A deep plane facelift lifts the face beneath the SMAS, the supportive layer under the skin and fat. Dr. Khaled O. Alameddine releases the ligaments that hold this layer so the cheeks, jowls, and jawline can be repositioned together, then redrapes the skin without excess tension. Because the lift is carried by deeper tissue rather than the skin, the approach is designed to avoid a pulled or windswept appearance.

No technique is the best choice for every face. SMAS refers to a supporting tissue layer beneath the skin; deep plane and high-SMAS techniques are different ways of working with deeper facial support. Dr. Alameddine selects among these and other SMAS-based approaches according to tissue descent, facial structure, and your goals, rather than assigning everyone the same operation.

Yes. Natural-looking describes how the result fits your face, not how small the change must be. Dr. Alameddine discusses the degree of improvement you want and plans around your proportions, facial expression, and areas of aging. The aim is a younger-looking version of you, with the understanding that individual outcomes vary.

There is no single age that determines the right time. Jowls, tissue descent, neck changes, skin quality, and your health matter more than a birthday. If your main concern is surface texture or isolated volume loss, another treatment may be more appropriate. Consultation helps distinguish what needs lifting from what may benefit from volume restoration or skin treatment.

A facelift with Dr. Khaled O. Alameddine in Coral Gables starts at $19,500 and includes a neck lift. The final quote reflects the extent of treatment and any additional procedures. Surgical pricing includes surgeon, anesthesia, and facility fees, and two postoperative garments when needed. The $250 surgeon consultation fee is credited toward your surgery if performed within 12 months.

Yes. Dr. Alameddine’s facelift starting price of $19,500 includes a neck lift, because the lower face and neck are planned together for a balanced result. A standalone neck lift, for patients whose concerns are limited to the neck, starts at $9,500.

Yes. Several procedures can be performed during the same operation at an add-on price: upper eyelid surgery $3,000, lower eyelid surgery $4,000, upper and lower eyelid surgery together $6,000, brow lift $4,000, lip lift $2,500, and facial fat transfer $2,500. Dr. Alameddine recommends additions only when they serve your goals.

Facelift incisions are typically placed along the natural contours in front of and behind the ear and into the hairline, with a small incision beneath the chin when the neck is treated from the front. They are planned to be as discreet as possible and usually fade over several months, although every incision leaves a scar. Dr. Alameddine reviews incision placement with you, including how it relates to your hairstyle.

Dr. Alameddine assesses the face and neck together, including skin, fat, muscle banding, and the glands beneath the jaw. When prominent submandibular glands contribute to fullness, gland removal may be discussed as a selected part of deeper neck treatment—not a routine step. It carries additional considerations, including bleeding, nerve injury, and saliva-related complications, which are reviewed before deciding whether to include it.

In selected patients, an endoscopic approach can place the facial-lifting incisions within hair-bearing scalp, avoiding incisions in front of the ears. Suitability depends on the areas needing treatment and the amount of excess skin. Neck work or other adjustments may require additional incisions, including behind the ears. Concealed incisions still leave scars, and an endoscopic approach is not suitable for everyone. Endoscopic facelift pricing starts at $21,500.

Not necessarily. Lifting addresses descended tissue, while fat grafting can help restore lost volume and a peel or laser may address selected surface concerns. A brow lift may be discussed if brow position affects the overall balance. Dr. Alameddine explains which additions may help, which are unnecessary, and whether treatments should be combined or staged.

Discomfort, swelling, bruising, and tightness are expected early on, with a pain-management plan provided for your procedure. Many patients return to desk work and lighter routines around two to three weeks, although visible swelling and healing can continue longer. Your operation, additional treatments, and type of work affect the timeline. Exercise and travel resume according to your surgeon’s guidance.

A facelift can provide an improvement that lasts for years, but your face continues to age. Longevity varies with your anatomy, skin quality, procedure, weight changes, and other factors. Dr. Alameddine discusses realistic expectations for your face rather than promising a fixed number of years or an exact younger age.

Yes. This page shows a patient who had a deep plane facelift, a deep neck lift, and submandibular gland resection, in six matched before-and-after views, alongside a video of her describing her experience. The full case, including her surgical plan, is on the Patient Results page. Photographs are shared with the patient’s permission, and individual results vary.

Dr. Khaled O. Alameddine completed his plastic and reconstructive surgery residency at Mayo Clinic, followed by an aesthetic surgery fellowship at UT Southwestern. His practice in Coral Gables, Miami, centers on facial rejuvenation, including deep plane facelift and neck lift surgery. He earned his medical degree from the University of London, where he received the Dean’s Award for Academic Excellence, and has published research in journals including Plastic and Reconstructive Surgery and Aesthetic Surgery Journal.

Alameddine Plastic Surgery is located at 2903 Salzedo Street, Coral Gables, FL 33134, serving patients from Miami and beyond. The office can be reached at (305) 501-0040. Surgery is performed in a QUAD A–accredited surgery center, and Dr. Alameddine speaks English, French, and Arabic.

Yes. Begin with a complimentary discovery call with Belma or book a surgeon consultation. Let the team know where you live so you can discuss whether an initial virtual consultation is appropriate, when an in-person assessment is needed, and how follow-up affects travel plans. The surgeon consultation costs $250, credited toward your surgery if performed within 12 months.