Restore ideal face and neck contours, refresh your look and smooth 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.
City Medical Centre offers surgical facelifts only. The surgeon individually defines the scope of surgery at the consultation, after assessing the changes and explaining each 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
4 main options are available, and at the consultation the surgeon will help you choose the right one for your age and ageing type

SMAS facelift (standard)
The classic SMAS lift targets the mid and lower face. The skin and the SMAS layer are worked on, with incisions hidden along the hairline and around the ears. It eliminates jowls, sagging cheeks, a double chin and deep nasolabial folds. Results last 7–10 years.

Full (circular) facelift
A comprehensive lift for the forehead, temples, mid and lower face and neck. Patients with marked sagging in several areas at once benefit most. It provides the most complete rejuvenation and a natural result with no “mask” effect; results last up to 10 years.

Neck and lower face lift
Focused on the lower face, chin and neck, this lift removes jowls, a double chin and loose neck skin. Small incisions provide access, and the scars are barely visible. It is ideal when sagging is limited to the lower face.

Endoscopic brow and temple lift
A gentle endoscopic technique through tiny punctures. The brows are repositioned and the forehead and frown lines smoothed, giving the eyes a more open look. Almost no incisions — any scars are hidden in the hairline.
Skin
Carefully, the skin flap is lifted and redraped and the excess removed. The skin sits smoothly with no excess tension, the folds are smoothed and the surface is evened.
Subcutaneous fat
The surgeon redistributes fat in the cheeks and lower face to bring back volume. The lower face no longer looks “heavy”, and the facial contour is crisp and defined.
SMAS layer: muscles and ligaments
This is the key step of the surgery. By lifting and securing the muscle and fascia layer, the surgeon treats the very cause of sagging: weakened ligaments and descended muscles. Deep SMAS work is what gives 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


If any chronic conditions apply to you, 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 surgical practice. We work honestly: we never suggest surgery where it isn't needed and never prescribe anything extra.
Free first consultation
An examination by the surgeon, an assessment of the degree of sagging and areas to correct, and an explanation of the surgery and recovery. No pushing, 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
Pay for surgery in comfortable instalments — no overpayment, no bank interest.
Your schedule is our priority
We fit your busy schedule: daily hours 10:00–18:00, flexible booking and a personal approach, adapting to you
Fixed prices
At the consultation you are examined, the scope of surgery is defined and the surgeon gives the final price straight away — 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 isn't needed and never prescribe anything extra.

Free first consultation
An examination by the surgeon, an assessment of the degree of sagging and areas to correct, and an explanation of the surgery and recovery. No pushing, 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
Pay for surgery in comfortable instalments — no overpayment, no bank interest.

Your schedule is our priority
We fit your busy schedule: daily hours 10:00–18:00, flexible booking and a personal approach, adapting to you

Fixed prices
At the consultation you are examined, the scope of surgery is defined and the surgeon gives the final price straight away — 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 calculated for you individually following 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 surgery is done under general (inhalation) anaesthesia, so you won’t feel any pain. For the first few days you may feel discomfort and tightness, which are relieved with medication prescribed by your doctor.
When will I see results and how long do they last?
Clear changes first appear once the swelling subsides, after 3–4 weeks. The face acquires its final look within 3–6 months. The effect of a surgical SMAS facelift lasts 7–10 years.
Is there a recovery period?
Yes. For 7–10 days at the start: rest, a compression bandage and reduced physical activity. Swelling and bruising fade in 2–4 weeks; recovering fully takes about 2 months. You are followed up by your operating surgeon for the whole first year.
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 scope of a combined procedure is decided by the surgeon at the consultation.
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 vs standard facelift — what is it and how do they differ?
A skin-only (standard) lift affects the top layer of skin alone and its effect is short-lived. A SMAS facelift is deeper: the surgeon operates on the facial muscle and fascia layer, lifting tissues where the cause lies rather than the effect. The outcome is natural and long-lasting.
How many surgeries does it take to get a result?
A complete result comes from one surgery. After 7–10 years a repeat procedure may be done at the patient's wish.
From what age can I have a surgical facelift?
Usually surgery is recommended for patients aged 40+ with marked tissue sagging, and occasionally from 35. The recommendation is individual, made after an examination.
How do I know if this surgery is right for me?
Sign up for a free consultation. You'll be examined by the surgeon, who assesses the type and degree of ageing, explains the expected result and answers all your questions.
What changes after a facelift? The lower-face contour becomes crisp, the cheeks are lifted, the chin line is clean without a double chin and nasolabial folds soften. Brows rise and the eyes look more open. The aim for patients from Osaka is a younger, fresher look without an overdone effect or a mask-like appearance. One surgery gives a complete result, and a full lift keeps it for up to 10 years.
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 Osaka.
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 Osaka can apply via the form or any messenger to arrange a convenient time.
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