Facelift & Facial Rejuvenation Surgery

Dr. Sieber performs high SMAS and SMAS plication facelift techniques targeting jowls, mid-face descent, and neck laxity, with results lasting five to ten years. The practice also offers neck lift, blepharoplasty (upper and lower eyelid surgery), brow lift, chin augmentation, and facial fat grafting. Procedures are frequently combined to address multiple facial zones in a single recovery.

Facelift surgery at Sieber Plastic Surgery is performed using the high SMAS or SMAS plication technique — an approach that repositions and suspends the deeper musculoaponeurotic layer of the face rather than simply pulling skin, producing longer-lasting results with a more natural appearance than older skin-only lift methods. Incisions are placed around the ears and along the hairline to remain concealed in natural transition zones. The procedure addresses jowling along the jawline, mid-face descent (flattening of the cheek prominence and deepening of the nasolabial folds), and platysmal banding and excess skin in the neck. Typical results provide a five-to-ten-year improvement in apparent age. Recovery involves 48 to 72 hours of assisted care immediately post-operatively, drain removal the following day, suture removal at five to seven days, and return to office-based work within one to two weeks. Residual swelling resolves progressively over three to six months, with scar maturation continuing for up to one year. Facelift is frequently combined with complementary procedures at Sieber Plastic Surgery. Blepharoplasty (eyelid surgery) addresses excess skin, herniated fat, and muscle laxity of the upper and lower eyelids — one of the highest-impact facial rejuvenation procedures per unit of recovery time. Brow lift corrects the heavy, hooded appearance that results from forehead skin and brow descent, and can be performed endoscopically or via direct excision depending on hairline position and degree of ptosis. Chin augmentation (via silicone implant or structural reshaping) and submental liposuction (chin liposuction) are commonly added during facelift to refine jawline definition and eliminate submental fat. Facial fat grafting — harvesting small volumes of the patient's own fat and transferring it to hollowed areas of the temples, tear troughs, cheeks, and perioral region — restores volume lost to ageing without synthetic fillers, with longevity advantages when the fat successfully engrafts. Non-surgical facial treatments including Botox, dermal fillers, laser resurfacing (HALO, MOXI, BBL PhotoFacial), microneedling, chemical peels, and PRP are offered alongside surgical procedures, enabling a combined or staged approach to facial rejuvenation. Patients from across San Francisco, Marin County, the Peninsula, and Silicon Valley consult with Dr. Sieber at the Union Square practice.