Jesse E. Smith, M.D., F.A.C.S

Dr. Smith is Board Certified by the American Board of Facial Plastic and Reconstructive Surgery. He is one of a small group of surgeons that has achieved Dual Board Certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery.

Colleyville – 817-503-2442

Fort Worth – 817-806-4245

What is a Facelift?How is a Facelift done?Does a Facelift hurt?Facelift Before & After PicturesHow much does a Facelift cost?What is a “Deep Plane” Facelift?Lower-Facelift vs. Mid-Facelift vs. Upper-Facelift?What’s a Mini-Facelift?How long does a Facelift last?Facelift RecoveryHow long do Facelift scars last?Things that speed recovery


What is a Facelift?

Facelift, aka rhytidectomy, is a surgical procedure to restore a youthful look to the face and neck. This usually includes repairing the bands of the neck, the jowls, the cheeks, and tightening the skin of the face and neck. The Brow and temples are not included in a facelift; however, they can be completed at the same time if you and your surgeon decide that this is necessary.

How is a Facelift done?

A facelift is done at a qualified surgical facility. It involves incisions near the ears and hairline, so that they are hidden. The incisions can be various lengths, depending on the type and extent of the surgery that is needed.

Does a Facelift hurt?

A facelift is a surgical procedure, so there is some mild discomfort associated with the procedure. We prescribe pain medication to keep patients comfortable for the first week while the patient heals.

Patients who experience extreme pain in the face and neck after surgery should notify Dr. Smith as soon as possible, as they may have a blood clot forming beneath the skin. This occurs less than 2% of facelift cases.

Facelift Before & After Pictures

Dr. Smith has performed thousands of facelift procedures. Here are a few examples.

How much does a Facelift cost?

A facelift usually costs between $10,000-16,000 when the surgeons fee and facility fee are included together.

What is a “Deep Plane” Facelift?

The deep plane facelift utilizes a plane of dissection below the superficial muscular aponeurotic system (SMAS) of the midface, jawline, and neck. This allows for direct removal of key facial retaining ligaments. By removing these ligaments, maximum mobilization of the overlying superficial soft tissue can be completed. Dr. Smith then places tension only at the level of the fascia; therefore, the deep plane technique creates a tension-free skin closure and ensures long-term results.

Lower-Facelift vs. Mid-Facelift vs. Upper-Facelift?

Dr. Smith treats each patient as an individual. Not all people need a full face and neck lift; however, most people need some neck and jawline work done at the same time. Dr. Smith does the minimal amount of surgery to get the maximum results with the best longevity. Dr. Smith will speak and examine you in clinic at the time of your consultation. At that time you can discuss the details of your surgical procedure as well as express your desires. Ideal pictures of yourself can help Dr. Smith gather a better idea of what your wishes are.

What’s a Mini-Facelift?

A mini-lift is a term that usually refers to a short scar and incision facelift. Some people are candidates for this type of incision and technique. Ask Dr. Smith if you might be a candidate for a short incision lift.

How long does a Facelift last?

It is always Dr. Smith’s hope that your facelift will last at least 10 years. However, Dr. Smith always reminds his patients that they must do their part with proper skin maintenance procedures, good skin care, and sun avoidance.

Facelift Recovery

Recovery time is dependent on the type of facelift performed. Deep Plane Facelifts take slightly longer to heal. Usually 2-3 weeks are needed to heal from these.

How long do Facelift scars last?

Scars tend to start to lose their red color by 3-4 weeks after the operation. They can usually be covered with makeup at that time. All human scars take one year to fully mature and heal; however, most people do not notice a large difference in their appearance between months 4-12.

Things that speed recovery

Follow all directions before and after surgery just as they are written out for you.

Oral Arnica and bromelain, both before and after the procedure, can reduce swelling, bruising, and bleeding.

Cool ice packs for the first 7-10 days. These should be done 3-4 times daily for 15 minutes at a time.

Sleep with the head elevated for the first 5-7 days.

No strenuous activity for 10-14 days after your surgery. Dr Smith will let you know when you can exercise again.

Facelift Recovery Time

Approximate recovery after facelift surgery is as follows:

Day 1:

Return home. Use cool compresses or ice for 24 hours.

Day 2-3:

Maximum bruising and swelling.

Days 5-7:

Stitches removed or dissolving. Bruising starting to go away.

Week 1:

Wear elastic garment at all times except when showering. otherwise by Dr. Smith). Repeat 2 times per day. May use cover makeup.

Weeks 2-3:

Wear elastic garment at night only. Swelling much improved. Some areas of the face and neck will feel quite stiff. Residual bruising can be covered by make-up.

Facelift Post-Op

Facelift Post-Op