beforeafterSMAS facelift
50 years9 months
from $2,400
The price is fixed in the contract before surgery
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Facelift in El Paso: price and key factsFacelift for patients from El Paso at City Medical Centre starts at $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.
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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
Individual calculation of the final cost after an examination
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 hands-on surgical practice. We work honestly and never suggest surgery where it isn't needed or prescribe anything extra.

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.

We have our own inpatient unit and an accredited operating suite, working 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.
Under general (inhalation) anaesthesia you won’t feel any pain during surgery. The first few days may bring discomfort and tightness, which are relieved with medication from 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. During the first 7–10 days: rest, a compression bandage and less physical activity. Swelling and bruising fade within 2–4 weeks, and full recovery takes about 2 months. For the whole first year, your operating surgeon follows you up.
Yes. A surgical facelift is often combined with blepharoplasty (eyelid surgery), rhinoplasty or double-chin liposuction. The surgeon decides the scope of a combined procedure 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.
A standard lift (skin only) touches just the surface layer and has a short-lived effect. SMAS facelift surgery is deeper — the facial muscle and fascia layer is worked on, and tissues are lifted at the cause rather than the effect. The outcome: natural and lasting.
One surgery gives a complete result. Whether a repeat correction is ever needed is individual and is decided by the surgeon at an examination.
Surgery is usually recommended for patients 40+ with marked tissue sagging, sometimes from 35. The recommendation is given individually after an examination.
Book your free consultation: the surgeon will examine you, assess the type and degree of ageing, explain the expected result and answer every question.
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.
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 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 in US dollars and fixed in your contract. Message us to get your exact price.
Prices start from $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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Plan the first 7–10 days for rest and the compression bandage, then the follow-up visits the doctor sets.
Swelling and bruising fade in 2–4 weeks and the first changes show after 3–4 weeks, so leave at least that much time; the final look settles over 3–6 months.
Send the coordinator front, side and three-quarter photos of your face and neck without filters, your age and earlier procedures. The surgeon reviews them and the price is fixed in the contract.
Yes. Write to us with the dates that suit you. You can start the free first consultation online, so you can do it from home: after the doctor reviews your details, the clinic offers its nearest free dates.
Write to us on Telegram or WhatsApp or leave a request on this page. The coordinator asks for the photos and health details the doctor needs, and the doctor gives you a free assessment and a price.
What is the difference between a standard and a SMAS facelift? A skin-only lift affects just the top layer and gives a short-lived effect. A SMAS facelift is deeper surgery: the surgeon lifts and secures the facial muscle and fascia layer, addressing weakened ligaments and descended muscles. For anyone researching a facelift in El Paso, that depth is what makes the outcome natural and long-lasting.
The endoscopic brow and temple lift is the gentlest option: the surgeon uses an endoscope through tiny punctures, repositions the brows and smooths forehead and frown lines, with scars hidden in the hairline. A neck and lower face lift also uses small incisions, keeping scars barely visible. For people in El Paso, the choice of access depends on which zones need correction and how marked the sagging is.
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. The clinic works under an official contract with a guarantee. To begin, people from El Paso simply leave a phone number.
Well-known people who spoke openly about this operation, in their own words.
El Paso sits in the Chihuahuan Desert with a hot desert climate — summer highs regularly above 38°C with low humidity, mild winters, and a modest annual rainfall of under 9 inches concentrated in the June-to-September monsoon months, when sudden dust storms can roll through the city with little warning. That dryness and intense sun matter directly for a facelift incision, which sits around the ears and hairline and needs protection from UV exposure while it's still healing and pink.
During the stretch when a compression bandage and genuine rest are the priority — the better part of the first ten days — sitting in air-conditioned rooms isn't a hardship in El Paso; it's simply avoiding the same midday sun most residents already dodge without thinking about it. Once walking around outside resumes afterward, a hat and a conscious habit of staying shaded matter more here than somewhere milder, since UV hitting a fresh scar tends to darken it and stretch out the fading process.
A sudden dust storm is also worth planning around in a different sense — not for the incision itself, but because reduced visibility and blowing dust can make a drive to a follow-up appointment less predictable than usual during the monsoon season specifically.
El Paso's elevation, roughly 1,140 metres above sea level at the base of the Franklin Mountains, also means noticeably cooler nights than the daytime highs suggest, even in summer — a detail that surprises people packing for the desert heat and expecting no relief after dark. Staying ahead of dehydration matters here too, since dry desert air draws moisture out of the body faster than most people realize, separate from anything specific to the healing process.
The 2020 U.S. Census counted El Paso's population at 678,815, making it one of the largest cities in Texas and a major regional hub for West Texas and southern New Mexico. A city that size supports a meaningful number of private surgical practices, which widens choice but says nothing about how many facelifts any specific surgeon has personally performed.
That distinction is worth raising directly at the first consultation: how many SMAS facelifts the surgeon has done, how a result that falls short of expectations gets handled, and who manages the full year of follow-up visits that typically comes with this kind of surgery.
El Paso also sits along what's long been called the Pass of the North, the historic gap between the Franklin Mountains and the Rio Grande that gave the city its name and its role as a regional crossroads for centuries before any hospital or clinic existed there — an old geographic fact that explains the city's layout far more than it explains any individual surgeon's track record.
The Mission Trail south of downtown links three of the oldest continuously used religious sites in the United States, dating back to the 1600s — a detail locals bring up often, and one more sign of how much regional history sits within the city limits well beyond anything medical.
The mountains also give El Paso one of the largest urban parks in the United States lying completely within city limits: Franklin Mountains State Park covers about 24,000 acres, run by Texas Parks and Wildlife, and its North Franklin Mountain peak reaches 7,192 feet. Its trails are where many residents walk and hike, and that is the kind of activity to reintroduce gradually after a facelift. Gentle walking on flat ground helps circulation in the first weeks, while steep climbs, heavy exertion and hours of exposed sun at altitude wait until the surgeon confirms that swelling has settled and the scars are mature enough for strong UV.
Ysleta, in the city's lower valley, is home to the Ysleta del Sur Pueblo, one of only three federally recognized Native American tribes in Texas, and its mission there is considered one of the oldest continuously inhabited settlements in the state — a detail that sits alongside the Mission Trail churches further north as one more layer of the region's long pre-hospital history.
One lookup settles the basic question of whether a doctor may legally practise medicine in Texas at all: the Texas Medical Board's public register, which confirms current license status in a couple of minutes, free of charge, regardless of how established or polished a clinic's own marketing looks.
What that register can't settle is facelift-specific experience, since no single protected title in U.S. medicine is reserved exclusively for it. That's a question for the room, not the register: how many SMAS facelifts has this surgeon personally performed, how do they handle a result that misses the mark, and who's responsible for the follow-up visits spread across the year after surgery.
Federal Medicare rules carve out a narrow exception for cosmetic procedures — congenital deformity, accidental-injury repair — and a facelift aimed at softening the visible effects of ageing simply doesn't fall under either one, a line most private U.S. insurers draw the same way. Texas compounds that with no state law of its own requiring paid sick leave, so there's no statutory safety net to lean on for time taken around a chosen, planned surgery.
What that leaves is a straightforward practical arrangement: the days off get negotiated directly with an employer, mapped against the clinic's own recovery milestones rather than against any insurance or leave entitlement.
Rest and a compression bandage define the opening stretch — call it a week to ten days — with tightness and discomfort as the main complaints, usually manageable with whatever the surgeon prescribes. Bruising and puffiness don't disappear overnight after that; they fade gradually over the following few weeks, and most patients consider themselves essentially back to normal by around the two-month point, with the surgeon still checking in periodically through the rest of that first year.
Patience matters most with the outcome: a month or so in, once the early puffiness has cleared, the change starts looking like something rather than just swelling going down, but the face doesn't settle into its lasting look until somewhere in the three-to-six-month range. A SMAS lift's depth — working the muscle and connective tissue layer rather than only the skin — is why the result it produces tends to hold for roughly a decade rather than fading within a couple of years.
Nothing requires waiting for office hours — messages to the coordinator on Telegram or WhatsApp get answered day or night, so photos and early questions can be worked through long before a specific appointment is set.
The healing timeline itself doesn't change, but sudden dust storms during the June-to-September monsoon are worth building a little flexibility around when getting to a follow-up visit.
Check the surgeon's name through the Texas Medical Board's public lookup before committing to a consultation, rather than relying only on a clinic's own marketing.
Generally no, since Medicare and most private plans exclude cosmetic surgery except for congenital or accidental-injury repair, and a facelift addressing visible ageing falls outside that exception.
Expect a month before anything looks like progress rather than just fading bruising, and a further two to five months beyond that before the face has settled into its lasting shape.
Around a decade on average — the depth of the lift, reaching the muscle layer rather than stopping at the skin, is what gives it that staying power compared with a more superficial lift.
It's common to pair it with eyelid surgery, rhinoplasty or liposuction under the chin, but which combination makes sense gets worked out at the consultation, after the surgeon has looked at the face in question.
No — Texas has no state-mandated paid sick leave law, so recovery time off work is arranged directly with an employer rather than claimed under a statutory entitlement.
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