beforeafterSMAS facelift
50 years9 months
from $2,400
The price is fixed in the contract before surgery
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A lower face and neck lift (SMAS) at our medical centre starts at $2,400. The exact price is given at the free online consultation.
Information current as of 3 November 2026
Results
Facelift before and after photos of real patients of the clinic.
beforeafter50 years9 months
beforeafter58 years8 months
beforeafter34 years5 months
beforeafter32 years7 months
beforeafter40 years6 months
beforeafter45 years8 months
beforeafter38 years5 months
beforeafter33 years6 months
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
By messaging us, you agree to our Privacy Policy
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 calculated 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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We reply right in the chat — you can send photos
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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

Only certified plastic surgeons with real surgical practice. We work honestly: we never suggest surgery where it is not needed and never prescribe anything extra.

The surgeon examines you, assesses the degree of sagging and the areas to correct, and explains the surgery and recovery. No pushing, no pressure.

Our own inpatient unit with an accredited operating suite. We 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
Key facts
A facelift lifts sagging tissue of the face and neck. A surgical SMAS facelift is done under general (inhalation) anaesthesia, and the result is long-term, while natural skin ageing continues.
| Price | from $2,400 (lower face and neck lift, SMAS) |
|---|---|
| Anaesthesia | general (inhalation) anaesthesia |
| Recovery | the first 7–10 days — rest, a compression bandage and reduced activity |
| Effect | long-term after a surgical SMAS facelift; natural skin ageing continues |
| Who performs it | a doctor of City Medical Centre, whom you meet at the free consultation |
| Before you decide | the first consultation is free and can start online. There are contraindications, and the doctor decides whether surgery suits you; prices are indicative, not a public offer |
Updated:
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. 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.
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 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 outcome is natural and lasting.
One surgery gives a complete result. Whether a repeat correction is ever needed is individual and is decided by the surgeon at an examination.
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.
Book a free consultation. The surgeon will examine you, assess the type and degree of ageing, explain the expected result and answer all 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 loses firmness: tissues sag noticeably, jowls form, the jawline blurs and the cheeks droop. A surgical SMAS facelift works deeper than cosmetology — it repositions the muscle and fascia layer, treating the cause of sagging rather than its effects, so it gives 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
Each option has its own page: how it works, who it suits, recovery and price.
Our fixed prices side by side, with recovery times and the main differences. All comparisons
Well-known people who spoke openly about this operation, in their own words.
Kris Jenner’s facelift: “I love my facelift”Kris Jenner said she had a facelift about 15 years ago and a refresh before turning 70 — and that she loves it. How a SMAS facelift and recovery work.
Keltie Knight’s facelift: why she decided to “just own it”Keltie Knight had a facelift in 2023 at 41 and chose to talk about it openly. What she said, how a SMAS facelift works and what recovery looks like.
Linse Kessler and her facelifts: what she said herselfDanish reality star Linse Kessler has said openly that she has had several facelifts. Her words, how a modern facelift works and what recovery involves.
Did Alice Bendová have a facelift? Yes, and she explained why herselfAlice Bendová confirmed a deep plane facelift in September 2026. Her words, how a facelift works, who it suits and what recovery looks like.
Did Alka Vuica have a facelift? Yes, and she said so herselfAlka Vuica said in June 2026 that she recently had a facelift and prefers it to Botox. Her words, how a facelift works and what recovery looks like.
Did Helhue Sukni have a facelift? Yes, and she explained whyChilean lawyer Helhue Sukni told Mega's Only Fama she had a facelift because she wanted to look younger. Her words, how a facelift works and how recovery goes.How we prepare and review medical content · Medical disclaimer
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