Facelift (Lower Face & Neck Lift)

MUDr. Miroslav Dolejš performs surgical facelifts addressing sagging of the lower face and neck — jowls, deep nasolabial folds, and loose neck skin — with surgery carried out in the plastic surgery theatres of Plzeň University Hospital. A less invasive brow lift using the Happy Lift barbed-thread method under local anaesthesia is also offered for early brow descent. The surgeon trained in facial rejuvenation techniques at international courses including the Madrid aesthetic surgery course and MCA Monte Carlo congress. Facelift from 42,000 Kč including general anaesthesia; thread brow lift from 22,000 Kč.

Facial ageing in the lower face follows a predictable pattern: the skin and the deeper SMAS layer lose elasticity, descending to create jowls along the jawline, deepening marionette and nasolabial folds, and producing loose, banded skin on the neck. A surgical facelift remains the only intervention that durably repositions these descended tissues. **The surgical facelift:** Through incisions concealed along the hairline and around the ear, the skin is elevated and the deeper SMAS layer is tightened and repositioned vertically — the modern approach that produces a natural, rested look rather than a pulled appearance. Excess skin is conservatively trimmed and the incisions closed in fine layers. The operation is performed under general anaesthesia (included in the price) in the plastic surgery operating theatres of Plzeň University Hospital with experienced anaesthetic and theatre staff; a short hospital stay (2,000–2,690 Kč per day) follows. **Recovery:** Swelling and bruising settle substantially over 2–3 weeks; most patients feel socially presentable at around two weeks. Final scar maturation and tissue settling take several months. Results typically last 8–12 years. **The Happy Lift brow alternative:** For patients with early brow descent who are not ready for surgery, the practice offers the Happy Lift method — resorbable barbed threads placed under local anaesthesia that mechanically elevate the brow and stimulate collagen along their track. From 22,000 Kč depending on the number of threads, with minimal downtime. MUDr. Dolejš trained in the Happy Lift revitalizing technique at the dedicated Brno workshop in 2011. **Consultation:** Facial anatomy, skin quality, and realistic expectations are assessed at a personal consultation (300–1,000 Kč) before any treatment plan is agreed.