Facelift (Rhytidectomy)

Dr. Portuese performs full and mini facelifts at his Medicare-certified ambulatory surgery center in Seattle's First Hill. The full facelift uses SMAS deep muscle repositioning with incisions at the ears and hairline to address jowls, facial laxity, and neck loosening. Full facelift is priced at $19,600 all-inclusive; mini facelift from $10,250. Neck liposuction is incorporated as appropriate. Surgery takes approximately three hours under general anesthesia, with drains for 48 hours and suture removal at four days.

The Seattle Facial Plastic Surgery Center performs rhytidectomy — commonly called a facelift — under the care of Dr. William Portuese, a double board-certified facial plastic and reconstructive surgeon with over three decades of dedicated facial surgery experience. His facelift approach addresses the superficial musculoaponeurotic system (SMAS), the deep facial muscle layer responsible for creating jowls, heavy nasolabial folds, and neck laxity. By repositioning the SMAS rather than simply tensioning the overlying skin, results achieve a natural, rested appearance that lasts significantly longer than skin-only procedures. Incisions are placed in front of and behind the ears and along the hairline, keeping scars within natural anatomy. Neck liposuction is incorporated during the same surgical session when submental fat is present, avoiding the need for a secondary procedure. Surgery takes approximately three hours and is performed under general anesthesia by board-certified anesthesiologists within the clinic's own ambulatory surgery center — a Medicare-certified outpatient facility. The full facelift, appropriate for patients in their late 40s through 80s presenting with significant facial and neck laxity, is priced at $19,600 all-inclusive, covering surgeon, anesthesia, and facility. A mini facelift — targeting earlier-stage changes with a more limited incision pattern — is available from $10,250. All pricing is transparent and published on the practice website. Recovery involves drains for 48 hours, suture removal at four days, and a return to normal social activity within approximately two weeks. Patients travel from Bellevue, Tacoma, Redmond, Kirkland, Olympia, and across Washington State and the broader Pacific Northwest for Dr. Portuese's facelift expertise in Seattle.