Piazza Center for Plastic Surgery and Advanced Skin Care
7900 Farm to Market Road 1826, Bldg 2, Suite 206
Austin, TX 78737
Phone: (512) 288-8200
Monday–Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–2:30 p.m.

Facelift & Mini Lift

At The Piazza Center in Austin, TX, facelift surgery is popular with women and men who want to enhance the contours of their mid to lower face and neck. It involves repositioning the soft tissues and fat pads under the skin and tightening the muscle layer into its original position, creating smoother, firmer contours on the neck, jawline and cheeks.

Dr. Marcelo Antunes is a double board-certified facial plastic surgeon with a reputation for creating harmonious, natural-looking results. Dr. Antunes uses surgical techniques that minimize the invasiveness of facelift surgery while still creating remarkable, long-lasting results.

Why Choose A Facelift Specialist?

The best person to perform your facelift or a mini facelift is a facial plastic surgeon. At our Austin practice, we are fortunate to have a true facelift artist in Dr. Antunes.

Dr. Antunes has dedicated much of his career to mastering the technical skill and understanding of facial anatomy required to achieve excellent outcomes from facelift surgery. There are many different techniques for performing a facelift (including a mini facelift, deep-plane facelift, and SMAS facelift), and advancements in this procedure have evolved significantly over the last decade. Facelift is a repositioning procedure where the deeper structures and muscles are shifted to a more youthful position and the skin is simply draped without any tension over the tissues. The procedure is done very carefully, with meticulous attention to every detail to give the patient a natural appearing result and restoring harmony to the aging face.

Dr. Antunes’ thorough understanding of the aging process and how it affects the facial structures–skin, muscles and ligaments and facial bones—enables him to create a surgical plan tailored to address the specific concerns of each patient. He extensively plans facelift surgery, considering the patient’s unique facial features, such as the prominence of the chin and cheeks, the jawline and neck anatomy, the skin’s thickness, and overall facial symmetry. He notes subtle features, such as an underdeveloped chin or jaw, or the loss of facial volume, then corrects them during the facelift procedure.

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Do You Need a Facelift?

With age, gravity causes the skin, muscles and connective tissues in the face to sag. Sagging neck muscles create deep vertical folds on the neck and under the chin, called “banding.” In addition, you also tend to lose volume in your face, so you appear “deflated” as jowls form along the jawline and deep folds in the cheek (“nasolabial folds”) and alongside the mouth (“marionette lines”) develop. Hollowing under the eyes and excess fat and skin under the chin—a double chin—are other common signs of facial aging. Dr. Antunes may combine a cheek lift with your facelift to rejuvenate a sagging midface area. Facial bones lose some structure, changing the support for the soft tissues over the cheek, chin and jaw.

Ideal candidates for a facelift are concerned about:

  • Sagging jawline
  • Jowls
  • Drooping or flattened cheeks
  • Blunted neckline with excessive skin laxity

Dr. Antunes may combine a cheek lift with your facelift to rejuvenate a sagging midface area.  If your primary concerns focus on the neck’s appearance, Dr. Antunes may recommend a neck lift.

Your Procedure

A facelift and mini lift restores a more youthful appearance to the mid to lower face and neck. When performed with the expertise of a surgeon such as Dr. Antunes, a facelift elevates and tightens the deep tissues and facial muscles in addition to smoothing wrinkled skin. This creates natural contours and avoids the “operated-on” look that patients fear.

Dr. Antunes may choose one of several techniques for a facelift and advances over the past decade have dramatically changed the approach to facelift surgery to create long-lasting and natural-looking results. The days when surgeons simply stretched the skin and removed any excess, leading to an unnatural, “windswept” appearance are gone.

Dr. Antunes may use deep sedation/twilight sleep, general anesthesia, or even a local anesthetic during facelift and mini lift surgery, depending on the extent of your procedure. He hides incisions within the hairline and creases around the ear. The type of facelift performed is tailored to each individual patient after completing a thorough facial analysis and examination, along with evaluating your goals, desires, facial structure and specific pattern of aging.

After making the incisions, Dr. Antunes carefully lifts and repositions the layer of tissue and muscle just below the skin—a technique called a SMAS facelift or deep-plane facelift. Repositioning these delicate layers of the face addresses both the skin and deeper tissues and muscles of the face and neck. He then simply drapes the skin without any tension over the tissues. Dr. Antunes pays meticulous attention to every detail and the technique he uses is comprehensive but also provides a quicker recovery than most traditional facelifts.

A facelift can take as little as 3 hours or as long as 5 to 6 hours, depending upon the type of lift. Dr. Antunes may recommend during your consultation combining other procedures, such as eyelid surgery, fat transfer, or skin resurfacing procedures, with your facelift.

Meet Dr. Antunes

Board-certified facial plastic surgeon Dr. Marcelo Antunes dedicates his practice exclusively to aesthetic procedures for the face. He can help you look your best and be confident in your appearance.

About Dr. Antunes Dr. Antunes' Credentials Dr. Antunes' Credentials

Recovery & Results

Most patients go home the day of surgery and are cared for by a loved one. You may have surgical drains that remain in place overnight to help prevent fluid from building up. Dr. Antunes removes your bandage the day after the surgery and removes all sutures a little more than a week after surgery.

Recuperation after a facelift can take from 1 to 3 weeks. You should avoid strenuous physical activity for 2 weeks. Most patients do not experience much pain after surgery but may notice discomfort from the swelling and bruising. Depending on your type of work and the extent of your procedure, you may return to your regular activities as early as 10 days after surgery.

Several follow-up appointments scheduled during the first 2 weeks after the surgery give Dr. Antunes the ability to closely monitor your progress. Most patients have many questions during the initial couple of weeks and Dr. Antunes believes meeting with him frequently alleviates any anxiety you may have about the recovery process. His primary objective is to provide a safe, comfortable surgical experience that produces the results you desire and makes you happy. Patients have direct access to him at all times, if necessary.

You can expect to be 75% healed by 6 to 8 weeks after the surgery and 100% healed after 6 months.

Facelift at a Glance

Goal: To restore a youthful appearance, rather than make the patient look different. The result should appear natural and correct jowls and wattles for a more refined jawline, smoother neck, and contoured cheek.

Procedure: The incisions are hidden within the hairline and creases around the ear. The type of facelift performed is tailored to each individual patient. This is determined after a thorough facial analysis and examination; evaluating your goals, desires, facial structure, and specific pattern of aging.

Anesthesia: Local anesthesia, deep sedation/twilight sleep or general anesthesia.
Procedure length: As few as 3 hours or up to 5 to 6 hours, depending upon the type of lift. Other plastic surgery procedures may be combined with a facelift as recommended during the consultation.

Aftercare: You may have drains that will stay overnight. Most patients go home comfortably on the same day and are cared for by their family or friends. Patients typically do not experience pain after surgery but rather describe a feeling of tightness.

Recovery: Ranges from 1 to 3 weeks. Depending on your type of work and facelift, you may return as early as 10 days. Full, strenuous physical activity should be avoided for 2 weeks after the procedure. Bruising can occur after surgery, which may be easily camouflaged with makeup. Dr. Antunes will normally see you several times during the first 2 weeks after surgery, and you will have direct access to him at all times. Because many questions arise in the first 2 weeks following any surgery, Dr. Antunes believes setting up a series of appointments for that time period alleviates anxiety a patient may have about the recovery process. His core objective is to provide a safe, comfortable surgical experience that produces your desired result and makes you happy.


  • Surgery
  • Day 1: Bandage removal
  • Day 4 to 10: Suture removal (beginning day 4 and complete by day 10)
  • 10 to 14 days: Return to work and social activities
  • 10 to 14 days: Ready for makeup
  • 6 to 8 weeks: 75% healed
  • 6 months: 100% healed

Dr. Antunes takes great pride in the natural-looking results he creates for facelift patients. Request a consultation using the online form to meet personally with Dr. Antunes to discuss your concerns. You can also call The Piazza Center at (512) 288-8200 to schedule an appointment.

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Dr. Antunes Answers Common Questions

How long do facelift results last?

Many of my Austin facelift patients ask me this question during their consultation. While this procedure can help rejuvenate the face for years to come, it does not stop the natural aging process. Unfortunately, there is no procedure that will keep the face rejuvenated forever; however, your facelift results should last for many years. Most patients do not feel that they need a touch-up procedure for 7 to 10 years. If you take great care of your skin with prescription-grade skin care products and use sunscreen daily, your results will be further enhanced and have greater longevity.

At what age should I consider a facelift?

There is no one age that a person suddenly becomes a candidate for this procedure. Each person is different and may require facial correction at different times in their lives. Typically, those who are candidates for a facelift procedure are middle-aged or older and experience lax, loose skin of the mid to lower face. The only way to find out if you are a candidate is to meet with a qualified surgeon for a consultation.

Can a facelift be combined with other procedures?

Yes, a facelift is often combined with other procedures for a more comprehensive facial rejuvenation. For patients with loss of facial volume, Dr. Antunes can perform fat transfer at the same time. For those looking to correct wrinkles of the upper portion of the face, your procedure may be combined with a brow lift or even eyelid surgery. Also, for facelift patients who desire a nonsurgical procedure in addition to their facelift, BOTOX® Cosmetic or injectable fillers may be an appropriate solution.