Facelift (The Pruitt Facelift & Deep Plane Facelift)

Dr. Pruitt offers both his signature Pruitt Facelift and the more advanced deep plane facelift. The standard technique uses multi-layer tissue lifting in optimal vectors to restore youthful facial contours, while the deep plane approach releases and repositions the SMAS layer and deeper structures for longer-lasting results without a pulled appearance. Both are performed under IV sedation with local anaesthesia — no general anaesthesia or intubation — reducing risk and post-operative swelling. Ideal for sagging cheeks, jowls, nasolabial folds, neck laxity, and overall facial volume loss. Patients are typically makeup-ready within two weeks and photo-ready by six to twelve weeks.

Dr. Bryan Pruitt's facelift programme in Dallas, Texas encompasses two distinct surgical approaches tailored to each patient's degree of facial ageing and aesthetic goals. The Pruitt Facelift lifts facial and neck tissues in precisely calculated vectors, using a multi-layer technique that repositions underlying soft tissue rather than relying on skin tension alone. This produces natural, balanced results that complement each patient's unique anatomy. The deep plane facelift goes further, fully releasing the SMAS layer and its attachments to reposition the deeper muscular and fatty structures that contribute most to the aged appearance — sagging cheeks, prominent nasolabial folds, jowling, and neck laxity. Because the deep plane technique addresses tissue at a deeper anatomical level, results tend to last longer and look more natural than those achieved by skin-only or SMAS-plication methods. A defining feature of Dr. Pruitt's practice is his use of IV sedation combined with local anaesthesia across virtually all procedures, avoiding general anaesthesia and endotracheal intubation. This approach is associated with reduced systemic risk, faster recovery, and less post-operative swelling — a meaningful clinical distinction for patients weighing surgical options. Recovery follows a predictable arc: peak swelling typically occurs on days two to three, with a 50% reduction visible by the end of the first week. Most patients can resume social activities within two weeks and are fully photo-ready between six and twelve weeks. Dr. Pruitt holds board certification from the American Board of Plastic Surgery, fellowship training in facial plastic surgery, and hospital affiliations with UT Southwestern Medical Center and Emory Healthcare. He is a past president of both the Texas Society of Plastic Surgeons and the Dallas Society of Plastic Surgeons, and lectures nationally and internationally on facial plastic surgery techniques. Patients travelling from outside the Dallas–Fort Worth area are welcome and are asked to remain in the Dallas area for seven to ten days following surgery. A private gallery of over 500 before-and-after photographs is available for review during in-office consultations.