Facelift Houston, TX


Dr. Lapuerta is a triple-board-certified certified plastic surgeon offering facial cosmetic surgery procedures in the greater Houston, Katy, and Pearland areas. One of the best ways to eliminate fine lines and wrinkles on the face is by having a facelift. Patients find that a facelift is much more effective than the majority of noninvasive procedures because it corrects deep-set wrinkles. It also produces much more dramatic results because it involves tightening the facial muscles and skin. Facelifts are among the top 5 most common cosmetic surgery procedures in the U.S. Dr. Lapuerta’s goal during a facelift surgery is to create a natural result.

  • Review from A.B.
  • Source: Rate MDs
  • May 30, 2019
I had visited other Drs, but none provided as much time and knowledge to sit with me as Dr LaPuerta and his staff did. His care and attention throughout the process is genuinely commendable. I have always felt that I've been more than just a patient. I have recommended him to others and will continue to do so.


There are various techniques used today to perform a facelift. Facial anatomy, skin laxity and the overall aesthetic goal of the patient will determine the best approach. Each procedure will be unique to the patient and will vary based on the type and location of the incision, the number of tissue layers affected, the plane of elevation and the level of invasiveness.

Patients often prefer a Minimal Access Cranial Suspension (MACS) facelift because it is less invasive and leaves a shorter scar than other facelift procedures offered. This technique, which uses an incision in front of the ear instead of behind allows for correction of sagging facial features using a minimal incision and requiring less operation and recovery times.

This SMAS facelift is considered the gold standard. This surgery, while more complicated, produces results that are more dramatic and longer lasting. The technique involves manipulating a group of muscles beneath the skin known as the superficial musculo-aponeurotic system (SMAS). This section of muscle controls facial expression. An incision is made along the hairline from the temple to just behind the earlobe. The skin is then separated and lifted. The underlying muscles and tissue are tightened and secured so they maintain their new position.

A mini facelift is geared towards patients who want some of the benefits of a facelift, while at the same time minimizing the cost and invasive nature of the surgery. Some procedures that are considered “mini” include the “Quicklift” or “Lifestyle Lift”. Patients who wish to maximize the outcome of their surgery, resulting in the most dramatic results, will most likely need to turn to having a full facelift in order to meet these aesthetic goals.


All facelift procedures are performed under general anesthesia at an accredited surgical facility. The length of the surgery will vary, but it generally takes between 3-4 hours. This surgery is considered an outpatient procedure. However, some patients may be required to stay overnight in the hospital. After surgery, patients will be bruised and swollen and the face and neck will feel tight. This will gradually improve within a few days. It is common for patients to feel anxious about how their face will appear. Patients need to understand it can take several full months for the final results to appear.


Each facelift surgery is unique and will be tailored to each patient. Most patients can expect to pay between $8,000-$14,000 for a less invasive/skin only facelift, while more invasive procedures, such as the SMAS facelift and the deep plane facelift, can run between $8,500-$14,000. RealSelf.com lists the average facelift cost at $11,050.


  • Recovery Time
  • 2-3 Weeks
  • Average Procedure Time
  • 4-6 Hours
  • Post-op Follow-up
  • 1 Day
  • Procedure Recovery Location
  • In & Outpatient


BOTOX®, injectable fillers, microdermabrasion, and chemical peels are examples of some non-surgical procedures that can assist in smoothing out wrinkles, improving fine lines and adding facial volume. These procedures also help to even out skin tone. However, these are treatments that will only affect the skin’s surface. Patients with loose skin, drooping jowls or a sagging neck will need to consider surgery if they want these features improved.
In the days immediately following facelift surgery, patients will feel tight and pulled. These are some short-term effects, but they will subside. It’s important to find a reputable surgeon skilled in facial surgery. Surgeons who know what they are doing will make every effort to work within the confines of the patient’s bone, skin and muscle structures so a younger, more natural look can result.
Facelift surgery does require a long incision. However, in almost all cases, these scars are well hidden as they fall just along the hairline and around the ears in the natural folds of the scalp. In most cases, the scars should be barely visible to the naked eye.
The common age range for patients who undergo a facelift is between 50-70. It is safe to say most patients will look 5-10 years younger following a facelift procedure. Younger patients (40-50 years old) generally have stronger skin elasticity so their results may last longer than those of someone older. However, older patients may have results that appear more dramatic and, for them, this can be very worthwhile. Patients should think of a facelift as a process to turn back the aging clock. You will still age, but you will appear a few years younger.
Leo Lapuerta Plastic Surgery