Facelift and Neck Lift Surgery at a Glance
- Sedation: General anesthesia
- Procedure Length: About four to seven hours*
- Potential Benefits: A refreshed, refined facial aesthetic; dramatic reduction of signs of aging in the lower face and neck
- Potential Risks: Swelling, bruising; (less commonly) infection, nerve injury, or adverse reactions to anesthesia
- Cost: Variable
Age-related changes to the face and neck tend to develop gradually, yet many people reach a moment when they look in the mirror and feel their appearance no longer reflects how youthful and vibrant they feel inside.
A facelift and neck lift can help restore that alignment. Also referred to as rhytidectomy and platysmaplasty, the combined procedure is designed to refresh the face and neck by tightening the underlying tissues and addressing both excess fullness and skin laxity.
Individual results can vary depending on your unique anatomy, including your bone structure and inherited characteristics, as well as the condition of your skin. These factors can influence both the degree of improvement achieved and how long the results may last.
While this page offers an overview of facelift and neck lift surgery, the most effective way to learn what treatment can accomplish is through a one-on-one consultation. Alexander Ereso, MD – our board-certified plastic surgeon in Mountain View – can evaluate your unique concerns and answer any questions you may have.
Explore These Topics
- Facelift and Neck Lift Candidacy
- Facelift and Neck Lift Benefits
- Complementary Procedures to Facelift and Neck Lift
- Facelift and Neck Lift Consultation
- Preparation For Facelift and Neck Lift
- Facelift and Neck Lift Procedure
- Facelift and Neck Lift Recovery
- Facelift and Neck Lift Results
- Facelift and Neck Lift Safety
- Facelift and Neck Lift Cost
Who Is a Candidate for Facelift and Neck Lift Surgery?
You may be a good candidate for a facelift and neck lift if you have noticed:
- Loss of definition along the jawline
- Deep creases in the cheeks
- Sagging in the midface
- Marionette lines
- Loose skin or excess fatty tissue in the neck
Facelift and neck lift procedures are most often performed on individuals between the ages of 40 and 60, though many patients in their 60s, 70s, and beyond can still achieve excellent results. Candidacy is less about age alone and more about the presence of visible changes in the face and neck.
With this in mind, certain medical conditions may require additional consideration before moving forward with facelift and neck lift surgery. Factors such as poorly controlled high blood pressure, diabetes, or issues related to blood clotting can affect both safety and healing. A tendency to develop thick or prominent scars may also influence your treatment plan. In addition, patients searching for a facelift and neck lift surgeon in the Bay Area are often advised to discontinue nicotine use prior to surgery, as it can interfere with proper recovery.
Patient Results
Before 
After 
Before 
After 
Before 
After Complementary Procedures to Facelift and Neck Lift Surgery
Both procedures can often be performed alongside other aesthetic treatments to address a multitude of concerns at once. For instance, your treatment plan can also incorporate:
- A brow lift, which can elevate the forehead region and soften lines while refining the position and shape of the brows
- Eyelid surgery, designed to reduce puffiness beneath the eyes and correct excess skin or fat in the upper eyelids
- Rhinoplasty, or aesthetic surgery of the nose, to further refine facial balance
- Non-surgical treatments (such as laser skin resurfacing and customized skincare regimens) to enhance skin quality and surface texture
During your consultation, Dr. Ereso will carefully evaluate your facial structure and skin condition to determine which combination of procedures may best support your goals. He can also advise on the ideal timing of treatment, including whether certain procedures should be performed together or scheduled separately.
While some patients explore non-surgical options such as BOTOX® Cosmetic or other injectables to achieve facial rejuvenation, these approaches typically offer temporary improvement and require ongoing maintenance. By contrast, facelift and neck lift surgery can provide a more comprehensive and longer-lasting result, which often makes it the preferred option for individuals seeking more significant and enduring changes.
What Does a Facelift and Neck Lift Consultation Involve?
A personal consultation is the first step in the process. During this visit, Dr. Ereso will evaluate both your physical health and overall readiness for surgery while taking time to understand your unique aesthetic preferences.
As part of the evaluation, Dr. Ereso will carefully examine your facial anatomy, including your bone structure and underlying tissue support. He will also assess the condition of your skin, paying close attention to its thickness, texture, and elasticity, as well as the presence and depth of wrinkles or folds. Your hairline will be reviewed to determine where incisions can be placed as discreetly as possible.
How Should I Prepare for Facelift and Neck Lift Surgery?
At our Bay Area practice, preparation for surgery begins with a thorough review of your health history. Depending on your age and medical background, Dr. Ereso may recommend pre-operative lab work or blood tests to confirm that you are ready for surgery.
In the weeks leading up to your procedure, certain lifestyle adjustments may be necessary. If you are currently working toward significant weight loss (generally more than 15 pounds), it is important to share these plans, as changes in weight can influence your final results. Additionally, patients will be advised to avoid smoking and discontinue the use of blood-thinning medications, including aspirin and non-steroidal anti-inflammatory drugs, as well as certain vitamins and supplements. These substances can increase the likelihood of complications and interfere with proper healing.
It is also helpful to prepare your home environment in advance so your recovery can be as smooth and comfortable as possible. Creating a dedicated space where you can rest with minimal disruption can make a meaningful difference. Many patients choose to have meals prepared ahead of time, prescriptions filled, and clean clothing readily available to avoid unnecessary activity during the early stages of healing. If you have children or pets, arranging for assistance in advance can allow you to focus fully on your recovery.
What Does Facelift and Neck Lift Recovery Entail?
After your surgery, you will be taken to a comfortable recovery area. A bandage may be placed around your face to help reduce swelling, and in some cases, small drainage tubes are used to prevent fluid buildup beneath the skin. Most patients find that discomfort is mild and can be effectively managed with prescribed medication.
Because healing varies from person to person, your recovery timeline may differ slightly; however, many patients experience a progression similar to the following:
The First Day
- In this early stage of healing, you should rest with your head elevated and apply cold compresses to minimize bruising and swelling.
Within The First Three to Five Days
- Swelling should reach its peak and then begin to subside. Iced compresses will be an essential part of your daily treatment.
- Bandages will be removed, and by day three you should be able to shower and wash your hair.
- Most sutures will be removed.
- You may return to light activity, but continue to sleep with your head elevated.
- You can wear makeup to conceal any discoloration.
Within Two Weeks
- Most of the bruising will disappear within seven to ten days.
- You may resume many of your normal activities, including non-strenuous work.
After Several Weeks
- You may resume exercise.
- Swelling and puffiness should continue to subside.
- Numbness in the facial area should diminish; however, some numbness may persist for several months.
Throughout the healing period, you should avoid exposure to direct sunlight. Over the long term, regular use of sun protection can preserve your results and keep your skin healthy.
What Risks Are Associated With Facelift and Neck Lift Surgery?
Facelift and neck lift risks include the following:
- Complications from the anesthesia
- Excessive bleeding
- Infection
- Nerve injury, which can lead to temporary or permanent facial weaknes
- Skin discoloration
- Skin loss
- Hair loss around the incisions
- Significant scarring
When performed by a qualified, board-certified plastic surgeon, these surgeries are associated with a low risk of serious complications. Following Dr. Ereso’s pre- and post-operative instructions closely can further reduce the likelihood of any issues and encourage a smooth recovery.
If you have any concerns about the safety of facelift and neck lift surgery, you are encouraged to discuss them openly during your consultation. Dr. Ereso will take the time to explain the steps he takes to minimize risk and help you feel informed and confident in your decision.
“Dr. Ereso is amazing. I have had a number of procedures from him. The outcomes have all be perfect. The office staff is super nice, efficient and friendly. Four of my friends have also seen Dr. Ereso and they are all very happy with their results.”
How Much Does a Facelift and Neck Lift Cost in the Bay Area?
The cost of facelift and neck lift surgery in Mountain View can vary depending on your individual treatment needs. For an accurate, personalized pricing quote, meet with Dr. Ereso for an in-person consultation. Afterward, our team can provide you with a quote and explain what is included in the cost of a facelift and neck lift. We strive to be transparent and fair in our pricing.
If you are contemplating a facial plastic surgery procedure and you live in the San Jose Bay Area, schedule your consultation with Dr. Alexander Ereso – a double fellowship-trained surgeon with an artist’s touch.
