Facelift & Neck Lift

Dr. Sam Jejurikar performs facelift and neck lift procedures to address sagging jowls, midface laxity, deepened nasolabial folds, and loose skin along the neck and jawline. Surgical techniques reposition and tighten the underlying SMAS muscle layer as well as the overlying skin to produce natural, rested results without a pulled appearance. Brow lift and cheek lift procedures are available as adjuncts. Patients typically return to social activities within two to three weeks.

Facelift surgery at Dallas Plastic Surgery Institute under Dr. Sam Jejurikar targets the structural and surface changes associated with facial aging — specifically the descent of midface volume, jowl formation along the jawline, deepening of the nasolabial folds, loss of neck definition, and visible skin laxity across the lower face. Dr. Jejurikar performs rhytidectomy using techniques that address both the superficial musculoaponeurotic system (SMAS) — the fibromuscular layer beneath the facial skin that is responsible for gravitational descent over time — and the overlying skin envelope. By repositioning the SMAS rather than relying solely on skin tension, Dr. Jejurikar produces results that look naturally youthful without the telltale 'wind-tunnel' tightness associated with skin-only facelift approaches. The SMAS suspension also provides greater longevity of results compared to surface-only tightening. For patients with lower-face and jowl concerns without significant midface laxity, a lower facelift or mini-lift approach can address the jawline and early jowl formation with a smaller incisional pattern and shorter recovery. Patients with more advanced laxity across the mid and lower face benefit from a full rhytidectomy with SMAS plication or SMASectomy, often combined with a neck lift to address platysma banding and submental fullness simultaneously. Additional facial rejuvenation procedures commonly combined with facelift at this practice include the brow lift, which elevates a descended brow and smooths forehead lines through endoscopic or open technique, and the cheek lift, which addresses midface volume descent and restores the natural cheek contour. Upper and lower eyelid surgery is another common adjunct that can be performed in the same operative session. Recovery following facelift typically involves swelling and bruising that peak in the first 48–72 hours, with most patients comfortable in social settings by two to three weeks. A compression garment is worn for the first week to support healing. Final results continue to refine over three to six months as residual swelling resolves and tissues settle into their repositioned state. Virtual consultations are available for patients travelling from outside the DFW area.