The Piazza Center — Procedures

Black and white image of a woman's side profile

Face

Facelift Austin | Face Lift Surgery in Austin

A facelift by Dr. Rocco Piazza surgically repositions facial soft tissue to restore a smoother, more defined jawline and neckline.

Board-Certified ABPS4.8 · 265 Google Reviews

Recovery Time

Discussed at consultation

Surgeon

Dr. Rocco Piazza II, ABPS

Location

Austin, TX

Overview

What Is a Facelift?

Facial aging shows up as lost volume, sagging skin, and a tired look through the cheeks, jawline, and temples — concerns that diet, skincare, and injectables can soften but not fully reverse. A facelift, performed by Austin plastic surgeon Dr. Rocco Piazza, works differently: it surgically repositions the underlying soft tissue of the face to restore a smoother, more defined jawline and neckline, giving a more youthful appearance that lasts well beyond what fillers alone can achieve. Many patients considering a facelift are also weighing a neck lift for the same reasons — the two are frequently discussed together during a consultation.

Prefer a non-surgical path first? The Piazza Center also offers non-surgical facial rejuvenation — biostimulators and injectables that restore volume and contour without surgery or downtime.

At a Glance

Everything You Need to Know

01

What It Addresses

  • Sagging jawline and jowls
  • Loose neck skin, often described as a “turkey neck”

Goal

Restore a smoother, more defined jawline and neck profile through surgical repositioning of the face’s soft tissue.

02

The Approach

Facelift surgery repositions and tightens the underlying soft tissue of the face and neck — addressing sagging skin more comprehensively and durably than injectables alone. It is often considered alongside a complementary neck lift for patients concerned with both areas.

03

Before Surgery

Candidates are asked to fully abstain from smoking for at least four weeks prior to surgery — and to remain smoke-free afterward — since nicotine and carbon monoxide reduce blood flow to the repositioned facial tissue and can jeopardize healing.

04

Recovery Snapshot

Bruising and swelling are heaviest in the first two weeks. Most acute swelling resolves within 6–12 weeks, though residual swelling can take up to a year to fully settle as final results emerge.

Why Choose a Facelift

The benefits,
restored and renewed.

A facelift addresses the effects of gravity and lost elasticity on the lower face and neck — concerns that non-surgical treatments can soften but not fully correct. By surgically repositioning the face’s soft tissue, Dr. Piazza is able to restore a more youthful jawline and neckline with results that go beyond what fillers can offer.

  1. 01

    Restored Jawline

    A smoother, better-defined jawline in place of sagging and jowls.

  2. 02

    Smoother Neck Contour

    Reduces the loose, hanging skin often described as a “turkey neck.”

  3. 03

    Longer-Lasting Results

    Surgically repositioned tissue addresses sagging more durably than injectables alone.

  4. 04

    Natural, Refreshed Look

    A restored, balanced appearance — never an overdone or “pulled” look.

  5. 05

    Renewed Confidence

    Many patients report a meaningful boost in self-esteem and self-confidence.

  6. 06

    Complements a Neck Lift

    Frequently paired with a neck lift to address the face and neck in one coordinated recovery.

The Process

What to Expect at Your Consultation

Every facelift begins with a one-on-one consultation, during which Dr. Piazza listens carefully as you describe your concerns and goals and performs a physical examination of your skin, facial structure, and tissue laxity. From there, he develops a surgical approach — often incorporating a neck lift or other complementary procedures — tailored to safely and effectively restore a natural, refreshed appearance. Learn more from the American Society of Plastic Surgeons about what facelift surgery generally involves.

Am I a Candidate?

Is a facelift
right for you?

Most patients considering a facelift are in their 40s and 50s and are bothered by a sagging jawline, jowls, or loose neck skin that hasn’t responded to non-surgical treatments. During your consultation, Dr. Piazza will evaluate your overall health, skin quality, and goals to determine whether facelift surgery — on its own or combined with a neck lift — is the right fit.

01Sagging Jawline, Jowls, or a “Turkey Neck”
02Typically in Their 40s or 50s
03Overall Good Health for Surgery
04Non-Smoker, or Willing to Quit at Least 4 Weeks Before Surgery
05Realistic Expectations About Surgical vs. Non-Surgical Results

Investment

Cost & financing.

Every facelift is customized to your anatomy and goals, so cost depends on the extent of surgery and whether it’s combined with a neck lift or other procedures. Dr. Piazza provides a comprehensive estimate after your consultation, and flexible financing is available through Cherry, CareCredit®, and PatientFi.

What to Expect

Your recovery,
step by step.

  1. 01

    First Few Days

    Swelling and bruising are most noticeable. Compression garment use supports smoother healing from the start.

  2. 02

    First 2 Weeks

    Staying hydrated (80–100 oz. of water daily) and avoiding salty, processed foods helps your body manage fluid retention during this stretch.

  3. 03

    6–12 Weeks

    Most acute swelling and bruising resolve, revealing your smoother jawline and neck contour.

  4. 04

    Up to 12 Months

    Residual swelling can take up to a year to fully dissipate as your final results settle in.

Recovery guidance based on Dr. Piazza’s own post-operative recommendations for facial and body procedures alike. Prior to surgery, he outlines your specific recovery timeline to ensure you’re prepared for a smooth healing process.

Results

Your Facelift Results

Patients who choose facelift surgery with Dr. Piazza typically see a smoother, more defined jawline and neckline as swelling resolves over the weeks and months following surgery — along with a meaningful boost in self-esteem and self-confidence.

Results won’t stop the clock on aging, but they can be well-maintained for years with a healthy lifestyle and good skin care. Closely following Dr. Piazza’s recovery instructions further supports a smooth, lasting outcome.

★★★★★ 4.8 · 265 Google Reviews

A facelift can dramatically improve the contours of the neck and restore the jawline, giving a more youthful appearance.

Dr. Rocco C. Piazza II

Dr. Rocco C. Piazza II, MD, FACS

The Surgeon

Rocco C.
Piazza II

Dr. Rocco Piazza is a board-certified plastic surgeon in Austin, TX, specializing in facelift and neck lift surgery that surgically repositions the face’s soft tissue to restore a smoother jawline and neckline — giving patients a natural, refreshed appearance rather than an overdone one. With a lifelong passion for aesthetic surgery, he is dedicated to helping each patient achieve their ideal look while promoting a holistic approach to overall health and wellness.

At The Piazza Center, Dr. Piazza prioritizes exceptional patient care and results, creating lasting relationships with his clients.

16Years Solo
6Preceptorships
14Honors & Awards
  • Board Certified in Plastic Surgery by the American Board of Plastic Surgery
  • M.D., Alpha Omega Alpha, University of Texas Medical Branch, Galveston, Texas
  • Recognized as a Top Doctor on RealSelf
  • Recipient of the Doctor’s Choice Award for Plastic Surgery
  • Published author with significant contributions to the field of plastic surgery literature
Meet the Surgeon
Dr. Rocco C. Piazza II, plastic surgeon Austin TX Rocco C. Piazza II — MD, FACS · Founder, The Piazza Center

Anesthesia

An Exceptional Anesthesia Experience

We have listened to our patients, and in an effort to reduce the uncertainty of the anesthesia experience, The Piazza Center has developed a collaborative relationship with Dr. Cady to deliver an exceptional anesthesia experience for patients like you.

Ready to Get Started?

Schedule Your Consultation with Dr. Piazza

Every patient deserves individualized care. Meet with Dr. Piazza to discuss your specific goals and develop a plan tailored to you.

Contact UsCall Now