Full Face Rejuvenation
Full face rejuvenation means addressing the whole face in a coordinated plan rather than treating one feature at a time. There is no standard package. Every plan here is built for the individual face, because the balance of sagging, volume loss and skin damage differs in every patient. Where it is safe to do so we combine procedures into a single operation, which means one anesthetic and one recovery instead of several. Combined facial rejuvenation starts at approximately $50,000. Surgery is performed at our accredited Bellevue surgical facility.
Why there is no standard full face rejuvenation package
Two people of the same age can need entirely different operations. One has heavy jowls and a good skin envelope. Another has excellent jawline definition but hollow temples and deep sun damage. Selling both the same package would serve neither.
What we do instead is work out which of the ageing processes dominates in your face, and treat those. Some patients need one procedure. Some need four. The plan is written at consultation and it is specific to you.
The four processes that age a face
Facial ageing is not one thing. It is four separate processes that occur at different rates in different people, and each responds to a different treatment. This is the single most useful thing to understand before planning surgery.
| Process | What happens | What addresses it |
|---|---|---|
| Descent | Retaining ligaments loosen and the deep tissues of the cheek, jawline and neck fall | Deep plane facelift, neck lift, brow lift |
| Volume loss | Deep fat pads shrink and facial bone resorbs, producing hollowing that makes descent look worse than it is | Fat grafting, filler, Sculptra |
| Skin change | Collagen and elastin decline; sun damage produces pigment, fine lines and loss of recoil | Laser resurfacing, IPL, skincare |
| Muscle change | The platysma separates into visible neck cords; expressive lines etch into the upper face | Platysmaplasty during a neck lift, BOTOX or Dysport |
A facelift addresses descent. It does not add volume, and it does not improve skin quality. This is why a lift alone sometimes leaves a patient looking tighter but not obviously better, and why the most natural results usually come from treating more than one process at once.
Which procedures are commonly combined?
The combination depends entirely on what is bothering you. These are the pairings we perform most often.
| Concern | Typically addressed with |
|---|---|
| Jowls, jawline and neck laxity | Deep plane facelift with neck lift |
| Lift plus hollowing in the midface, temples or around the eyes | Facelift with fat grafting |
| Tired or hooded upper eyelids | Upper eyelid surgery, sometimes with a brow lift |
| Under-eye bags and hollows | Eye bag surgery or lower eyelid lift |
| Fine lines around the mouth, sun damage and pigment | Laser resurfacing, usually staged separately |
| A long upper lip that surgery will not change | Lip lift |
| Weak chin projection affecting the jawline | Chin implant |
| Nasal appearance out of balance with a rejuvenated face | Rhinoplasty |
What we combine, and what we stage separately
Where it is safe, we combine. One operation means a single anesthetic, a single facility visit and a single recovery, rather than repeating all three.
The limits are surgical, not commercial:
- Operative time. Longer operations carry more risk. Where a plan would extend beyond what is sensible in one sitting, it is split.
- Blood supply to the skin. This is the main reason deep laser resurfacing over a freshly lifted flap is generally avoided. Lifting first and resurfacing at a later sitting protects circulation to the skin.
- Swelling. Some combinations produce more swelling together than apart, which affects how quickly the result settles.
- Your recovery. Some patients would rather do everything once. Others prefer two shorter recoveries. Both are reasonable.
Injectables and skin treatments are usually planned around surgery rather than during it, and often continue as maintenance afterwards.
Who is a good candidate?
- More than one area of concern — for example laxity and hollowing, or a lift needed alongside eyelid surgery
- Good general health and a realistic understanding of recovery from a longer operation
- A non-smoker, or willing to stop well in advance, since smoking compromises blood supply to the healing flap
- Someone who wants a coordinated result rather than a series of disconnected procedures
Who is not a good candidate?
- Anyone seeking a single procedure to fix everything. No single operation addresses descent, volume and skin quality at once.
- Unrealistic expectations about looking like a different person. The aim is to look like yourself, rested.
- Significant untreated medical problems, which make a long operation unsafe.
- Active smoking. This is a genuine contraindication for facelift surgery, not a preference.
- Someone whose concern is a single feature. If a lip lift or eyelid surgery alone will get you what you want, that is what we will recommend.
What anesthesia is used?
Combined facial rejuvenation is performed under general anesthesia, administered at our Medicare-certified, Washington State–accredited surgical facility. Having our own accredited operating room means the whole plan happens in one place, with the same team.
What is recovery like?
Recovery reflects the largest component of the plan rather than the sum of its parts — adding fat grafting to a facelift does not double the downtime.
| Time after surgery | What to expect |
|---|---|
| Days 1–3 | Swelling and bruising peak around day 3. Head elevated, limited activity. Discomfort is usually moderate and controlled with medication. |
| Days 5–7 | Drains and some sutures removed. Bruising begins to fade. |
| Days 10–14 | Remaining sutures out. Most patients are presentable to close family and returning to desk work. |
| Weeks 3–4 | Comfortable in public with makeup. Light exercise resumes. |
| Weeks 6–8 | Full activity with surgical clearance. Swelling largely settled. |
| Months 3–12 | Fine swelling resolves, scars mature and grafted fat settles into its final volume. |
Patients travelling from outside the area are asked to stay locally for 7 to 8 days. See out of town patients.
How much does full face rejuvenation cost?
Combined facial rejuvenation starts at approximately $50,000. The final figure depends entirely on which procedures your plan includes, and is quoted precisely after consultation.
Because the plan is built around one operation, you pay for one facility visit and one anesthetic rather than repeating those with each procedure. Individual procedure fees are published on the pages linked above, and full terms are on our fees and payment policies page. Financing options are available.
Full face rejuvenation before and after photos
Each of these patients had a plan built for their own face. The procedures differ from case to case.
Before and after full face rejuvenation by Sam Naficy, MD * Individual results may vary.
Before and after full face rejuvenation by Sam Naficy, MD * Individual results may vary.
Before and after full face rejuvenation by Sam Naficy, MD * Individual results may vary.
Before and after full face rejuvenation by Sam Naficy, MD * Individual results may vary.
Before and after eyelid surgery with fat grafting by Sam Naficy, MD * Individual results may vary.
Before and after fat grafting with laser resurfacing by Sam Naficy, MD * Individual results may vary.
Before and after fat grafting with laser resurfacing by Sam Naficy, MD * Individual results may vary.
View the full before and after gallery.
Frequently asked questions
Can all my procedures be done at once?
Often, yes. The limits are operative time, blood supply to the healing skin and how much swelling the combination produces. Deep laser resurfacing over a freshly lifted flap is the main thing we stage separately.
Is combining procedures more dangerous?
Not inherently, but longer operations carry more risk than shorter ones. That is why plans are built around what is safe in one sitting rather than around what is convenient to book.
Will I look done or overdone?
Treating more than one ageing process is what prevents that. The pulled look comes from lifting skin alone under tension. Repositioning deep tissue and restoring lost volume produces a face that reads as rested rather than tightened.
How long does the result last?
A deep plane facelift typically holds for 10 to 15 years. Grafted fat is permanent once it establishes. Skin treatments and injectables are maintenance and need repeating.
What is the best age for full face rejuvenation?
There is no correct age. Most patients are between their early 50s and late 60s, but the deciding factor is the degree of change present, not the number.
Do I need a facelift as part of it?
No. Plenty of plans involve no lift at all — fat grafting, eyelid surgery and resurfacing together can achieve a great deal in the right patient. If descent is not your main issue, a lift is not the answer.
How long before I can return to work?
Most patients doing desk work return at 10 to 14 days. Public-facing work may need 3 to 4 weeks.
Can men have full face rejuvenation?
Yes. The planning differs — beard-bearing skin, hairline position and incision placement all need different handling — but the principles are the same.
Next steps
The purpose of a consultation is to work out which of the four processes is actually driving what you see, and to build a plan around that. Sometimes that plan is smaller than patients expect.
Schedule a consultation or ask us a question.
Medically reviewed by Sam Naficy, MD, FACS, board-certified facial plastic surgeon and medical director, Naficy Plastic Surgery & Rejuvenation Center, Bellevue, Washington.
