Return the ideal contours to your face and neck, rejuvenate and even 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:
Beyond 40–50 the skin gradually loses firmness: noticeable sagging, jowls, a blurred jawline and drooping cheeks. A surgical SMAS facelift works deeper than cosmetology by repositioning the muscle and fascia layer; it treats the cause of sagging, not its effects, and delivers 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
4 main options — at the consultation your surgeon helps you choose the best fit for your age and ageing type

SMAS facelift (standard)
A classic SMAS lift for the mid and lower face: the surgeon works on the skin and the SMAS layer, with incisions hidden in the hairline and around the ears. Jowls, sagging cheeks, a double chin and deep nasolabial folds are removed. Results last 7–10 years.

Full (circular) facelift
A comprehensive lift of the forehead, temples, mid and lower face and neck. Suits patients with marked sagging in several areas at once. It gives the most complete rejuvenation and a natural look with no “mask” effect. Results last up to 10 years.

Neck and lower face lift
A lift concentrating on the lower face, chin and neck. It takes away a double chin, jowls and loose neck skin, and access through small incisions keeps scars barely visible. The best option when sagging affects the lower face only.

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
Fat in the cheeks and lower face is redistributed to restore volume. The “heaviness” of the lower face is removed, and the facial contour becomes crisp and defined.
SMAS layer: muscles and ligaments
The key step of surgery: by lifting and securing the muscle and fascia layer, the surgeon addresses the very cause of sagging — weakened ligaments and descended muscles. It is deep SMAS work that 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


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 isn't needed and never prescribe anything extra.
Free first consultation
Your surgeon examines you, evaluates the degree of sagging and the areas for correction, and explains the surgery and recovery — with no pushing and no pressure.
Licensed operating room
We run our own inpatient unit with an accredited operating suite and work under our licence and national healthcare standards.
In-house 0% instalments
Spread the cost of your surgery in comfortable instalments with no bank interest or overpayment.
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
At the consultation the surgeon examines you, defines the scope of surgery and gives you the final price right 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
Your surgeon examines you, evaluates the degree of sagging and the areas for correction, and explains the surgery and recovery — with no pushing and no pressure.

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

In-house 0% instalments
Spread the cost of your surgery in comfortable instalments with no bank interest or overpayment.

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
At the consultation the surgeon examines you, defines the scope of surgery and gives you the final price right away. No hidden extras.
A team of experienced plastic surgeons and doctors caring for 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
Individual calculation of the final cost 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?
General (inhalation) anaesthesia is used, so the surgery is painless. You may feel some discomfort and tightness for the first few days; medication prescribed by your doctor relieves it.
When will I see results and how long do they last?
The first clear changes appear after 3–4 weeks, once the swelling goes down. The face takes on its final look within 3–6 months. With a surgical SMAS facelift, the effect lasts 7–10 years.
Is there a recovery period?
Yes. You'll need rest, a compression bandage and lower physical activity for the first 7–10 days. Swelling and bruising fade over 2–4 weeks, with full recovery in about 2 months. The operating surgeon follows you up for the whole 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, City Medical Centre provides in-house 0% instalments; pay in parts with no overpayment and no bank interest.
SMAS facelift vs standard facelift — what is it and how do they differ?
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?
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?
Typically, surgery is recommended from 40+ when tissue sagging is marked, and in some cases from 35. The recommendation is individual and given 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.
There are four main options. A standard SMAS facelift lifts the mid and lower face. A full circular lift covers the forehead, temples, mid and lower face and neck. A neck and lower face lift targets the chin, jowls and loose neck skin. An endoscopic brow and temple lift repositions the brows through tiny punctures. The surgeon helps each patient from San Antonio choose by age and ageing type.
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 San Antonio.
The price starts at $2,400 and already covers the essentials: anaesthesia, the inpatient stay with meals, round-the-clock monitoring and a year of surgeon follow-up until the final result. San Antonio residents can pay through in-house 0% instalments with no overpayment. The first consultation is free: send your name and phone number, and a coordinator will contact you.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and the data processing terms
Apply before the end of the year and get a consultation on us!