beforeafterSMAS facelift
50 years9 months
from $2,400 (≈ ¥380,000)
The price is fixed in the contract before surgery
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Facelift in Tokyo: price and key factsFacelift for patients from Tokyo at City Medical Centre starts at ¥380,000 (from $2,400). The first online consultation is free; the doctor names the final price and it is fixed in the contract.
How it works · Facelift prices
Information current as of 3 November 2026
Results
Facelift before and after photos of real patients of the clinic.
beforeafter50 years9 months
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Comparison
The scope of a SMAS facelift depends on your anatomy and how much correction is needed. Compare two options — the surgeon will help you choose the right one at the consultation.
Incisions hidden along the hairline and ears

from $2,400
Focused on the lower face, chin and neck

from $2,400
The benefits and recovery times shown are averaged for each technique and given for guidance: the scope of correction and rehabilitation depend on your anatomy and individual features, and the surgeon confirms them at the consultation.
At the consultation the surgeon draws up a plan for your case and explains how your SMAS facelift will go.
Free, before surgery and with no obligation.
About the clinic
Modern equipment, comfortable rooms and care for every patient

We will answer your questions and find a convenient time for a consultation
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Get a free consultationIf your case can be solved without surgery, the doctor will tell you so at the consultation — and you will not spend money for nothing.

A SMAS facelift solves

Message our coordinator — you can send photos, and the surgeon will tell you whether a facelift suits you. No surgery booking needed.
Find out if it suits me
Prices
The final cost is set individually after an examination
Jowls, sagging cheeks and deep nasolabial folds

Double chin, jowls and loose neck skin

The surgeon assesses your skin and the soft tissues of the face and neck, listens to your wishes and defines the scope of your SMAS facelift.

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all inclusive
From preparation for surgery to a year of follow-up.
from $2,400
Book a consultationHow it works
An agreed surgical plan, inpatient monitoring and follow-up by your surgeon for a year.
1The surgeon examines you, assesses the degree of sagging and the areas to correct, and explains the surgery and recovery. The first consultation is free and can start online.
2We book a date that suits you. The scope of surgery and the final price are fixed in the contract — no hidden extras.
3You complete the check-up prescribed by the surgeon and see the anaesthetist. The specialists assess your health and readiness for surgery.
4Under general (inhalation) anaesthesia the surgeon lifts and secures the SMAS layer, redrapes the skin and removes the excess. Incisions are hidden along the hairline and around the ears.
5After surgery you stay in a comfortable inpatient room with meals, under 24/7 monitoring by medical staff.
6For the first 7–10 days — rest, a compression bandage and reduced physical activity. Your operating surgeon follows you up for the whole first year.

For the first 7–10 days you need rest, a compression bandage and reduced physical activity. For the first few days you may feel discomfort and tightness, which are relieved with medication prescribed by your doctor.
Swelling and bruising fade in 2–4 weeks, and full recovery takes about 2 months. The first clear changes appear once the swelling goes down, after 3–4 weeks; the face takes on its final look within 3–6 months. Your operating surgeon follows you up for the whole first year.

Advantages

Our plastic surgeons are all certified and have real surgical practice. We are honest: we never recommend unnecessary surgery and never prescribe anything extra.

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.

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

The price is fixed in the contract before surgery, with no hidden extras.

We fit around your busy schedule: open 24/7, flexible booking and a personal approach — we adapt to you
FAQ
It is a face lift that tightens the deep SMAS layer under the skin, not only the skin itself, so the lower face, jawline and neck become firmer. The result is long-term, while natural skin ageing continues.
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.
The first clear changes appear once the swelling goes down, after 3–4 weeks. The face takes on its final look within 3–6 months. The result of a surgical SMAS facelift is long-term, while natural skin ageing continues.
Yes. For the first 7–10 days you need rest, a compression bandage and reduced physical activity. Swelling and bruising fade in 2–4 weeks, and full recovery takes about 2 months. Your operating surgeon follows you up for the whole first year.
Yes. Surgical facelifts are frequently combined with blepharoplasty (eyelid surgery), rhinoplasty or liposuction of the double chin. The scope of the combined procedure is set by the surgeon at the consultation.
Payment is made in full before the procedure. If you would like to spread the cost, you can take out a loan with your own bank and pay the full amount with it.
A standard (skin-only) lift treats just the top layer of the skin, so the effect doesn't last long. A SMAS facelift is deeper surgery in which the surgeon works on the facial muscle and fascia layer, lifting tissues at the cause instead of the effect. The outcome looks natural and lasts.
One surgery gives a complete result. Whether a repeat correction is ever needed is individual and is decided by the surgeon at an examination.
Surgery is usually recommended for patients 40+ with marked tissue sagging, sometimes from 35. The recommendation is given individually after an examination.
Book a free consultation, where the surgeon will examine you, assess the type and degree of ageing, explain the expected result and answer all of your questions.
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. The skin, subcutaneous fat and the SMAS layer (muscles and ligaments) are corrected layer by layer, so the face looks natural, without an “overdone” effect, and the result is long-term — while natural skin ageing continues.
After 40–50, the skin gradually becomes less firm: tissues sag noticeably, jowls develop, the jawline blurs and cheeks droop. Working deeper than cosmetology, a surgical SMAS facelift repositions the muscle and fascia layer and treats the cause of sagging instead of its effects — giving a lasting result even with significant changes.

City Medical Centre performs surgical facelifts only: work on the SMAS layer treats the cause of sagging rather than its effects
Skin, subcutaneous fat and the muscle and fascia layer are corrected layer by layer — a natural look with no “mask” effect
Incisions are hidden along the hairline and around the ears, so once healed the scars are barely visible
Prices are in US dollars; the amount in brackets is an approximate conversion to JPY at the rate of 02.10.2026. The final price is fixed in your contract.
Prices start from $2,400 (≈ ¥380,000). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.
A one-to-one consultation, the medical team, anaesthesia, inpatient care with meals, 24/7 monitoring and twelve months of follow-up by the surgeon.
Message us on WhatsApp or Telegram using the buttons below. A coordinator will answer your questions and book a free consultation where the doctor names the exact price.
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Jowls, a heavy lower face, a blurred jawline, drooping brows: these are the changes that bring people in Tokyo 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.
The endoscopic brow and temple lift is the gentlest option: the surgeon uses an endoscope through tiny punctures, repositions the brows and smooths forehead and frown lines, with scars hidden in the hairline. A neck and lower face lift also uses small incisions, keeping scars barely visible. For people in Tokyo, the choice of access depends on which zones need correction and how marked the sagging is.
A facelift costs from $2,400 (≈ ¥380,000). For patients from Tokyo, the price includes a one-to-one consultation, a highly experienced medical team, combined inhalation anaesthesia, a stay in comfortable inpatient rooms, 24/7 monitoring by medical staff, meals during your stay, personal support before and after surgery and a year of follow-up by your plastic surgeon. Start with a free consultation.
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