beforeafterSMAS facelift
50 years9 months
from €2,150 (≈ $2,400)
The price is fixed in the contract before surgery
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Facelift in Dortmund: price and key factsFacelift for patients from Dortmund 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.
How it works · Facelift prices
Information current as of 3 November 2026
Results
Facelift before and after photos of real patients of the clinic.
beforeafter50 years9 months
beforeafter58 years8 months
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Comparison
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.
Incisions hidden along the hairline and ears

from $2,400
Focused on the lower face, chin and neck

from $2,400
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
Modern equipment, comfortable rooms and care for every patient

We will answer your questions and find a convenient time for a consultation
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Get a free consultationIf your case can be solved without surgery, the doctor will tell you so at the consultation — and you will not spend money for nothing.

A SMAS facelift solves

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
Following an examination, the final cost is calculated individually
Jowls, sagging cheeks and deep nasolabial folds

Double chin, jowls and loose neck skin

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.

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all inclusive
From preparation for surgery to a year of follow-up.
from $2,400
Book a consultationHow it works
An agreed surgical plan, inpatient monitoring and follow-up by your surgeon for a year.
1The 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.
2We book a date that suits you. The scope of surgery and the final price are fixed in the contract — no hidden extras.
3You complete the check-up prescribed by the surgeon and see the anaesthetist. The specialists assess your health and readiness for surgery.
4Under 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.
5After surgery you stay in a comfortable inpatient room with meals, under 24/7 monitoring by medical staff.
6For the first 7–10 days — rest, a compression bandage and reduced physical activity. Your operating surgeon follows you up for the whole first year.

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

Only certified plastic surgeons with real surgical practice. We work honestly, never proposing surgery where it is not needed and never prescribing anything extra.

The surgeon examines you and assesses both the degree of sagging and the areas that need correction, then explains the surgery and recovery. No pushing, no pressure at all.

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

The price is fixed in the contract before surgery, with no hidden extras.

We fit around your busy schedule: open 24/7, flexible booking and a personal approach — we adapt to you
FAQ
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.
You won’t feel any pain — the surgery is done under general (inhalation) anaesthesia. For the first few days there may be discomfort and tightness, which your doctor’s prescribed medication relieves.
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. For the first 7–10 days you need rest, a compression bandage and reduced physical activity. Swelling and bruising fade in 2–4 weeks, and full recovery takes about 2 months. Your operating surgeon follows you up for the whole first year.
Yes. Surgical facelifts are frequently combined with blepharoplasty (eyelid surgery), rhinoplasty or liposuction of the double chin. The scope of the combined procedure is set 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, surgery is recommended for patients aged 40+ with marked tissue sagging, and in some cases from 35. The recommendation is made individually after an examination.
Get a free consultation: the surgeon will examine you, assess your ageing type and degree, explain the expected result and answer all your questions.
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.
With age, after 40–50, skin gradually loses firmness: tissues sag noticeably, jowls form, the jawline blurs, the cheeks droop. A surgical SMAS facelift works deeper than any cosmetology — it repositions the muscle and fascia layer, treating the cause of sagging and not its effects, so the result lasts even with significant changes.

City Medical Centre performs surgical facelifts only: work on the SMAS layer treats the cause of sagging rather than its effects
Skin, subcutaneous fat and the muscle and fascia layer are corrected layer by layer — a natural look with no “mask” effect
Incisions are hidden along the hairline and around the ears, so once healed the scars are barely visible
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.
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.
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.
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.
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Jowls, a heavy lower face, a blurred jawline, drooping brows: these are the changes that bring people in Dortmund 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.
Recovery follows a clear timeline. For the first 7–10 days you need rest, a compression bandage and reduced physical activity. Swelling and bruising fade in 2–4 weeks, and full recovery takes about two months. The first clear changes appear after 3–4 weeks, and the face takes on its final look within 3–6 months. Patients from Dortmund are guided by the surgeon throughout.
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 €2,150 (≈ $2,400), and the all-inclusive option is priced on request. The clinic works under an official contract with a guarantee. To begin, people from Dortmund simply leave a phone number.
Long before coal, Dortmund was Tremonia, a Free Imperial City and a member of the Hanseatic League on the old Hellweg trade route, and the imperial eagle in its coat of arms still recalls that status. The town lost it in 1803, became Prussian in 1815 and passed the 100,000 mark in 1895, when collieries and steelworks were pulling in workers from far beyond Westphalia.
For a century the city was known for steel, coal and beer. More than fifteen pits operated inside today's boundaries in the middle of the twentieth century, and the last of them closed in 1987. What followed was decades of structural change: Dortmund is today a centre of the insurance industry and retail, with newer firms clustering in logistics, IT and microsystems technology, with about 53,500 students at six universities and colleges.
The population figure tells the same story. The official count stood at 600,880 on 31 December 2025, which makes Dortmund the largest city of the Ruhr, while the Ruhr as a whole is home to roughly 5.1 million people. For a facelift, that size matters mostly in a quiet way: the blood tests and the anaesthesia check that come before surgery can be done close to home, and a first conversation with the surgeon happens online.
The local climate table counts about 195 days with rain a year and an average relative humidity of roughly 77.7 percent. Winter is the dampest stretch: humidity sits around 85 percent from December to January, February brings the most rain at about 92 mm, and the day-time high in January is only around 6.8°C, with nights near 2°C.
Spring is the driest time. April averages only about 44 mm of rain and May has the lowest humidity of the year, about 70 percent, while day-time highs climb from roughly 15°C to 19°C. Summer peaks at around 25°C in June and August, and the city's dense built-up core forms the heat islands typical of an urban climate, with occasional heat waves well above that.
What this means after a facelift is practical rather than medical. The first 7-10 days call for rest, a compression bandage and reduced physical activity, whatever the weather. In the bright months from May to August, the incisions along the hairline and around the ears need shade and a wide-brimmed hat rather than sun on the healing skin; in the grey, windy months a soft scarf that does not press on the bandaged areas is the more useful item. Swelling and bruising fade in 2-4 weeks either way, first clear changes show after 3-4 weeks, and full recovery takes about two months.
German law protects only certain specialist titles. The DGPRÄC, the national society for plastic, reconstructive and aesthetic surgery, points out that labels such as Schönheitschirurg, ästhetischer Chirurg or kosmetischer Chirurg are self-chosen and not protected, so any doctor may use them. The title Facharzt für Plastische und Ästhetische Chirurgie, by contrast, requires six years of specialist training after medical school, roughly 600 operations performed independently and a final examination before the regional chamber of physicians.
The face is a special case. According to the same society, ear, nose and throat specialists and oral and maxillofacial surgeons can add the qualification Plastische Operationen after two further years of training, which allows them to operate within their own region of the body. A facelift performed by one of these specialists can therefore be perfectly legitimate, provided the qualification appears in the record.
That record is public. The Ärztekammer Westfalen-Lippe, the chamber for Dortmund and the rest of the region, runs an online doctor search that shows whether a physician is registered and which specialist titles they hold, and the DGPRÄC keeps a search limited to its own members. Ask at the consultation which of these titles the operating surgeon holds, whether the plan is a SMAS lift of the mid and lower face or a fuller lift that includes forehead and neck, and who sees you at the follow-up checks through the first year.
Statutory health insurance pays for treatment only when it is needed to diagnose, cure or relieve an illness, as Section 27 of Social Code Book V puts it, and a facelift for age-related sagging is not that kind of treatment. Section 52(2) goes further: if a complication arises from a medically non-indicated aesthetic operation, the fund is required to make the patient share the costs of treating it in a reasonable amount and to refuse or reclaim sick pay, in whole or in part, for that period.
Pay from the employer is a separate question. Section 3 of the Entgeltfortzahlungsgesetz grants up to six weeks of continued wages only when an employee is unable to work through illness without being at fault, and the law does not say that recovery from a purely elective cosmetic operation meets that test. Do not assume it will be covered: many people in Dortmund simply book the operation for days of leave or a quiet work period and clarify the rest with their employer beforehand.
If you are off work, the employer must be told without delay. For statutorily insured employees, Section 5(1a) of the same law means the doctor's certificate no longer has to be handed in on paper; you still need a doctor to confirm the incapacity once the absence runs past three calendar days, and you keep the certificate you are given.
There is no medical best season. Spring is the driest part of the Dortmund year and late autumn the dampest, while the bright summer months simply mean more effort to keep the scars along the hairline in the shade.
No. Schönheitschirurg is an unprotected label any doctor may use. Look for Facharzt für Plastische und Ästhetische Chirurgie, or for a facial specialist with the additional qualification Plastische Operationen, and confirm it in the Ärztekammer Westfalen-Lippe search.
Yes. A coordinator answers on Telegram or WhatsApp at any hour, passes the photos to the surgeon and arranges a free online consultation, with no obligation to choose a date.
No. Section 27 SGB V limits cover to medically necessary treatment, and under Section 52(2) the fund must even make you share the cost of treating complications of an aesthetic operation and may withhold sick pay for that time.
Do not count on it. Continued pay under Section 3 EFZG requires incapacity through illness without fault on your part, and the law does not say that this covers elective cosmetic surgery, so most patients plan the recovery around leave.
Swelling and bruising fade in 2-4 weeks and the first clear changes appear after 3-4 weeks. Full recovery takes about two months, the face settles into its final look within 3-6 months, and a SMAS result is long-term.
Yes. A facelift is often combined with blepharoplasty, rhinoplasty or liposuction of the double chin in the same operation; the surgeon sets the combined scope at the consultation.
As a rule from about 40, when sagging along the jaw and neck is clearly visible, and in some cases from 35. The surgeon decides individually after examining the face, and the operation itself is carried out under general anaesthesia, with tightness in the first days eased by prescribed medication.
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