Restore the ideal contours of your face and neck, look younger and smooth out 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.
We perform only surgical facelifts at City Medical Centre. After assessing the changes and explaining every stage, the surgeon tailors the scope of surgery at the consultation.

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)
Classic SMAS lift of the mid and lower face, in which the surgeon works on the skin and the SMAS layer through incisions hidden along the hairline and around the ears. It removes jowls, sagging cheeks, a double chin and deep nasolabial folds. Results last 7–10 years.

Full (circular) facelift
This comprehensive lift works on the forehead, temples, mid and lower face and neck. It is for patients with marked sagging in several areas at once. Expect the most complete rejuvenation and a natural look without the “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 method: the surgeon uses an endoscope through tiny punctures. Brows are repositioned, forehead lines and frown lines smoothed, and the eyes look more open. There are almost no incisions, and scars are hidden in the hairline.
Skin
The skin flap is carefully lifted and redraped, and excess skin is removed. The skin lies smoothly without excess tension: folds are smoothed and the surface evened 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 crucial stage of the surgery. The muscle and fascia layer is lifted and secured, so the surgeon treats the root cause of sagging: weakened ligaments and descended muscles. Deep SMAS work is exactly what provides 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
Only certified plastic surgeons with real surgical practice. We work honestly, never proposing surgery where it is not needed and never prescribing anything extra.
Free first consultation
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.
Licensed operating room
We have our own inpatient unit and an accredited operating suite, working under our licence and national healthcare standards.
In-house 0% instalments
Comfortable instalments for your surgery, with no overpayment and no bank interest.
Your schedule is our priority
We fit around your busy schedule: open daily 10:00–18:00, flexible booking and a personal approach — we adapt to you
Fixed prices
At the consultation the surgeon examines you, decides on the scope of surgery and gives you the final price straight away — with no hidden extras.

Doctors with 10+ years of experience
Only certified plastic surgeons with real surgical practice. We work honestly, never proposing surgery where it is not needed and never prescribing anything extra.

Free first consultation
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.

Licensed operating room
We have our own inpatient unit and an accredited operating suite, working under our licence and national healthcare standards.

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

Your schedule is our priority
We fit around your busy schedule: open daily 10:00–18:00, flexible booking and a personal approach — we adapt to you

Fixed prices
At the consultation the surgeon examines you, decides on the scope of surgery and gives you the final price straight away — with no hidden extras.
Experienced plastic surgeons and doctors who care about the beauty and health of their patients
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
We calculate the final cost 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 operation is done under general (inhalation) anaesthesia, so there is no pain. Discomfort and tightness may be felt in the first few days and are relieved with medication prescribed by the doctor.
When will I see results and how long do they last?
The first clear changes appear after 3–4 weeks once the swelling has gone down, and the face takes its final look within 3–6 months. After a surgical SMAS facelift the effect lasts 7–10 years.
Is there a recovery period?
Yes. The first 7–10 days require rest, a compression bandage and reduced physical activity. Bruising and swelling fade within 2–4 weeks; full recovery takes about 2 months. The operating surgeon follows you up throughout the first year.
Can a facelift be combined with other surgeries?
Yes. A surgical facelift is commonly combined with blepharoplasty (eyelid surgery), rhinoplasty or double-chin liposuction, and the surgeon decides the scope of the combined procedure 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?
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?
A complete result is achieved in one surgery. A repeat procedure after 7–10 years is possible if the patient wishes.
From what age can I have a surgical facelift?
In general, surgery is recommended for patients 40+ who have marked tissue sagging, and in some cases from 35. Each recommendation is given 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.
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 Fresno, that depth is what makes the outcome natural and long-lasting.
On the day of surgery you are under combined inhalation anaesthesia, so there is no pain. The surgeon works through incisions hidden along the hairline and around the ears, lifts the skin, redistributes fat and secures the SMAS layer. Afterwards you stay in a comfortable inpatient room with meals and 24/7 monitoring by medical staff. The same care applies to everyone in Fresno.
What do you pay for? From $2,400 covers the operation and everything around it: a one-to-one consultation, the medical team, anaesthesia, inpatient care with meals, 24/7 monitoring and twelve months of surgeon follow-up. The first consultation is free and comes with no pressure to decide. Anyone in Fresno can apply via the form or any messenger to arrange a convenient time.
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Apply before the end of the year and get a consultation on us!