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Lower Facelift

We offer several variations of the traditional facelift at our Las Vegas practice. Although facelift techniques may differ, they share the goal of improving the signs of aging in the lower half of the face and improving the contour of the cheeks and neck. Dr. Goesel Anson and Dr. Terrence Higgins specialize in the full range of facelift options and can help you determine whether you'll need a full facelift, which addresses significant excess tissue of both the cheeks and neck, or whether a mini-facelift or a mid-facelift is a better choice.

See Your Procedure in 3D

Lower Facelift

Your first step toward a customized facelift is to request a consultation online to meet with one of our plastic surgeons. You can also give us a call at (702) 822-2100 to schedule an appointment.

Real Patients, Beautiful Results

Facelift Before
Facelift After

Our extensive online photo gallery of actual patients is supplemented by additional digital photos patients can browse at our office. The 57-year-old patient shown in the before-and-after photos above underwent a facelift combined with eyelid surgery. In addition, Dr. Anson used fillers and fat transfer to fine-tune the results. View our photo gallery.

Is a Facelift Right for Me?

Minimally invasive procedures such as injectable fillers and BOTOX® Cosmetic are popular options for patients who want a more youthful appearance, but they can't match the long-lasting results achieved by a facelift, a mini-facelift, or a necklift. Dr. Anson or Dr. Higgins can help you determine which facial rejuvenation options will provide you with the most satisfying outcome.

Common concerns that can be alleviated by facelift surgery include:

  • Sagging along the jawline
  • Jowls
  • Neck excess and looseness
  • Skin redundancy

Facelift surgery is appropriate for many men and women who are bothered by symptoms of aging, especially in the lower two-thirds of the face, from below the eyelids to the neck. A facelift is commonly performed in conjunction with a blepharoplasty, which improves aging of the upper and lower eyelids, or with a brow lift, to elevate a sagging forehead. Patients may also choose non-surgical procedures such as fat transfer or fillers for volume enhancement.

It can all be a bit confusing, but Dr. Anson and Dr. Higgins will thoroughly discuss your options at the time of your consultation. They also believe it’s helpful to consider a longer term rejuvenation plan.

What Our Patients Are Saying

"Dr. Anson, thank you so much for making me look younger, you are an artist."

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How Is a Facelift Performed?

The details of the facelift procedure depend on whether a full facelift, mini-facelift or a neck lift will be incorporated by our Las Vegas specialists.

Full Facelift

A full facelift is typically recommended if your face shows significant signs of aging in the cheeks and neck. Incisions begin in front of the ear and extend behind the ear. These are well disguised and vary in length depending on the extent of the surgery. The layers of deeper tissue beneath the skin — the SMAS — are tightened, and excess skin is removed. Sometimes a small incision is made under the chin to further tighten the neck muscles (platysma). Older techniques, which simply addressed the skin and not the SMAS, produced a pulled, unnatural appearance. During the facelift procedure, liposuction of the neck, eyelid surgery, fat transfer and brow lift surgery can also be safely incorporated.


A mini-facelift focuses specifically on tightening laxity in the cheeks. It requires shorter incisions made in front of the ear. As in a full facelift, the skin is lifted, the SMAS is tightened, and excess skin is removed. Sometimes neck muscles are tightened through a small incision under the chin, and fat injections may be done around the mouth and cheeks. Eyelid surgery and brow lift are also commonly combined with a mini-facelift.


There is a significant difference between a mid-facelift and a mini-facelift. During the mid-facelift, which is sometimes called a vertical cheek lift, tissues are lifted off the cheekbones and elevated, but no skin is removed. It involves incisions hidden in the hairline at the temples and either at the lower eyelid or in the mouth. A mid-facelift is a good option for younger patients with early signs of aging and mid-face descent.

What Can I Expect During Recovery?

Although your surgeon offers you a specific recuperation timeline during your consultation, most of our Las Vegas-area facelift patients have relatively comfortable and uneventful periods of recovery. We recommend a stay of 10-14 days for our out-of-town patients and will help make arrangements.

For the first few days after your surgery, you can manage any discomfort with prescribed or over-the-counter pain relievers. Swelling and bruising are usually maximum at 3 days and improve over the next few weeks. Most people feel well enough to work at 2 weeks, but still have cosmetic signs such as swelling and bruising that they would rather others not see.

During the recovery period, you will need to keep your head elevated in order to minimize swelling. Many patients opt to sleep in a recliner or propped up on a wedge or pillows. You will be encouraged to walk but must avoid heavy exercising to avoid delayed bruising and bleeding for 2-3 weeks. Sun protection is vital, especially for bruised skin and pink scars. To help yourself heal, don’t smoke and avoid secondhand smoke.

Keep in mind that these guidelines are typical for traditional facelift patients. If you're undergoing a mini-facelift or necklift alone, your recuperation may be shorter. Undergoing multiple procedures may also influence recovery time.

After about 1 week, you'll be scheduled for a follow-up appointment, during which most of your bandages and sutures are removed.

To learn more about what you can expect before and after your facelift, visit our Facelift FAQ page.

Speaking from Experience

"Don't get confused by marketing catchphrases that refer to non-surgical facelifts, such as 'liquid facelifts' or 'stem cell facelifts.' Although those procedures might be worthwhile and have their place, they are not facelifts and cannot achieve similar results. A more sophisticated approach when considering fillers and volume versus a facelift is not to think of it as 'either/or', but to think which procedure is appropriate at this point." – Dr. Terrence Higgins

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