Restore the perfect contours of the face and neck, rejuvenate and smooth wrinkles!

Guarantee under an official contract

400+ successful surgeries

10 years of surgical experience

Free consultation
before surgery
Facelift before and after photos

Facelift

50 years

9 months

SMAS facelift

Facelift

58 years

8 months

SMAS facelift

Facelift

34 years

5 months

SMAS facelift

Facelift

32 years

7 months

SMAS facelift

Facelift

40 years

6 months

SMAS facelift

Facelift

45 years

8 months

SMAS facelift

Facelift

38 years

5 months

SMAS facelift

Facelift

33 years

6 months

SMAS facelift

Facelift

50 years

9 months

SMAS facelift

Facelift

58 years

8 months

SMAS facelift

Facelift

34 years

5 months

SMAS facelift

Facelift

32 years

7 months

SMAS facelift

Facelift

40 years

6 months

SMAS facelift

Facelift

45 years

8 months

SMAS facelift

Facelift

38 years

5 months

SMAS facelift

Facelift

33 years

6 months

SMAS facelift
What the price includes:
After 40–50 the skin gradually loses firmness: tissues sag noticeably, jowls form, the jawline blurs and the cheeks droop. A surgical SMAS facelift works deeper than cosmetology — it repositions the muscle and fascia layer, treating the cause of sagging rather than its effects, so it gives a lasting result even with significant changes.
We perform only surgical facelifts at City Medical Centre. After assessing the changes and explaining every stage, the surgeon tailors the scope of surgery at the consultation.

A defined jawline and cheekbones

Eyelid and forehead lift

Correction of sagging cheeks and double chin

Softer nasolabial
folds

Results last up to 10 years
There are 4 main options; the surgeon will help you pick the best one for your age and ageing type at the consultation

SMAS facelift (standard)
A classic mid- and lower-face SMAS lift. The surgeon works on the skin and SMAS layer; the incisions are hidden along the hairline and around the ears. It removes jowls, sagging cheeks, a double chin and deep nasolabial folds, and results last 7–10 years.

Full (circular) facelift
Comprehensive lifting of the forehead, temples, mid and lower face and neck. It suits patients with pronounced sagging in several areas at the same time, giving the most complete rejuvenation and a natural look without a “mask” effect. Results last up to 10 years.

Neck and lower face lift
A lower-face, chin and neck lift that removes a double chin, jowls and loose neck skin. The surgeon works through small incisions, so the scars are barely visible. The best option if sagging affects only the lower face.

Endoscopic brow and temple lift
A gentle endoscopic technique through tiny punctures. The brows are repositioned and the forehead and frown lines smoothed, giving the eyes a more open look. Almost no incisions — any scars are hidden in the hairline.
Skin
The surgeon lifts and redrapes the skin flap carefully, removing excess skin. The skin then lies smoothly without excess tension — folds smoothed, surface evened out.
Subcutaneous fat
Volume is restored by redistributing fat in the cheeks and lower face. “Heaviness” in the lower face is removed, making the facial contour crisp and defined.
SMAS layer: muscles and ligaments
This is the key step of the surgery. By lifting and securing the muscle and fascia layer, the surgeon treats the very cause of sagging: weakened ligaments and descended muscles. Deep SMAS work is what gives results of up to 10 years and a natural look.
A crisp lower-face contour
Lifted cheeks with no sagging
A clean chin line without a double chin
A younger, fresher look without an “overdone” effect
Lifted brows and more open eyes
Softer nasolabial folds
Results last up to 10 years


Have a chronic condition? Please talk to one of our clinic doctors!
Indications

Marked sagging of the face and neck

A blurred jawline, jowls

Double chin, loose skin on the neck

Deep nasolabial folds and marionette lines

Drooping brows, a heavy look

Significant loss of skin firmness after 40

Wish for a long-term result (7–10 years)
Contraindications

Age under 30

Acute skin inflammation

Pregnancy and breastfeeding

Severe cardiovascular disease

Blood clotting disorders

Cancer

Decompensated diabetes
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Doctors with 10+ years of experience
Only certified plastic surgeons with real surgical practice. We work honestly: we never suggest surgery where it is not needed and never prescribe anything extra.
Free first consultation
The surgeon examines you, assesses the extent of sagging and which areas to correct, and explains the operation and recovery. No pushing and no pressure.
Licensed operating room
An inpatient unit of our own with an accredited operating suite. Our work is carried out under our licence and national healthcare standards.
In-house 0% instalments
Comfortable instalments to pay for your surgery — no overpayment and no bank interest.
Your schedule is our priority
Busy schedule? We fit around it: open daily 10:00–18:00, flexible booking, a personal approach — we adapt to you
Fixed prices
Examination, scope of surgery and the final price straight away — all from the surgeon at the consultation. No hidden extras.

Doctors with 10+ years of experience
Only certified plastic surgeons with real surgical practice. We work honestly: we never suggest surgery where it is not needed and never prescribe anything extra.

Free first consultation
The surgeon examines you, assesses the extent of sagging and which areas to correct, and explains the operation and recovery. No pushing and no pressure.

Licensed operating room
An inpatient unit of our own with an accredited operating suite. Our work is carried out under our licence and national healthcare standards.

In-house 0% instalments
Comfortable instalments to pay for your surgery — no overpayment and no bank interest.

Your schedule is our priority
Busy schedule? We fit around it: open daily 10:00–18:00, flexible booking, a personal approach — we adapt to you

Fixed prices
Examination, scope of surgery and the final price straight away — all from the surgeon at the consultation. No hidden extras.
Plastic surgeons with experience and doctors who care about how their patients look and feel
Ellina V.
Dermatovenereologist, trichologist, surgeon
11+ years of experience
14,000+ successful surgeries
Ellina V.
Dermatovenereologist, trichologist, surgeon
11+ years of experience
14,000+ successful surgeries
The final cost is set individually after an examination
Service
Discounted price
Surgeon consultation
Free
Lower face and neck lift (SMAS)
from $2,400
SMAS facelift (mid and lower face)
from $2,400
Endoscopic brow / temple lift
from $2,400
All-inclusive facelift
from $2,400
Full (circular) facelift
on request
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Is a SMAS facelift painful?
The surgery is carried out under general (inhalation) anaesthesia, which means no pain. In the first few days discomfort and tightness can occur and are eased by medication prescribed by your doctor.
When will I see results and how long do they last?
The first clear changes appear after 3–4 weeks once the swelling has gone down, and the face takes its final look within 3–6 months. After a surgical SMAS facelift the effect lasts 7–10 years.
Is there a recovery period?
Yes. The first 7–10 days call for rest, a compression bandage and reduced physical activity. Swelling and bruising fade in 2–4 weeks and full recovery takes about 2 months, while your operating surgeon follows you up for the whole first year.
Can a facelift be combined with other surgeries?
Yes. Blepharoplasty (eyelid surgery), rhinoplasty or double-chin liposuction are often combined with a surgical facelift. The scope of a combined procedure is decided by the surgeon at the consultation.
Can I pay for surgery in instalments?
Yes, City Medical Centre provides in-house 0% instalments; pay in parts with no overpayment and no bank interest.
What exactly is a SMAS facelift and how does it differ from a standard one?
A standard, skin-only lift works only on the surface layer of skin, and its effect is short-lived. A SMAS facelift goes deeper: the surgeon works on the muscle and fascia layer of the face and lifts tissues at the cause, not the effect. The outcome is natural and lasting.
How many surgeries does it take to get a result?
You get a complete result from one surgery. If you wish, the procedure can be repeated after 7–10 years.
From what age can I have a surgical facelift?
Surgery is, as a rule, recommended at 40+ with marked tissue sagging — in some cases from 35. After an examination, the recommendation is given individually.
How do I know if this surgery is right for me?
Book a free consultation. The surgeon will examine you, assess the type and degree of ageing, explain the expected result and answer all your questions.
One surgery gives a complete result; a repeat procedure may be considered after 7–10 years if the patient wishes. That is the main advantage of a surgical approach over cosmetology for people in Bremen with pronounced sagging. Because the surgeon works on the deep muscle and fascia layer rather than only the skin, the face keeps its new contours for years and continues to look natural.
Is a SMAS facelift painful? No: the surgery is done under general inhalation anaesthesia, so you feel nothing. Afterwards, discomfort and tightness are possible for a few days and are eased with prescribed medication. A compression bandage and reduced activity help the tissues settle in the first 7–10 days. That is the typical course for people in Bremen after surgery.
The price starts at $2,400 and already covers the essentials: anaesthesia, the inpatient stay with meals, round-the-clock monitoring and a year of surgeon follow-up until the final result. Bremen residents can pay through in-house 0% instalments with no overpayment. The first consultation is free: send your name and phone number, and a coordinator will contact you.
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