Facelift & Neck Lift

Facelift and neck lift surgery at Gables Plastic Surgery in Coral Gables, Miami — performed by Dr. Jorge de la Pedraja, a board-certified plastic surgeon (FACS) with 20+ years of experience. The procedure repositions the SMAS layer and overlying skin to address jowl formation, mid-face descent, platysmal neck banding, and deep nasolabial folds. Results are associated with lasting eight to ten years.

Gables Plastic Surgery's facelift programme is led by Dr. Jorge de la Pedraja, who brings over two decades of experience in aesthetic facial surgery to a boutique single-surgeon practice in Coral Gables. The facelift — technically a rhytidectomy — is the gold standard for reversing the visible signs of facial aging that cannot be adequately addressed by non-surgical interventions: descent of the mid-face and cheeks creating prominent nasolabial folds, the formation of jowls along the jawline from lax SMAS and skin, platysmal banding and submental fullness in the neck, and generalized loss of facial contour definition. The surgical approach repositions not just the skin but the deeper SMAS layer (superficial muscular aponeurotic system) — the fibromuscular envelope beneath the skin and subcutaneous fat — which provides the structural support for a durable, natural-looking result without the tell-tale windswept or over-tightened appearance of older skin-only techniques. A neck lift is frequently performed concurrently to address platysmal banding (the vertical cords that appear in the neck with aging), submental fat, and lax neck skin, creating a continuous improvement from jawline to décolletage. Incisions are carefully placed within the hairline and in the natural skin creases around the ears to minimize visible scarring. According to the clinic's published website, facelift results are associated with lasting eight to ten years. Recovery involves bruising and swelling peaking in the first week and substantially improving by two to three weeks, with final results visible at three to six months as all residual swelling resolves and the tissues settle.