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:
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.
At City Medical Centre facelifts are surgical only. The surgeon sets the scope of surgery at the consultation after assessing the changes and walking you through 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; the best one for your age and ageing type is chosen with the surgeon at the consultation

SMAS facelift (standard)
The classic SMAS lift of the mid and lower face. Work is done on the skin and SMAS layer, and incisions are hidden along the hairline and around the ears. It gets rid of jowls, sagging cheeks, a double chin and deep nasolabial folds, with results lasting 7–10 years.

Full (circular) facelift
The comprehensive lift covers the forehead, temples, mid and lower face and neck and suits marked sagging in several areas at once. It delivers the most complete rejuvenation and a natural look, free of a “mask” effect. Results last up to 10 years.

Neck and lower face lift
A lift focused on the chin, neck and lower face. Double chin, jowls and loose neck skin are removed. Because access is via small incisions, scars are hardly visible. It is the best option when only the lower face is sagging.

Endoscopic brow and temple lift
A gentle technique: through tiny punctures, the surgeon works with an endoscope to reposition the brows, smooth forehead and frown lines and make 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 the excess is removed. The skin lies smoothly with no excess tension, so folds are smoothed and the surface evened out.
Subcutaneous fat
Redistributing fat in the cheeks and lower face restores volume. The “heaviness” of the lower face disappears, and the facial contour becomes crisp and well defined.
SMAS layer: muscles and ligaments
The most important step: the surgeon lifts and fixes the muscle and fascia layer, treating the real cause of sagging — weakened ligaments and muscles that have descended. Deep SMAS work is what delivers a natural look and results of up to 10 years.
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


If you have any chronic conditions, please consult 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 hands-on surgical practice. We work honestly and never suggest surgery where it isn't needed or prescribe 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
An in-house inpatient unit and an accredited operating suite. We operate 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 adjust to your busy schedule: open daily 10:00–18:00, with flexible booking and a personal approach — we adapt to you
Fixed prices
At the consultation the surgeon examines you and defines the scope of surgery, giving the final price on the spot. No hidden extras.

Doctors with 10+ years of experience
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.

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
An in-house inpatient unit and an accredited operating suite. We operate 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 adjust to your busy schedule: open daily 10:00–18:00, with flexible booking and a personal approach — we adapt to you

Fixed prices
At the consultation the surgeon examines you and defines the scope of surgery, giving the final price on the spot. 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
The final cost is set 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?
Surgery is performed under general (inhalation) anaesthesia, so you won’t feel any pain. In the first few days you may feel discomfort and tightness, relieved with medication prescribed by your doctor.
When will I see results and how long do they last?
First visible changes come after 3–4 weeks when the swelling goes down. Within 3–6 months the face reaches its final look. The effect of a surgical SMAS facelift lasts 7–10 years.
Is there a recovery period?
Yes. For the first 7–10 days, rest, wear a compression bandage and reduce physical activity. It takes 2–4 weeks for swelling and bruising to fade and about 2 months for full recovery. Your operating surgeon follows you up throughout the first year.
Can a facelift be combined with other surgeries?
Yes. Surgical facelifts are often paired with blepharoplasty (eyelid surgery), rhinoplasty or double-chin liposuction. The scope of any combined procedure is decided at the consultation by the surgeon.
Can I pay for surgery in instalments?
Yes, there are in-house 0% instalments at City Medical Centre — paying in parts without bank interest or overpayment.
SMAS facelift: what is it, and how does it differ from a standard facelift?
A standard, skin-only lift works only on the surface layer of skin, and its effect is short-lived. A SMAS facelift goes deeper: the surgeon works on the muscle and fascia layer of the face and lifts tissues at the cause, not the effect. The outcome is natural and lasting.
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?
As a rule, surgery is recommended for patients aged 40+ with marked tissue sagging, and in some cases from 35. The recommendation is given individually after an examination.
How do I know if this surgery is right for me?
Book a free consultation. The surgeon will examine you, assess how and how much you are ageing, explain the expected result and answer all your questions.
A facelift can also be part of a broader plan. It is often combined with blepharoplasty (eyelid surgery), rhinoplasty or double-chin liposuction, and the scope of a combined procedure is set by the surgeon at the consultation. This lets patients from Madrid address several concerns in one combined procedure. The surgeon never suggests surgery where it is not needed and never prescribes anything extra.
Follow-up does not end at discharge. Throughout the first year, your plastic surgeon monitors how the face settles and checks the result until it is final. Personal support is provided before and after surgery. When combined procedures such as eyelid surgery or double-chin liposuction are planned, the surgeon sets their scope in advance. For patients from Madrid, every step is agreed at the consultation.
Start with a free, no-pressure consultation: you get an assessment of your ageing type, an explanation of the expected result and answers on recovery. If you decide to proceed, a facelift costs from $2,400, with anaesthesia, the inpatient stay, meals and a year of follow-up included, and 0% instalments available. People in Madrid can send a request online or message a coordinator.
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