Facelift

Dr. Michael Ciaravino and Dr. Kriti Mohan perform facelift (rhytidectomy) surgery at this Houston plastic surgery practice, addressing gravitational descent and skin laxity of the lower face, jowl, and neck. The procedure involves incisions placed along the natural hairline contour from ear to ear, with repositioning of the underlying facial soft tissue and skin redrapage. Non-surgical facelift options using injectables and thread lift are also available through the adjoining Total Beauty Medspa for patients seeking facial rejuvenation without general anaesthesia.

Facelift surgery at Ciaravino Total Beauty Houston is performed by two board-certified plastic surgeons — Dr. Michael Ciaravino and Dr. Kriti Mohan — providing patients in the Houston metropolitan area with access to a high-volume facial rejuvenation practice with deep expertise across the full spectrum of surgical approaches. Facelift (rhytidectomy) surgery addresses the anatomical changes of facial ageing that cannot be reversed with non-surgical means: descent of the malar fat pad, jowling of the lower face from gravitational soft tissue displacement, skin laxity of the neck, and the platysmal banding that appears in the anterior neck as the underlying muscle separates at the midline. The surgical approach at this Houston practice involves incisions placed along the natural hairline from above the ear, continuing within the anterior helical crease, around the earlobe, and into the postauricular hairline — positions chosen to keep scars within the natural shadow and hair-bearing tissue. Through this access, the underlying SMAS layer and deep facial tissues are elevated, repositioned superiorly and posteriorly along natural rejuvenating vectors, and secured — restoring the firmer, more elevated facial contours of a younger anatomical state. The superficial skin is then redraped conservatively over the repositioned deep tissue without tension, reducing the risk of the pulled or windswept appearance associated with skin-only facelifts. Platysmaplasty — tightening of the platysma muscle and removal of excess subplatysmal fat — addresses neck concerns including banding and submental fullness and is frequently incorporated into the procedure. For patients not yet requiring surgical lifting, the Total Beauty Medspa adjacent to the surgical practice offers a non-surgical facelift pathway using neuromodulators, dermal fillers, and thread lifting to restore volume, reduce dynamic lines, and provide mechanical tissue repositioning — all without anaesthesia or surgical recovery. Thread lift at this Houston practice uses barbed suture material placed through small puncture sites to create a mechanical repositioning effect with results lasting approximately 12–18 months. Comprehensive facial rejuvenation surgical plans may also incorporate brow lift, blepharoplasty, and fat transfer to simultaneously address periorbital ageing and volume loss alongside the rhytidectomy.