What Is Facelift Surgery?
A facelift addresses jowling, neck laxity, and midface descent through surgical repositioning of the SMAS layer — delivering results that non-surgical treatments cannot replicate.
What a Facelift Treats
Jowling (tissue descent creating jawline irregularity), neck laxity and platysmal banding, and nasolabial and marionette lines from descent rather than volume loss. It does not improve skin quality, eyelid changes, or brow position — additional procedures may be needed for comprehensive rejuvenation.
SMAS Techniques
Modern facelifts address the SMAS (Superficial Musculoaponeurotic System) for longer-lasting, more natural results than older skin-only techniques. SMAS plication, imbrication, or SMASectomy are different approaches — ask your surgeon about their specific technique and rationale.
Mini vs. Full Facelift
Mini facelift: shorter incisions, addresses early jowling in patients late 40s to mid-50s with mild laxity. Full facelift: more comprehensive for significant jowling, neck laxity, or descent — more comprehensive and longer-lasting results. Anatomy-dependent decision.
Recovery
Most visible bruising and swelling resolve in 3 weeks. Return to work: 2–3 weeks. Social presentability: 3–4 weeks. Final results: 3–6 months. SMAS technique results typically last 7–10+ years.
What to Look for in a Plastic Surgery Provider
- Board certification by the American Board of Plastic Surgery (ABPS) specifically — verify at abplasticsurgery.org
- Hospital privileges at a Joint Commission-accredited facility
- Accredited surgical facility (AAAASF, AAAHC, or Medicare-certified) for in-office procedures
- Substantial before/after portfolio of your specific procedure
- No disciplinary actions on your state's medical board website
- Realistic, procedure-specific quotes — not vague 'starting at' prices
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How much does a facelift cost?
$10,000–$25,000 surgeon fee + anesthesia ($2,000–$4,000) + facility ($1,500–$3,000). Adding necklift, blepharoplasty, or fat grafting increases total cost.