through mini-incisions in the hairline under video control. It is indicated for brow ptosis, heavy upper eyelids and pronounced horizontal forehead lines.
Consultation with the surgeon
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