Facelift & Necklift

The Oaks Plastic Surgery Houston performs facelift (rhytidectomy) and necklift procedures to address midface laxity, jowling, deep nasolabial folds, and loose neck skin and platysma banding — signs of facial aging that non-surgical treatments cannot fully reverse. Surgery lifts and repositions the underlying SMAS layer and removes excess skin for durable, natural-looking rejuvenation. Male and female facelift techniques are offered, with incision placement and tension direction adapted for each patient's anatomy. Brow lift, blepharoplasty, chin augmentation, and volume restoration with fat grafting may be combined in the same session for comprehensive facial rejuvenation.

Facelift surgery at The Oaks Plastic Surgery Houston addresses the structural changes that accumulate in the lower two-thirds of the face and neck over time: descent of the malar fat pad leading to flattening of the cheeks and deepening of the nasolabial folds; laxity and inferior displacement of subcutaneous tissue creating jowl formation along the jawline; and excess skin and platysmal banding in the neck that produce a turkey-wattle appearance and loss of the cervicomental angle. A modern SMAS (superficial musculoaponeurotic system) facelift repositions not just the skin but the deeper fibromuscular layer of the face, creating durable lift and avoiding the overtightened, wind-swept appearance associated with skin-only techniques. The SMAS is elevated or imbricated (plicated) to reposition the descended midface soft tissue upward and slightly laterally — the natural direction of youthful facial contours — and the skin is then redraped without tension. Skin excision at the hairline and around the ear is carefully planned to avoid distortion of the temporal hairline or ear position, and incisions are placed to be concealed within the natural anatomical boundaries of the scalp, tragus, and post-auricular sulcus. Male facelift requires particular attention to the beard-bearing skin of the cheek, ensuring the hair-bearing tissue is not transposed behind the ear where shaving becomes impossible. Necklift surgery may be performed as a standalone procedure or combined with facelift — it addresses platysmal banding (prominent vertical cords visible in the neck when tension is applied or with age), excess neck skin, and submental fat by accessing the neck through small incisions under the chin and around the ears, repairing the platysma with sutures, and removing excess skin. Ancillary procedures commonly combined with facelift at TOPS include brow lift to address lateral brow ptosis and horizontal forehead lines, blepharoplasty (upper and/or lower eyelid surgery), chin augmentation for patients with a recessed chin that exacerbates apparent neck laxity, and autologous fat grafting to restore volume in the temples, cheeks, and perioral regions — addressing the volume component of facial aging that lift procedures alone do not correct.