Facelift (SMAS & Deep Plane)

Klinika Esthé's facelift programme spans the classic SMAS facelift of the face and neck (from 97,000 Kč) to the advanced deep plane facelift (from 170,000 Kč), performed by a surgical team led by doc. MUDr. Ondřej Měšťák, Ph.D. By repositioning the deeper SMAS layer rather than just pulling skin, modern facelifting restores the jawline, softens jowls and lifts the midface with natural movement preserved. The clinic operates its own surgical facility with overnight hospitalization in the centre of Prague, with liposuction of the neck, platysma tightening and brow lifting available as coordinated additions.

A facelift remains the definitive treatment for moderate to advanced facial ageing — jowls, loss of jawline definition, deep nasolabial folds and loose neck skin that injectables and threads cannot meaningfully correct. The hallmark of modern technique is working on the SMAS (superficial musculo-aponeurotic system), the structural layer beneath the skin: repositioning it vertically restores youthful contour while the skin is redraped without tension, avoiding the pulled, wind-tunnel look of older skin-only lifts. **Options at Esthé:** - *SMAS facelift, face and neck* — from 97,000 Kč: the workhorse technique addressing jowls, jawline and upper neck through incisions concealed around the ear and into the hairline. With neck liposuction, from 99,000 Kč. - *Deep plane facelift* — from 170,000 Kč: releases and repositions the SMAS and its ligamentous attachments as a composite flap, producing a particularly natural and durable midface and jawline result; the most technically advanced option, reflected in price. - *Neck lift (platysma suture)* — from 15,000 Kč added to a facelift, correcting vertical neck bands. - *Endoscopic forehead/brow lift* — from 65,000 Kč for the upper third, through small incisions hidden in the hairline. **The pathway:** consultation with the operating surgeon (the clinic publishes its full team — facelift surgery is led by its senior plastic surgeons), pre-operative examination (3,500 Kč), surgery under general anaesthesia in the clinic's own operating facility, and typically one night's hospitalization (4,500–5,500 Kč). Drains and dressings are managed at early follow-ups; sutures out over 1–2 weeks. **Recovery:** visible bruising and swelling for roughly two weeks; most patients return to social life at 2–3 weeks and exercise at 4–6 weeks. Final refinement continues for months. Results typically last 8–12 years. **Payment terms:** cosmetic surgery is not covered by Czech insurance; a deposit is payable within 14 days of signing the surgical contract, balance on admission day.