Bring back ideal face and neck contours, rejuvenate and smooth your 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 gradually loses firmness: tissues sag visibly, jowls form, the jawline blurs and the cheeks droop. A surgical SMAS facelift works deeper than cosmetology — it repositions the muscle and fascia layer and treats the cause of sagging rather than its effects, so it gives a lasting result even with significant changes.
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.

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
This lift targets the lower face, chin and neck, removing a double chin, jowls and loose skin on the neck. Small incisions give access, so scars are barely visible. It is the best option when only the lower face sags.

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 carefully lifts and redrapes the skin flap and removes the excess. The skin sits smoothly with no excess tension — folds are smoothed and the surface evened.
Subcutaneous fat
Fat in the cheeks and lower face is redistributed to restore volume. The “heaviness” of the lower face goes, and the facial contour 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


Please speak with a clinic doctor if you live with chronic conditions!
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: we never suggest surgery where it is not needed and never prescribe anything extra.
Free first consultation
The surgeon examines you, assesses the degree of sagging and the areas to correct, and explains the surgery and recovery. No pushing, no pressure.
Licensed operating room
Our own inpatient unit with an accredited operating suite. We work under our licence and national healthcare standards.
In-house 0% instalments
Pay for your surgery in convenient instalments with no overpayment or bank interest.
Your schedule is our priority
Your busy schedule comes first: we are open daily 10:00–18:00, offer flexible booking and a personal approach, and adapt to you
Fixed prices
Examination, scope of surgery and the final price straight away — all from the surgeon at the consultation. No hidden extras.

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

Free first consultation
The surgeon examines you, assesses the degree of sagging and the areas to correct, and explains the surgery and recovery. No pushing, no pressure.

Licensed operating room
Our own inpatient unit with an accredited operating suite. We work under our licence and national healthcare standards.

In-house 0% instalments
Pay for your surgery in convenient instalments with no overpayment or bank interest.

Your schedule is our priority
Your busy schedule comes first: we are open daily 10:00–18:00, offer flexible booking and a personal approach, and adapt to you

Fixed prices
Examination, scope of surgery and the final price straight away — all from the surgeon at the consultation. No hidden extras.
Our experienced plastic surgeons and doctors care about 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 determined 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?
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.
When will I see results and how long do they last?
First clear results show after 3–4 weeks, as swelling goes down. In 3–6 months the face has its final look, and a surgical SMAS facelift keeps the effect for 7–10 years.
Is there a recovery period?
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.
Can a facelift be combined with other surgeries?
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.
Can I pay for surgery in instalments?
Yes, you can pay in parts with City Medical Centre's in-house 0% instalments — no bank interest, no overpayment.
What is a SMAS facelift, and what sets it apart from a standard facelift?
Only the top layer of skin is affected by a standard (skin-only) lift, which gives a short-lived effect. A SMAS facelift is surgery at a deeper level — on the facial muscle and fascia layer — lifting tissues at the cause rather than the effect. The outcome is natural and lasting.
How many surgeries does it take to get a result?
One surgery is enough for a complete result; a repeat procedure may follow after 7–10 years if the patient wishes.
From what age can I have a surgical facelift?
Surgery is, as a rule, recommended at 40+ with marked tissue sagging — in some cases from 35. After an examination, the recommendation is given individually.
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 Houston, that depth is what makes the outcome natural and long-lasting.
Inside the operating room the SMAS facelift runs through three levels of correction. First the skin flap is lifted and redraped, and excess skin removed. Next, fat in the cheeks and lower face is redistributed. Finally the muscle and fascia layer is lifted and secured, treating weakened ligaments and descended muscles. This is how the operation goes for patients from Houston.
For patients from Houston, City Medical Centre offers surgical facelifts from $2,400, with a licensed operating room and its own inpatient unit. The price includes combined inhalation anaesthesia, a comfortable room, meals, constant monitoring and a year of follow-up. Surgeons have 10+ years of experience. Getting started is simple: request a free consultation online.
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