Facelift and Necklift

At UT Southwestern Medical Center, our board-certified plastic surgeons have moved to the next generation of facelift technology by studying and advancing the science of aging. As a result, facial restoration is no longer just a facelift – it is facial rejuvenation.

Because every face is different, each procedure is customized to address the unique concerns and needs of each patient. The results last for years with a look that’s natural and youthful, without appearing windswept.

Face Pad image
Through years of experience and research, we have developed a layered, individualized component procedure that is actually facial rejuvenation, versus the more conventional facelift. Working in the deeper structures of the face, we lift, reshape, and contour to create a natural, refreshed look.

One of the areas UT Southwestern Plastic Surgery has pioneered is the individualized component face lift (ICF). Our approach draws upon the newest breakthroughs regarding facial aging, including research our experts conducted on facial anatomy and techniques to address facial fullness, a key factor in a more youthful look. We have led discoveries of how fat compartments underneath the surface of a person’s face change with age, which is key in determining which procedures will be effective for which patients. 

After a clinical evaluation, our team can provide options to restore an angular facial contour (jawline), facial highlights, decrease hollowing, and restore symmetry to the face. We then apply innovative surgical techniques and technology to reshape and contour the face in its deeper structures and fat compartments to eliminate sagging and deep wrinkles. The results look natural and refreshed, with lessened clues that a procedure has been performed.

Candidates for Facial Rejuvenation

Our patients presenting for correction of early aging are typically in their 30s. We use fillers or neuromodulators – all nonsurgical or minimally invasive procedures - to restore facial shape. Patients in their 40s and older may benefit from other types of facial rejuvenation procedures, including surgery.

It's important to discuss expectations during your consultation with a UT Southwestern plastic surgeon. We will also provide you with a clear assessment of the limitations and risks of any facial rejuvenation procedures discussed.

The effects of a facelift are long term, with results lasting for 10 or more years for some patients. While the aging process continues after the surgery, a facelift can take years off your face throughout your life.

Effective, Innovative Options

For some patients, we may suggest that other procedures be performed at the same time to help enhance the overall harmony of the face. This may include using a filler, such as your own stem cell-laden fat cells.

We also may suggest an eyelid surgery, neck lift, or browlift, as well as laser resurfacing to correct perioral wrinkles  (those around the mouth). Combining procedures is a technique our surgeons use to ensure a very natural look.

There are no quick fixes with real facial rejuvenation. Procedures marketed as liquid facelifts or instant facelifts that are performed as in-office procedures do not produce effective, long-term results. Information about them is often misleading, as they are not real facelifts. Surgical facial rejuvenation is performed by board-certified plastic surgeons in legitimate operating rooms, with a realistic recovery time of about two weeks.

If You Are Considering a Facelift

  • Make sure the surgery is performed by a board-certified plastic surgeon experienced in facial cosmetic surgery and that the procedure is performed in an accredited facility.
  • UT Southwestern Plastic Surgery can help you set realistic expectations regarding facelifts.
  • The procedure can take three to four hours.
  • Most patients are back to work or their normal activities in two weeks.
  • You can be presentable as early as one week after surgery, depending on the amount of bruising.