Facelift by by Dr. BCK Patel MD, FRCS in Salt Lake City and St. George, Utah


before & after facelift by Dr. BCK Patel MD, FRCS of St. George and Salt Lake City
before and after facelift aging of a woman by Dr. BCK Patel MD, FRCS St. George



​When our face ages, there is a change in all the layers of the face: a three-dimensional change, which gives us the progressive aging changes one sees. 

There is a false belief that changes in the skin with time is what ages us. In reality, there are aging changes affecting the subcutaneous fat layer, the muscles that move the face, the fascia (SMAS and Platysma), the muscles, and even the bones!

To achieve the best outcome the modern plastic surgeon must address all these layers, contrary to the early surgical methods.

The term “facelift” is a misnomer. In actual fact, what we are doing is a lower facelift and neck lift involving all the layers.  So there is an improvement in the cheeks (midface), lower face, jawline and jowls, and laxity, fullness and bands that may affect the neck.

The aim is to create a firm jawline, strong chin, sculpted cheeks and a long, beautiful neck! 

It is by studying the yourthful face and neck that we can determine the changes that we need to address: hence the importance of the surgeon carefully analyzing your photographs from your younger days.

Surgical planning will involve an improvement in skin laxity and droop (ptosis), a recreation of the fullness of the face, including prominent chin and cheekbones and creation of the beautiful shapes in ladies and chiseled faces in gentlemen! We show this in our before-and-after photographs nicely. 

In summary, facelifts and neck lifts are carefully designed for each individual face: it is your face, after all. There is no such thing as a quick standard facelift. When it is one’s face, careful design and reconstruction with attention to detail are what one needs. 

face - necklift

Dear Dr. Patel,”I put my trust in your hands and I could not be more pleased. You fixed a broken me. I am still just me and I’m looking out from the inside. You’ve made the view much nicer for those on the outside that have to look at me!

I’ve had two people that I know casually through doing business say they didn’t recognize me and took a double look. I didn’t say a word. 😂
My nephew today said, “what have you done to your skin? It looks great!” I told him. Then showed the pics. My hubby shows the pics to his patients if the topic comes up.

I’m just so happy with the results. I didn’t want to look like someone who had plastic surgery with big cheeks and protruding lips. I saw some ladies just like that at the parade of homes just days before my surgery and I got scared. That was totally wasted fear and worry!
Now I just need a butt and I’ll look decent coming and going 😂!

To say “thank you” just isn’t enough.

facelift before and after
Before and after photos of Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS
Before and after photos of Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS
Before and after photos of Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS

The “Hammock Lift” was designed by us to improve the top two-thirds of the face. It essentially improves the forehead, the brows, the nasal bridge, the upper and lower eyelids and cheeks. This also allows us to create a feminine fullness to the cheeks in ladies and a sculpted cheek in gentlemen.

We usually perform the Hammock Lift first, followed by the lower facelift and neck lift: this gives us a complete facial rejuvenation.

The Hammock Lift ™ is an amazing procedure which gives very natural results.

face sketch of planning for the hammock lift and lower facelift and neck lift by Dr. BCK Patel MD, FRCS

“My Hammock Lift is exactly what I needed, but did not know!! Dr. Patel explained to me how the Hammock Lift improves the upper two-thirds of the face, including brows, upper lids, forehead, lower lids and cheeks. I also got an improvement along my jawline which I am thrilled with as I plan on having a lower face and necklift later but this already gets me a great improvement. I have sent my two sisters to him! Brilliant surgeon. Cannot speak highly enough about him and his team. ”  J. Stevenson  “Top marks”– Park City, UT


We have designed a very reliable way of showing you exactly the sort of results you would get with a lower facelift and neck lift. Having used this method in hundreds of patients, we have found it to be very reliable and predictable!

Once we have shown you the types of results you can get on your own face, we can show you photographs of other people whose age and face changes are similar to yours to get an idea of what one would be aiming for.

facelift candidacy signs hammock lift by Dr. BCK Patel MD, FRCS
neck and face sketch reduction of the neck improves the whole face


In the drawing to the left, I have only changed the contour and the fullness of the neck. All other anatomical parts are exactly the same! This illustrates the perception of aging and facial appearance imparted by the appearance of the neck. Together with the neck, of course, go the jawline and chin. 

It is for this reason that I stress that the “money is in the neck”. The better the neck I give you, the better your face looks. Of course, some improvement of the neck may be obtained with local neck procedures, but the best improvement of the neck is obtained by performing a proper face and necklift. 
Before and after photos of Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS
Before and after photos of Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS

I have spent time today reviewing your point-by-point description of everything you did for me and how you did it; I referred to the before and after photos countless times. I am in absolute awe. Your facelift results are nothing short of miraculous. You are absolutely correct, If you had told me what you intended to do, I would have most likely taken a pass from being confused and fearful of the results. You have a gift. Your skills are beyond my comprehension. You have taken a woman, me, who had spent the better part of 15 years being injected with Juvederm to ward off my hereditary jowls, then the signs of aging. I had gotten to a point, that there was not enough Juvederm to keep up with my aging process. I had resigned myself to forever having my Grandmother’s jowls. I became discouraged. Though I loved Grandma dearly, I did not love her jowls. I also never realized I had such a gobble neck not seeing myself in 3-D on a regular basis. Then I discovered your gifts through Marlene. Though I had always said I would never, ever get a face lift due to fear of a possible adverse outcome, the joy and confidence, plus the fabulous results from Marlene sealed the deal. I can’t even begin to tell you how very pleased and joyful I am by my results thus far and I know they will only improve with time. Thank you for doing such an amazing job for me and on me!  -Toni J


Photographs from younger days are vital for us to make an analysis of changes that may have happened over time.

Most people will have photographs from their 20s or 30s where they liked the overall look of the face, whether it applies to brows, eyelids, cheeks or the face and neck.

We examine the skin texture, laxity of the skin, distribution of the subcutaneous fat (fat can be good!), and the general shape and curves of a face. This allows us to plan the surgery properly.

Any prior history of trauma, cancer treatment, Bell’s palsy, etc are addressed to improve the effects of these conditions.

Creating more youthful faces in men and in ladies with a natural outcome and avoiding any of the “pulled” looks is what we aim for.  

face of woman - UPPER BLEPHAROPLASTY before and after and hammock lift by Dr. BCK Patel MD, FRCS
faces of womans UPPER BLEPHAROPLASTY aging of women
face of woman - UPPER BLEPHAROPLASTY before and after and hammock lift by Dr. BCK Patel MD, FRCS
faces of womans UPPER BLEPHAROPLASTY aging of women


There is a troubling trend of aggressive marketing of quicker procedures, small-incision procedures, weekend facelifts, etc. Unless the various anatomic changes that need addressing are carefully assessed and corrected, a less-than-ideal result will be obtained.

The very basics of a facelift involve:

-Incisions which are hidden in front of and behind the ear. Once healed, they are close to invisible.

-Some incisions will follow the temporal hairline and the occipital hairline (behind the ear). The aim is to design the incisions with a thorough knowledge of surface and cross-sectional anatomy so as to obtain almost invisible scars as seen here:

​-Elevation, repositioning and tightening of the important deeper aponeurotic system (the SMAS) is performed. This is where a thorough knowledge of anatomy is important. As we have anatomy dissection courses where we teach other plastic surgeons the anatomy of the face, it allows us to maintain the highest standard of anatomical and applied anatomical knowledge:



It is common to perform a facelift with fat grafts, lip augmentation, cheek lifts,  laser to lip line Lip Lines and skin rhytids, and, sometimes with upper and lower blepharoplasty.

Liposuction of the neck and the jawline is judiciously peformed to get a defined neck and jawline (see the before-and-after photographs, which illustrate the improvement of various different kinds of faces).

facelift figure

​-The jowls are addressed.

-The jawline is defined.

-The neck skin and the neck bands are addressed.

-Fat grafts and lasers are frequently used to improve contour and skin appearance.

before and after collage facelift facelift and necklift results before and after by Dr. BCK Patel MD, FRCS


1. We avoid using quick-and-easy procedures which are promoted by volume surgeons and organizations: be wary of aggressive capitalism. This gives them a standard result so they can move on to the next person.
2. We analyze the whole face and neck and aim for harmony as people don’t look only at your neck or cheeks.
3. With advanced training and detailed knowledge of aging, anatomy and physiology, we are much better able to address said changes with a view to a congruous outcome that lasts.
4. The skin is what everyone immediately sees: it is impossible to hide blemishes, deeper wrinkles, sun-spots, age-related discolorations, broken veins, large pores with make-up. We pay particular attention to getting the skin to look its best.
5. If necessary, the face and neck are broken up into thirds so you understand if the improvement is best broken up into two separate treatments. This reduces your anaesthesia time for any given procedure and also allows us to give you the best results as explained on the “Facial Aging” page.
6. We combine the use of fat grafts, tissue repositioning, volume augmentation, fat repositioning and removal where appropriate, proper tissue transfers, avoidance of pull-lines and three-dimensional tissue relationship positioning to give us results seen on this and other pages of our patients. 



We see patients for second, third and fourth opinions all the time. Many changes after a facelift can be improved as seen in the photographs below and also on our Complications page. These changes can include inadequate improvement, unacceptable scars, ear lobes pulled forwards, loss of projection of ear lobes, weak jawlines, loose necks, pull lines (also called “kite lines”, asymmetry, irregularities, and many other changes. We will be happy to see you and assess you and advise you. 
before and after facelift Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS
​Correction of a facelift and necklift to give a better jawline and neck
before and after facelift Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS
Correction of a face and necklift and lower eyelids to give a better definition to the jaw, improve the neck and make the eyelids look more youthful


SEE OUR AMAZING RESULTS facelift Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS
Facelift and neck lift and CO2 laser in a female to treat lower face, jowls and neck by Dr. BCK Patel MD, FRCS


The aging process, whilst different in different people, is largely determined by genetics, lifestyle, sun exposure, diet, health, skin care and skin protection, and a few other factors. Whilst one cannot achieve the shangri-la of arresting aging, properly performed facelifts and necklifts when combined with appropriate fat grafting, use of lasers, augmentation of lips and chins, recreating age-appropriate fullness of cheeks, treatment of “smokers’ lines” around the lips, correcting the downward turn of aging mouths and lips and a few other factors can yield very pleasing reliable long-term results as seen in this patient 8 years after such surgery. 
Simple protection of the skin and maintenance yields gratifying results in the long term. 
facelift results facelift and necklift results before and after by Dr. BCK Patel MD, FRCS


Nobody likes the “pulled look”! We see patients who come to see us for a second or third opinion because they got a “pulled look” after a facelift. Causes include just tightening the skin, limiting the incisions to such a degree that too much tension is taken up by very limited areas of the skin, failure to address the other aging changes which would give a more three-dimensional result, and failure to address the fat and deeper structures. It is because of this that we don’t perform any formulaic procedures but base the procedures on the needs of each patient. In this fashion, we get an improvement that is often described by our patients as “natural”, “rejuvenating” and “youthful”. We love hearing our patients say “I love my new face.” The “money” is in designing a beautiful neck and even more gorgeous jawline. The money, as “they” say, is always in the neck!!



  • Are you close to the weight you like to be at? If you are within a few pounds of where you look and feel the best, it is possible for us to give you the very best results from a facelift and a neck lift. Some patients may want to lose a little weight whilst others want to put a little on. Either way, get to as close to your “best” weight as you can.
  • You should not be a smoker. If you were a smoker, the healing is usually prolonged and some of the collagen changes cannot be properly reversed. If you did smoke, you should wait at least a year after your stopped smoking before having surgery.
  • If the lower facial changes, the mouth, the jowls, the neck line and the laxity of the neck bother you, you would be a candidate for a facelift and a neck lift procedure.
  • We generally like to get the condition of the skin of the face and the neck and chest in as good a condition as we can with a combination of lasers and peels so that when the surgery is performed, we get the best redraping of the skin and the skin looks healthy and smooth.
  • You should understand that there is time needed for the healing, for the swelling to settle and for the skin to improve from our lasers, nanofatgrafts and other techniques we use.  
Improvement in the jawline, the jowls, and the neck before and after a facelift and necklift by Dr. BCK Patel MD, FRCS of Salt Lake City and St. George, Utah
​Correction of a facelift and necklift to give a better jawline and neck
Improvement in the jawline, jowls and neck in a male after a facelift and neck lift by Dr. BCK Patel MD, FRCS of Salt Lake City and St. George, Utah
Correction of a face with a facelift and neck lift to give a better definition to the jaw, and the jowls, improve the neck and make the lower face and neck more youthful
“Dr. Patel fixed my botched facelift which I had done three times by other surgeons. Nobody would help me with the botched surgery. I finally found Dr. Patel thanks to a hairdresser! I have put my photos up on the web to show what an amazing job he did fixing me.”  D. Jenks  Facelift and Necklift- Las Vegas, Nevada


Facelifts are performed in an operating theatre for the sake of sterility and your comfort. We have a team of anesthesiologists and nurses who are trained to specifically look after patients undergoing these procedures.
General anesthesia is best for facelifts, although in some instances, sedation anesthesia may also be used.

With a 3-D procedure, there are several layer of sutures, accurately placed to give the lifting, tightening and filling, without leaving any tell-tale pull-lines. Some are slow dissolving sutures, others are more permanent. The skin sutures are generally removed between 7 and 14 days. ​

Lasers will be used to treat peri-oral lines, “sleep lines” on the cheeks and other skin irregularities. The advantage of using all the skills and modalities available to us, rather than performing quick or weekend or one-hour facelifts is that it allows us to give you a remarkable improvement not only in the structure and appearance of the face, but also the health and smoothness of the skin as seen here:
Facelift surgery can take between 3 and 5 hours of surgery time, depending upon the planned procedures, patient’s face-type, age and other factors. ​
Bruising and swelling are de rigeur! However, significant long-lasting complications are rare.
Bleeding is not common as we pay close attention to proper hemostasis. On rare occasions, a small hematoma may collect.

Everyone will experience some numbness in the face: this resolves over weeks to months. This occurs because of the dissection of the face. This is not a complication.
Because of the dissection and repositioning of the tissues, it is common for there to be small differences in the smile between the right and left sides: this is usually only noticeable to the patient and to Dr. Patel! It recovers over a few weeks.

All faces have asymmetry and there will be some degree of asymmetry. This is to be expected.
Permanent weakness of nerves and muscles is rare.
The scars are usually very well hidden. However, some patients may have a tendency to cause hypertrophic scarring: in such cases, certain lasers and treatments will help. By-and-large, scars are rarely a problem. With Caucasian skin, pinkness of scars is to be expected for several weeks. With darker skin, some hyperpigmentation may occur. 
Bruising around the jawline and upper neck is common for the first two weeks. The face itself usually will not get much bruising, but may be pink from any laser work. Swelling is to be expected because of the extent of the surgery: the swelling abates over about two weeks. ​
Sadly not! These are elective procedures that are only performed if you want to see an improvement in the lower face, jawline and neck.
A sensation of firmness will be there because of the swelling: this is present for the first few days. Most patients do not need prescription pain medication after the first two to three days. ​
We will provide you with a special neck dressing which you will wear as much as you can for the first couple of weeks. You will also apply a moisturizer (any brand will do) to the face as healing skin and lasered skin requires moisturizer. Icing the face also helps for the first two to three days. Many of our patients will ice the face for longer as it feels good. You may be up-and-about the day after surgery. Gentle exercise (treadmill and stationary bicycle) may be commenced by day 3. More vigorous exercise like skiing and tennis may be resumed by about day 10. ​
Ideally, you should be within about 3 – 5 pounds of your desired weight. Whereas I can create the most beautiful angles and curves in slim patients, if you are able to get close to your ideal weight, we can wonders as can be seen in this patient who lost some weight before her surgery and is absolutely chuffed at her result:

In the first few days, everyone will experience some degree of dryness and blurry vision. You will also feel that your lids look a little tight on the outer corner where you will also feel some of the deeper sutures if you put your finger there: this is of no concern. The tightness and the bumps under the skin settle over a few weeks.
More serious complications which are very rare include excessive bleeding, hemorrhage and loss of vision. 




Do you have questions or need more answers?

    Contact Info

    ​Dr. BCK Patel MD, FRCS
    ​1025E 3300S
    Salt Lake City, Utah 84106, USA

    (801) 413-3599 (phone/text)
    E-Mail: bckpatelmd@gmail.com

    Dr. BCK Patel MD, FRCS
    617 E Riverside Dr Suite 101
    ​Saint George, UT 84790, USA
    (435) 215-0014
    ​E: drbckpatel@gmail.com