Facelift / SMAS Facelift (Plastika obličeje a krku)

Facelift surgery at MUDr. Kučerová's Brno practice rejuvenates the lower face and neck by removing excess skin, tightening the SMAS (superficial musculoaponeurotic system) muscle layer, and smoothing the jawline and jowls. MUDr. Kučerová routinely uses tissue adhesive as an adjunct — reducing swelling, hematoma formation, and bruising compared to traditional compression alone. Intradermal (buried) suture technique minimizes visible scarring. A mini facelift under local anesthesia is available from 40,000 Kč; a full SMAS facelift under general anesthesia from 74,000 Kč. Results are immediate and visible; final assessment is at two to three months as swelling fully resolves.

Facial aging is a multidimensional process involving volume loss, skin laxity, descent of the SMAS layer, deepening of nasolabial folds, formation of jowls, and changes in neck definition. A facelift — rhytidectomy — addresses the structural causes of these changes rather than merely filling or relaxing individual wrinkles, providing a comprehensive and longer-lasting rejuvenation than non-surgical treatments alone. At MUDr. Lucie Kučerová's practice in Brno, the procedure is offered in two main formats. The mini facelift uses shorter incisions and a more limited dissection to correct early-to-moderate facial laxity under local anesthesia on an outpatient basis (40,000 Kč). It is particularly suited to patients in their early forties to mid-fifties with modest skin descent and good skin quality. The full SMAS facelift (74,000 Kč) is a comprehensive procedure targeting the lower two-thirds of the face and neck under general anesthesia with a one-day hospital stay. It includes plication or partial resection of the SMAS layer to restore the deep structural support that underlies the surface changes, removal and redistribution of excess skin, and, optionally, submental liposuction to define the jawline and reduce jowls (+15,000 Kč). A forehead or brow lift is available as a companion procedure (35,000 Kč) for patients with significant brow descent or forehead lines. Two technique features distinguish this practice: tissue adhesive (fibrin glue) is applied between tissue layers at an additional 6,000 Kč, reducing dead space where seromas and hematomas form and yielding less bruising and swelling than traditional suturing alone. Intradermal (subcuticular) sutures are placed throughout to minimize superficial scar tracks at the incision lines, which typically run along the hairline, pre-auricular crease, and behind the ear where they are camouflaged. All-inclusive pricing covers the pre-operative internal examination, anesthesia and OR time, tissue adhesive (if selected), drain placement, the drain removal appointment at approximately two days post-op, and suture removal at one to two weeks. Bruising and swelling resolve over two to four weeks; normal activities resume within approximately one month; final results are assessed at two to three months. Contraindications include active blood-thinning medication, heavy smoking, and hair dyeing in the immediate pre-operative period.