Facelift (Face & Neck)

The facelift at Plastika Praha treats the face and neck together — repositioning sagging deeper tissues, redraping skin, and cleaning up jowls and the neck contour for a rested, natural result rather than a pulled look. MUDr. Tomáš Doležal performs the full procedure personally under general anesthesia in the clinic's Prague 3 operating theatre, with overnight recovery in a private single room under 24-hour medical care. Priced from 76,000 Kč on the clinic's published list — a fraction of typical Western European facelift pricing — with the fixed quote confirmed at the 500 Kč consultation.

Facial ageing is driven by more than skin laxity: the deeper SMAS layer (superficial musculoaponeurotic system) and facial fat compartments descend over time, creating jowls, deepened nasolabial folds, and a blunted jaw–neck angle. A modern facelift addresses these deeper structures rather than simply tightening skin — which is what separates a natural, long-lasting result from the windswept look of older skin-only techniques. **The procedure:** Through incisions concealed along the hairline and around the ear, Dr. Doležal elevates and repositions the SMAS layer, removes or redistributes excess fat (including under the chin where needed), tightens the platysma muscle bands in the neck, and redrapes the skin without excess tension. The combined face-and-neck approach is the clinic's standard because treating the face alone while leaving a lax neck produces a mismatched result. The operation takes roughly 3–4 hours under general anesthesia administered by the in-house anesthesiologist, MUDr. Roman Holzknecht. **Recovery:** Patients stay overnight (or longer, 2,500 Kč/day) on the inpatient ward. Swelling and bruising are most visible in the first week and largely settle by weeks 2–3, when most patients feel comfortable socially; residual tightness and small areas of numbness around the ears resolve gradually over weeks to months. Results typically last 8–12 years depending on skin quality and lifestyle. **Adjacent options:** The clinic also offers forehead lifting and eyelid surgery, which are frequently combined with a facelift for harmonious periorbital rejuvenation — combinations and pricing are set individually at the consultation. Smaller chin liposuction (from 28,000 Kč) is available for isolated submental fullness without skin laxity. With 25+ years of practice and ISAPS/IPRAS membership, Dr. Doležal handles the entire pathway personally, and patients retain his direct phone number from the first consultation through the final post-operative review.