beforeafterSMAS facelift
50 years9 months
SMAS Facelift in Cologne
Free consultation
from €2,150 (≈ $2,400)
The price is fixed in the contract before surgery
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Facelift in Cologne: price and key facts
Facelift for patients from Cologne at City Medical Centre starts at €2,150 (from $2,400). The first online consultation is free; the doctor names the final price and it is fixed in the contract.
- Price
- €2,150 (from $2,400)
- Anaesthesia
- general (inhalation)
- Recovery
- about 2 months to full recovery
- Final result
- 3–6 months after surgery
- How it works
- Send photos on WhatsApp or Telegram, get a free doctor assessment and the price, then confirm the plan and dates before anything is booked.
How it works · Facelift prices
Information current as of 3 November 2026
Results
SMAS facelift results
of our patients
Facelift before and after photos of real patients of the clinic.
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58 years8 months
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34 years5 months
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32 years7 months
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40 years6 months
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45 years8 months
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38 years5 months
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33 years6 months
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Comparison
SMAS facelift options compared
The scope of a SMAS facelift depends on your anatomy and how much correction is needed. Compare two options — the surgeon will help you choose the right one at the consultation.
SMAS facelift (mid and lower face)
Incisions hidden along the hairline and ears
from $2,400
- Main goal
- Lift the cheeks and remove jowls
- When it is done
- Jowls, sagging cheeks, nasolabial folds
- Scope of correction
- Skin and SMAS of the mid and lower face
Lower face and neck lift (SMAS)
Focused on the lower face, chin and neck
from $2,400
- Main goal
- Remove a double chin and jowls
- When it is done
- Sagging of the lower face and neck
- Scope of correction
- Small incisions, barely visible scars
The benefits and recovery times shown are averaged for each technique and given for guidance: the scope of correction and rehabilitation depend on your anatomy and individual features, and the surgeon confirms them at the consultation.
At the consultation the surgeon draws up a plan for your case and explains how your SMAS facelift will go.
Free, before surgery and with no obligation.
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Get a free consultationA facelift is not for everyone
If your case can be solved without surgery, the doctor will tell you so at the consultation — and you will not spend money for nothing.
Suitable
A SMAS facelift solves
- Pronounced sagging in the face and neck
- A loss of jawline definition, jowls
- Double chin, loose skin on the neck
- Deep marionette lines and nasolabial folds
- Drooping brows and a heavy look
- A significant drop in skin firmness after 40
Not suitable
- Age under 30
- Acute skin inflammation
- Pregnancy and the breastfeeding stage
- Severe cardiovascular disease
- Blood clotting disorders
- Cancer
- Decompensated diabetes
Not sure the surgery is right for you?
Message our coordinator — you can send photos, and the surgeon will tell you whether a facelift suits you. No surgery booking needed.
Find out if it suits me
Prices
You know the price
before surgery
The final cost is calculated individually after an examination
SMAS facelift (mid and lower face)
Jowls, sagging cheeks and deep nasolabial folds
Lower face and neck lift (SMAS)
Double chin, jowls and loose neck skin
Facelift prices
- Surgeon consultationFree
- Endoscopic brow / temple liftfrom $2,400
- All-inclusive faceliftfrom $2,400
- Full (circular) facelifton request
Find out your facelift plan and price
The surgeon assesses your skin and the soft tissues of the face and neck, listens to your wishes and defines the scope of your SMAS facelift.
Message our coordinator
Free online consultation · Reply within 15 minutes
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all inclusive
What the price includes
From preparation for surgery to a year of follow-up.
- One-to-one consultation
- A medical team with extensive experience
- Combined inhalation anaesthesia
- Comfortable rooms for your inpatient stay
- 24/7 monitoring by medical staff
- Meals for the duration of your stay at the clinic
- Personal support before and after surgery
- Your plastic surgeon follows you for a year after surgery, up to the final result
from $2,400
Book a consultationHow it works
From consultation —
to the final result
An agreed surgical plan, inpatient monitoring and follow-up by your surgeon for a year.
1Consultation
and surgical plan
The surgeon examines you, assesses the degree of sagging and the areas to correct, and explains the surgery and recovery. The first consultation is free and can start online.
2Booking the date
of surgery
We book a date that suits you. The scope of surgery and the final price are fixed in the contract — no hidden extras.
3Check-up before
surgery
You complete the check-up prescribed by the surgeon and see the anaesthetist. The specialists assess your health and readiness for surgery.
4The operation
Under general (inhalation) anaesthesia the surgeon lifts and secures the SMAS layer, redrapes the skin and removes the excess. Incisions are hidden along the hairline and around the ears.
5Inpatient stay
After surgery you stay in a comfortable inpatient room with meals, under 24/7 monitoring by medical staff.
6Recovery
For the first 7–10 days — rest, a compression bandage and reduced physical activity. Your operating surgeon follows you up for the whole first year.
Recovery after a SMAS facelift
For the first 7–10 days you need rest, a compression bandage and reduced physical activity. For the first few days you may feel discomfort and tightness, which are relieved with medication prescribed by your doctor.
Swelling and bruising fade in 2–4 weeks, and full recovery takes about 2 months. 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. Your operating surgeon follows you up for the whole first year.
Advantages
Why patients pick City Medical Centre
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.
The first consultation is free
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.
Operating room, fully licensed
An in-house inpatient unit and an accredited operating suite. We operate under our licence and national healthcare standards.
Fixed price in the contract
The price is fixed in the contract before surgery, with no hidden extras.
Your schedule is our priority
We fit around your busy schedule: open 24/7, flexible booking and a personal approach — we adapt to you
FAQ
We answer what
people ask before booking
It is a face lift that tightens the deep SMAS layer under the skin, not only the skin itself, so the lower face, jawline and neck become firmer. The result is long-term, while natural skin ageing continues.
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.
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. The result of a surgical SMAS facelift is long-term, while natural skin ageing continues.
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.
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.
Payment is made in full before the procedure. If you would like to spread the cost, you can take out a loan with your own bank and pay the full amount with it.
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.
One surgery gives a complete result. Whether a repeat correction is ever needed is individual and is decided by the surgeon at an examination.
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.
Book a free consultation — the surgeon examines you, assesses your type and degree of ageing, explains the expected result and answers all your questions.
What is a SMAS facelift and who is it for?
City Medical Centre performs surgical facelifts only. The surgeon tailors the scope of surgery at the consultation, after assessing the changes and explaining every stage. The skin, subcutaneous fat and the SMAS layer (muscles and ligaments) are corrected layer by layer, so the face looks natural, without an “overdone” effect, and the result is long-term — while natural skin ageing continues.
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.
How our SMAS facelift is performed
Surgical lift only
City Medical Centre performs surgical facelifts only: work on the SMAS layer treats the cause of sagging rather than its effects
Three levels of correction
Skin, subcutaneous fat and the muscle and fascia layer are corrected layer by layer — a natural look with no “mask” effect
Hidden incisions
Incisions are hidden along the hairline and around the ears, so once healed the scars are barely visible
Other services of our clinic
Facelift in Cologne: price and what is included
Prices are shown in EUR, converted at the rate of 02.10.2026; the amount in brackets is the base price in US dollars. The final price is fixed in your contract.
- Faceliftfrom €2,150 (≈ $2,400)
How much does a facelift in Cologne cost?
Prices start from €2,150 (≈ $2,400). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.
What is included in the price?
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.
How do I get my exact price?
Message us on WhatsApp or Telegram using the buttons below. A coordinator will answer your questions and book a free consultation where the doctor names the exact price.
By messaging us, you agree to our Privacy Policy