Facelift

Portland Plastic Surgery Group performs facelift surgery (traditional and MACS technique) from $22,500 and neck lift from $19,400, both all-inclusive of all professional and facility fees plus CosmetAssure complication insurance. Additional facial surgical procedures include brow lift from $7,910, eyelid surgery (blepharoplasty), forehead reduction, lip lift, lip reduction, and ear surgery (otoplasty). Procedures are performed by four board-certified plastic surgeons at the Pearl District practice, using a consult-first model to determine the most appropriate technique for each patient.

Facelift surgery at Portland Plastic Surgery Group is available from $22,500 — an all-inclusive price covering surgeon, surgical assistant, facility, anaesthesiologist, and CosmetAssure surgical complication insurance at the Pearl District location. The practice offers both traditional facelift and MACS (Minimal Access Cranial Suspension) technique, with procedure selection guided by the patient's anatomy, degree of facial ageing, and recovery preferences during a pre-operative consultation with one of the four board-certified surgeons. Traditional facelift surgery addresses gravitational descent and skin laxity across the lower face, jowls, and neck through incisions placed within the natural hairline contour above the ear, within the anterior helical crease, and extending into the postauricular hairline. The underlying SMAS — the superficial musculoaponeurotic system, the fibromuscular layer responsible for the structural integrity of the facial soft tissue — is elevated, repositioned along a vector directed toward the ear, and secured with permanent sutures, restoring youthful facial contour through repositioning of the deep tissue rather than tension on the skin closure alone. The MACS facelift uses a shorter scar and purse-string suture plication of the SMAS through a more limited access incision, offering meaningful correction with a somewhat shorter operative time and recovery suited to patients with early to moderate laxity. Neck lift surgery, available from $19,400 and also all-inclusive, can be performed as a standalone procedure for patients whose primary concern is neck and jowl laxity without significant cheek descent, or combined with facelift surgery for comprehensive lower face and neck rejuvenation. Brow lift surgery is available from $7,910 and addresses forehead laxity and brow ptosis that creates a tired or stern expression. Additional facial procedures at the practice include upper and lower blepharoplasty (eyelid surgery), forehead reduction (hairline lowering), lip lift and lip reduction surgery, and ear surgery (otoplasty) for patients with protruding or asymmetric ears. All facial surgical procedures at the Pearl District practice use a consult-first scheduling model, with no online booking, ensuring each patient's operative plan is built on a thorough assessment of their anatomy and objectives.