Facelift

Dr. Frank Agullo performs facelift, neck lift, brow lift, and eyelid surgery (blepharoplasty) at his El Paso practice, addressing facial aging across the forehead, midface, lower face, and neck. Facelift techniques are tailored to the degree of laxity and the patient's desired recovery profile. Combined procedures — such as facelift with blepharoplasty or fat transfer to the face — are commonly performed in a single operative session to maximize the rejuvenating result while minimizing total anesthesia exposure.

Facelift surgery at Southwest Plastic Surgery in El Paso is performed by Dr. Frank Agullo, whose decade-plus track record as a Castle Connolly Top Doctor and international patient base reflect the consistent outcomes he achieves with facial rejuvenation procedures. Facelift surgery at the practice spans a range of techniques matched to the anatomical degree of aging and the patient's recovery tolerance. For patients with early to moderate lower facial and neck laxity — jowling beginning to form, nasolabial folds deepening, and mild platysmal banding in the neck — a focused approach with incisions at and around the ear addresses the primary sites of gravitational descent without requiring the full extent of traditional rhytidectomy. For patients with more advanced facial aging — marked jowling, significant submandibular skin laxity, deep nasolabial folds, and prominent platysmal banding — a full SMAS-based facelift with platysmaplasty repositions the deep facial tissues along a natural, oblique rejuvenating vector from jowl to cheekbone, removing excess skin conservatively to avoid the operated appearance of tension-based lifts. The SMAS (superficial musculoaponeurotic system) layer, which lies immediately below the subcutaneous fat, is elevated and repositioned rather than simply tightened in place — a key technical distinction that provides a more durable and natural-appearing result. Adjunct procedures commonly combined with facelift in a single operative setting include neck lift with platysmaplasty for patients with prominent neck banding or significant submental skin excess; upper and lower blepharoplasty for periorbital rejuvenation, addressing excess upper eyelid skin and under-eye fat prolapse simultaneously; brow lift for forehead and brow elevation in patients with temporal hooding or brow descent; fat transfer to the face to restore the volume losses of aging in the temples, cheeks, and perioral areas; and chin implant placement to define the jawline and improve the cervicomental angle. Pricing at the El Paso practice ranges from $10,500 for more limited approaches to over $20,000 for comprehensive facial rejuvenation with multiple adjunct procedures. All fees include anesthesia, surgical facility, pre-operative medical tests, garments, and recovery products.