Restore ideal face and neck contours, refresh your look 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 loses firmness step by step: tissues visibly sag, jowls form, the jawline is less defined and the cheeks droop. A surgical SMAS facelift works deeper than cosmetology — repositioning the muscle and fascia layer, it treats the root cause of sagging rather than its effects, so the result is lasting even with significant changes.
Surgical facelifts are the only kind City Medical Centre performs. At the consultation the surgeon tailors the scope, having assessed the changes and explained every stage of surgery.

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
4 main options are available, and at the consultation the surgeon will help you choose the right one for your age and ageing type

SMAS facelift (standard)
A classic SMAS lift covering the mid and lower face. The surgeon works with both skin and SMAS layer, placing incisions along the hairline and around the ears where they are hidden. It takes away jowls, sagging cheeks, a double chin and deep nasolabial folds. The result lasts 7–10 years.

Full (circular) facelift
A comprehensive lift of the forehead, temples, mid and lower face and neck. Suits 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
A lift focused on the lower face, chin and neck. It removes a double chin, jowls and loose neck skin. Access is through small incisions, so scars are barely visible. The best option when sagging affects only the lower face.

Endoscopic brow and temple lift
A gentle technique: the surgeon works with an endoscope through tiny punctures. The brows are repositioned, forehead and frown lines are smoothed and the eyes look more open. Almost no incisions — 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
The key step of the surgery: lifting and securing the muscle and fascia layer, which treats the very cause of sagging — weakened ligaments and descended muscles. Deep SMAS work 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


With chronic conditions, please get advice from a clinic doctor!
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
We have only certified plastic surgeons with real surgical practice. Honesty comes first: no surgery where it isn't needed, nothing extra prescribed.
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
An in-house inpatient unit and an accredited operating suite. We operate under our licence and national healthcare standards.
In-house 0% instalments
You can pay for surgery in comfortable instalments without overpayment or 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
The surgeon examines you at the consultation, sets the scope of surgery and names the final price straight away. No hidden extras.

Doctors with 10+ years of experience
We have only certified plastic surgeons with real surgical practice. Honesty comes first: no surgery where it isn't needed, nothing extra prescribed.

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
An in-house inpatient unit and an accredited operating suite. We operate under our licence and national healthcare standards.

In-house 0% instalments
You can pay for surgery in comfortable instalments without overpayment or 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
The surgeon examines you at the consultation, sets the scope of surgery and names the final price straight 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
The final cost is calculated 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 done under general (inhalation) anaesthesia, so you won’t feel any pain. For the first few days you may feel discomfort and tightness, which are relieved with medication prescribed by your doctor.
When will I see results and how long do they last?
The first clear changes appear once the swelling goes down, after 3–4 weeks. The face takes on its final look within 3–6 months. With a surgical SMAS facelift the effect lasts 7–10 years.
Is there a recovery period?
Yes. Rest, a compression bandage and reduced physical activity are needed for the first 7–10 days. In 2–4 weeks swelling and bruising fade, and full recovery takes around 2 months. Your operating surgeon monitors you for the entire 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 offers in-house 0% instalments, so you can pay in parts with no bank interest or overpayment.
What exactly is a SMAS facelift and how does it differ from a standard one?
In a standard (skin-only) lift, only the top skin layer is affected and the effect is short-lived. A SMAS facelift is a deeper operation — the surgeon works on the muscle and fascia layer of the face, lifting tissues at the cause rather than the effect, for a natural and lasting outcome.
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?
As a rule, we recommend surgery for patients 40+ with marked tissue sagging, and in certain cases from 35. The recommendation is made individually after an examination.
How do I know if this surgery is right for me?
Book a free consultation — the surgeon examines you, assesses your type and degree of ageing, explains the expected result and answers all your questions.
The operation works on three levels. The skin flap is lifted, redraped and the excess removed, so the surface lies smoothly without tension. Fat in the cheeks and lower face is redistributed to restore volume and remove heaviness. Finally, the SMAS layer of muscles and ligaments is lifted and secured, which is the key step. For patients in Cologne, this layered approach gives results of up to 10 years.
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 Cologne after surgery.
Budget matters, so the price is fixed upfront: the surgeon gives you the final figure at the consultation, and nothing is added later. A facelift starts from $2,400, and the all-inclusive option is priced on request. In-house 0% instalments are available. The clinic works under an official contract with a guarantee. To begin, people from Cologne simply leave a phone number.
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