Ideal contours of the face and neck restored, wrinkles smoothed, a younger look!

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 exclusively. The surgeon tailors the scope of surgery during 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, and the surgeon will guide you at the consultation to the best one for your age and ageing type

SMAS facelift (standard)
Classic SMAS lift for the mid and lower face. Incisions are hidden along the hairline and around the ears while the surgeon works on the skin and SMAS layer. Jowls, sagging cheeks, double chin and deep nasolabial folds go. Results last 7–10 years.

Full (circular) facelift
Comprehensive lift of the forehead, temples, mid and lower face and neck — for marked sagging in several areas at once. The most complete rejuvenation, a natural look and no “mask” effect. Results last up to 10 years.

Neck and lower face lift
A lift that focuses on the lower face, chin and neck. It removes a double chin, jowls and loose neck skin. Access is through small incisions, so scars are barely visible. The best option when sagging affects only the lower face.

Endoscopic brow and temple lift
Gentle technique: working through tiny punctures with an endoscope, the surgeon repositions the brows and smooths forehead and frown lines, so the eyes look more open. Incisions are almost absent, with scars hidden in the hairline.
Skin
Excess skin is removed after the skin flap is carefully lifted and redraped. The skin lies smooth without excess tension, folds are smoothed and the surface is evened out.
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
The key stage of surgery. Lifting and securing the muscle and fascia layer lets the surgeon treat the actual cause of sagging — weakened ligaments and descended muscles. It is deep SMAS work that gives up to 10 years of results 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 ask a doctor at the clinic for advice if you have chronic illnesses!
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
The surgeon carries out an examination, assesses the degree of sagging and the areas to correct and explains both surgery and recovery. No pushing or 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 comfortable instalments with no overpayment or 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
The surgeon examines you at the consultation, determines the scope of surgery and gives you the final price right then. 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
The surgeon carries out an examination, assesses the degree of sagging and the areas to correct and explains both surgery and recovery. No pushing or 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 comfortable instalments with no overpayment or 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
The surgeon examines you at the consultation, determines the scope of surgery and gives you the final price right then. No hidden extras.
Experienced plastic surgeons and doctors who 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 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?
Because the surgery is under general (inhalation) anaesthesia, you won’t feel any pain. For the first few days you might feel discomfort and tightness, relieved with medication your doctor prescribes.
When will I see results and how long do they last?
After 3–4 weeks, as the swelling settles, the first clear changes appear. Your face takes on its final look in 3–6 months. A surgical SMAS facelift gives an effect that lasts 7–10 years.
Is there a recovery period?
Yes. The first 7–10 days call for rest, a compression bandage and reduced physical activity. Swelling and bruising fade in 2–4 weeks and full recovery takes about 2 months, while your operating surgeon follows you up for the whole first year.
Can a facelift be combined with other surgeries?
Yes. Blepharoplasty (eyelid surgery), rhinoplasty or double-chin liposuction are often combined with a surgical facelift. The scope of a combined procedure is decided by the surgeon at the consultation.
Can I pay for surgery in instalments?
Yes, City Medical Centre offers in-house 0% instalments — pay in parts with no bank interest or overpayment.
SMAS facelift vs standard facelift — what is it and how do they differ?
A standard (skin-only) lift affects just the top layer of skin and gives a short-lived effect. A SMAS facelift is deeper surgery: the surgeon works on the facial muscle and fascia layer, lifting tissues at the cause rather than the effect. The result is natural and lasting.
How many surgeries does it take to get a result?
One operation gives a complete result. A repeat procedure is possible after 7–10 years if the patient wants it.
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 made individually 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.
Jowls, a heavy lower face, a blurred jawline, drooping brows: these are the changes that bring people in Sacramento to a plastic surgeon. Cosmetology can refresh the skin, but it does not reach the deep layer where sagging begins. A SMAS facelift does, which is why it suits patients who want a lasting correction. Where sagging affects only the lower face, a neck and lower face lift may be enough.
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 Sacramento.
For patients from Sacramento, 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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