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Face lift (SMASS), Neck lift

Time and gravity cause the skin to loosen and lines to form on the face. How soon these changes occur depends on a number of factors. Unwanted signs of aging can be alleviated by tightening the skin (facelift).

Quick information

  • the results last for years
  • can be combined with liposuction of the chin and brow lift
  • can be performed under analgosedation
  • bruising and swelling last for several weeks
  • scars are hidden
  • decreased sensation in the face goes away after several months

When is the right time for a facelift?

The first fine lines and loose skin on the face and neck, the feeling we are getting old, can appear at a surprisingly young age. Perhaps our face and neck are letting us know that we cannot rely on naturally healthy skin forever, but that we need to start taking care of it, giving it the moisture, massage and masks it needs. While this care can slow and ease the effects of the aging process, deeper lines will eventually form. Cosmetic dermatology can act as a first line of defense, successfully employing a variety of rejuvenating methods such as mesotherapy, plasma therapy, botulotoxin, hyaluronic acid-based injectables, and more. If gravity and loss of elasticity have led to wrinkles and sagging skin to a degree that can no longer be counteracted by these treatments, a facelift or SMAS lift offers a viable alternative.

Who is a good candidate for facelift?

Facelift is appropriate for anyone experiencing unwanted signs of aging in their face, including loose, sagging skin and wrinkles. The age at which these changes begin to appear varies greatly from individual to individual. It depends on skin type, genetic predisposition, lifestyle, sun exposure, etc. Generally speaking the first signs of aging begin to appear between 30 and 50.

If needed, we can also combine a facelift with a eyelid surgery or chin liposuction. Candidates should be in good health.

Before/after gallery

facelift before/after photo face lift before and after

Before facelift

Before your facelift you will need to consult with a plastic surgeon. The surgeon will assess the condition and elasticity of your skin and the signs of aging and then make their recommendations. The procedure takes place under analgosedation (a combination of local anesthesia and intravenous sedative), which means you will need to have a pre-operative internal examination.

Keep in mind

  • Your doctor needs to be informed of all medications and food supplements you take regularly, and you may need to stop taking some of them before the procedure. If you have any contagious illness in the three weeks before the operation, even something as simple as a cold or virus, you must inform your doctor. The skin on the face and head should be healthy.

Facelift procedure

The surgeon makes an incision under the hairline at the temples leading under the earlobe and around the back of the ear. Typically a SMAS facelift is performed at the same time to tighten the deeper, supporting tissues under the skin. This gives better, more lasting results. Afterwards the incision is closed with very fine stitches, making the scar as unobtrusive as possible, just a faint line mostly hidden under the hair.

Facelift before photo Facelift after photo
Facelift before photo Facelift after photo
smass lift before photo smass lift after photo
Facelift before photo Facelift after photo


You will need to stay in the facility one or two days after having a facelift. The dressings are changed the second day after the operation, and if drainage tubes were placed in the wound to drain excess fluid, they are removed at this point. You will need to keep the bandage on your head for five days after the operation. After that you can take it off and wash your hair. The doctor can recommend an analgesic for pain relief if necessary.

Swelling and bruising should last for two to three weeks after the operation. You will need to avoid physical activity including bending over for two to three weeks as well. The stitches usually dissolve on their own, so you will not need to come back to have them removed. You should start massaging the scar on the 18th day after the procedure. Press down on the scar for 30 seconds, and repeat for the entire length of the scar. This massage should be repeated several times a day. Make sure to protect the scar from sunlight for several months with sunblock that has a high UV factor.

Recovery and returning to everyday activities

You can resume light office work five days after having a facelift, although you should keep in mind that swelling and bruising will continue for some time, which can make it awkward going out in public. You can resume more strenuous physical activities after three weeks.

Possible complications

Facelift is a surgical procedure, and as such it involves the risk of certain complications, such as increased bleeding, infection in the wound, or excessive scarring. If you experience bleeding, redness, increased pain or fever during the healing process, make sure to contact your surgeon to head off any potential complications.

Later and less common complications include damage to the nerves controlling the muscles in the face, lips and mouth interfering with facial expressions. This problem requires long-term specialized rehabilitation of the facial muscles and a special vitamin regime.

Duration of facelift results

Facelift offers long-term results that last for years. However, the procedure cannot stop the aging process completely, so new wrinkles and loose skin may continue to form. The procedure can be repeated after some time if desired.

before facelift after facelift side view after facelift front view
Facelift before photo Facelift after photo Facelift after photo

M.D. Pavel Kobzík and his thoughts on facelift

  • “The indication for facelift is sagging skin and deep wrinkles giving the impression of significant aging. In some cases I recommend a procedure called SMAS facelift, which tightens the deep supportive structures under the skin. Facelift and SMAS facelift both offer striking results that last for years.”

Where do we perform facelifts?

You can come for a consultation to see if a facelift is the right option for you at our offices in Prague, Brno and Liberec. The operation will take place at our clinic in Prague, where we have all the equipment we need for complex inpatient surgical procedures. At Perfect Clinic we do facelifts under analgosedation rather than full anesthesia.