Ideal contours of the face and neck restored, wrinkles smoothed, a younger look!
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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:
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Skin loses firmness little by little after 40–50: tissues sag, jowls form, the jawline becomes blurred and the cheeks droop. A surgical SMAS facelift acts deeper than cosmetology, repositioning the muscle and fascia layer — it treats the cause of sagging, not the effects, and so lasts even with significant changes.
City Medical Centre offers surgical facelifts only. The surgeon individually defines the scope of surgery at the consultation, after assessing the changes and explaining each stage.

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
We offer 4 main options — at the consultation the surgeon helps you choose the best one for your age and type of ageing

SMAS facelift (standard)
The classic SMAS lift of the mid and lower face. Work is done on the skin and SMAS layer, and incisions are hidden along the hairline and around the ears. It gets rid of jowls, sagging cheeks, a double chin and deep nasolabial folds, with results lasting 7–10 years.

Full (circular) facelift
A comprehensive lift of the forehead, temples, mid and lower face and neck, for patients with marked sagging in several areas at once. It gives the most complete rejuvenation and a natural look with no “mask” effect. Results last up to 10 years.

Neck and lower face lift
Lifting of the lower face, chin and neck. It gets rid of a double chin, jowls and loose neck skin through small incisions, leaving barely visible scars. The best choice when sagging affects only the lower face.

Endoscopic brow and temple lift
A gentle technique in which the surgeon works with an endoscope through tiny punctures. The brows are lifted into place, forehead and frown lines are smoothed and the eyes look more open. Almost no incisions — scars are hidden in the hairline.
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Skin
Careful lifting and redraping of the skin flap, with removal of excess skin. The skin lies smoothly, without excess tension; folds smooth out and the surface evens out.
Subcutaneous fat
Fat in the cheeks and the lower face is redistributed, restoring volume. The lower face loses its “heaviness” and the facial outline becomes crisp and defined.
SMAS layer: muscles and ligaments
The key step of surgery: by lifting and securing the muscle and fascia layer, the surgeon addresses the very cause of sagging — weakened ligaments and descended muscles. It is deep SMAS work that gives results of up to 10 years and a natural look.
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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


Please see a clinic physician if you have chronic health conditions!
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
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our coordinator will contact you shortly
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Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Doctors with 10+ years of experience
Certified plastic surgeons with real surgical practice — no one else. We work honestly, never suggesting needless surgery and never prescribing extras.
Free first consultation
An examination by the surgeon, an assessment of the degree of sagging and areas to correct, and an explanation of the surgery and recovery. No pushing, no pressure.
Licensed operating room
Own inpatient unit, accredited operating suite. We work under our licence and in line with national healthcare standards.
In-house 0% instalments
Comfortable instalments for your surgery, with no overpayment and no bank interest.
Your schedule is our priority
Your busy schedule comes first: we are open daily 10:00–18:00, offer flexible booking and a personal approach, and adapt to you
Fixed prices
At the consultation the surgeon examines you, defines the scope of surgery and gives you the final price right away. No hidden extras.

Doctors with 10+ years of experience
Certified plastic surgeons with real surgical practice — no one else. We work honestly, never suggesting needless surgery and never prescribing extras.

Free first consultation
An examination by the surgeon, an assessment of the degree of sagging and areas to correct, and an explanation of the surgery and recovery. No pushing, no pressure.

Licensed operating room
Own inpatient unit, accredited operating suite. We work under our licence and in line with national healthcare standards.

In-house 0% instalments
Comfortable instalments for your surgery, with no overpayment and no bank interest.

Your schedule is our priority
Your busy schedule comes first: we are open daily 10:00–18:00, offer flexible booking and a personal approach, and adapt to you

Fixed prices
At the consultation the surgeon examines you, defines the scope of surgery and gives you the final price right away. No hidden extras.
A team of experienced plastic surgeons and doctors caring for their patients’ beauty and health
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
Request a visit before year-end and get your consultation free!
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The final cost is worked out individually after an examination
Service
Discounted price
Surgeon consultation
Free
Request a visit before year-end and get your consultation free!
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Lower face and neck lift (SMAS)
from $2,400
Request a visit before year-end and get your consultation free!
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SMAS facelift (mid and lower face)
from $2,400
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Endoscopic brow / temple lift
from $2,400
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All-inclusive facelift
from $2,400
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Full (circular) facelift
on request
Request a visit before year-end and get your consultation free!
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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
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Message our coordinator
We reply right in the chat — you can send photos
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
Is a SMAS facelift painful?
The surgery is performed under general (inhalation) anaesthesia, and you won’t feel pain. For the first few days, discomfort and tightness are possible; medication prescribed by your doctor relieves them.
When will I see results and how long do they last?
Clear changes first appear once the swelling subsides, after 3–4 weeks. The face acquires its final look within 3–6 months. The effect of a surgical SMAS facelift lasts 7–10 years.
Is there a recovery period?
Yes. You need rest, a compression bandage and reduced physical activity for the first 7–10 days. After 2–4 weeks swelling and bruising fade; full recovery takes approximately 2 months. The operating surgeon follows you for the whole first year.
Can a facelift be combined with other surgeries?
Yes. A surgical facelift can be, and often is, combined with blepharoplasty (eyelid surgery), rhinoplasty or double-chin liposuction. The surgeon decides on the combined scope at the consultation.
Can I pay for surgery in instalments?
Yes, in-house 0% instalments are available at City Medical Centre — you pay in parts without bank interest or overpayment.
What is a SMAS facelift and how does it compare with a standard facelift?
Only the top layer of skin is affected by a standard (skin-only) lift, which gives a short-lived effect. A SMAS facelift is surgery at a deeper level — on the facial muscle and fascia layer — lifting tissues at the cause rather than the effect. The outcome is natural and lasting.
How many surgeries does it take to get a result?
A single operation gives a complete result, and a repeat procedure may be done after 7–10 years at the patient's request.
From what age can I have a surgical facelift?
As a rule, patients aged 40+ with marked tissue sagging are recommended surgery, and in some cases from 35. The recommendation is individual and follows an examination.
How do I know if this surgery is right for me?
Sign up for a free consultation. You'll be examined by the surgeon, who assesses the type and degree of ageing, explains the expected result and answers all your questions.
Jowls, a heavy lower face, a blurred jawline, drooping brows: these are the changes that bring people in Cape Town to a plastic surgeon. Cosmetology can refresh the skin, but it does not reach the deep layer where sagging begins. A SMAS facelift does, which is why it suits patients who want a lasting correction. Where sagging affects only the lower face, a neck and lower face lift may be enough.
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 Cape Town after surgery.
A facelift costs from $2,400 (≈ R40,500). For patients from Cape Town, the price includes a one-to-one consultation, a highly experienced medical team, combined inhalation anaesthesia, a stay in comfortable inpatient rooms, 24/7 monitoring by medical staff, meals during your stay, personal support before and after surgery and a year of follow-up by your plastic surgeon. Start with a free consultation.
Prices are in US dollars; the amount in brackets is an approximate conversion to ZAR at the rate of 02.10.2026. The final price is fixed in your contract.
Prices start from $2,400 (≈ R40,500). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.
A one-to-one consultation, the medical team, anaesthesia, inpatient care with meals, 24/7 monitoring and twelve months of follow-up by the surgeon.
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