Facelift & Necklift Rhytidectomy - Marbella Madrid | Ocean Clinic
Facelift and Necklift

Facelift & Necklift Rhytidectomy - Marbella Madrid

Modern Facelift and neck lift procedures are the cornerstone of facial rejuvenation. The techniques have evolved over the last 50 years and especially the last years saw the integration of novel techniques like facial fat grafting and skin resurfacing techniques (Peeling) that contribute towards more natural and more complete results. Our academic contributions make our clinic a world leader in the field of integrated facial rejuvenation.

Facelift and neck lift procedures have a very low complication rate and a very high satisfaction rate with our patients. They can be performed either as an isolated procedure or in combination with other facial procedures like eyelid lift, browlift frontal lift, chin augmentation with implants or rhinoplasty.

Pre-operative considerations include an thorough evaluation of your facial anatomy and bone structure including the recommendation of possible complementary procedures like a chin implant to correct the jawline and/or a facial fat transfer to volumize your face. Our advice regarding the combination of techniques, your understanding of the 3 dimensional ageing process and our enthusiasm for the best possible results are paramount in obtaining long-lasting and natural results.

Technical term: Rhytidectomy

  • Duration of surgery
    3-5 hours
  • Anaesthesia
    Sedation + local
  • Discharge from clinic
    Same day / 1 night
  • Fit for society
    10-14 days
  • Back to work
    7–10 days
  • Aftercare and recovery
    Bandage 1 night, chin strap for 6 days

Facelift & Necklift Rhytidectomy - what you need to know beforehand…

Facelift & Necklift Rhytidectomy - Marbella Madrid, what you need to know. Ocean Clinic
Which type of facelift is right for me?
Can my skin be addressed in combination with rhytidectomy?
Where are the facelift surgery scars placed?
How is the facelift operation performed?
How long is the recovery of facelift?
The PAVE-Facelift

Patient testimony

The results are fantastic. I was looking at old pictures not long ago, just to recognise my old self. Today, I find it odd that I was not longing for a youthful and fresh look earlier on.

T.R. (55)

Before and After Photos

PAVE Facelift

Facelift and necklift concept PAVE-lift with phenol peeling. A natural looking and long lasting result, realised by Ocean Clinics plastic surgeons, specialized in rhytidectomy surgery.

⇒ see all images

PAVE Facelift and neck lift photo before and after

Surgical training video

PAVE Facelift at Ocean Clinic Marbella

In this facelift surgery video the plastic surgeons of Ocean Clinic, perform a PAVE-lift surgery. The PAVE (peling assisted volume enhanced) facelift is the ultimate in facial lifting, that it combines with chemical peeling and fat transfer with incredible results. ⇒ find more videos

3D Animation

Full facelift general overview

Typically a full facelift involves a lower or mid facelift, a forehead lift and sometimes eyelid surgery. A lower facelift can help to reduce the appearance of deep facial wrinkles, sagging jowls, and sagging in the neck, restoring a firmer, more youthful appearance. A general overview is presented here, and surgical details for individual procedures commonly performed during a full facelift can be viewed separately. ⇒ Find more 3d animations

See also


The PAVE-lift is a new and modern plastic surgical procedure combining several treatments in one.

Facelift Surgery: Your Questions Answered

Facelift surgery can, on average, take 10 years off your appearance.

Neck lift

Sagging neck skin is a fact of life as we age. But you don’t have to live with it.

A neck lift can restore your youthful profile and permanently eliminate neck banding Small, hidden incisions are made behind the ears and on the underside of the chin. The neck’s underlying platysma muscle is surgically tightened. This creates a sling effect, lifting and supporting the soft tissues. Fat is removed from beneath the chin, while the skin is drawn tight and sutured behind the ears.

A neck lift can be carried out independently, or in conjunction with a lower facelift. A lower facelift can fix sagging jowls and deep wrinkles around the mouth. To learn more about neck surgery, speak to one of our surgeons, world leading specialists in rhytidectomy.

Facelift & Necklift Rhytidectomy - Marbella Madrid
what you need to know beforehand…

Which type of facelift is right for me?

Your age, skin quality and your anatomic proportions are key in choosing the facelift technique best suited to you. We will discuss with you if either a short scar facelift or classic Omega – Incision lift is more appropriate, furthermore we will examine and explain if any changes to your neck; the Platysma (neck) muscle or the jawline/ chin projection would be advisable for the best aesthetic outcome.

Can my skin be addressed in combination with rhytidectomy?

If your skin shows signs of photo-ageing like stains, pigmentation, fine lines / rhytids and a general loss of brilliance a peeling maybe recommended by us and performed at the same time as your facelift surgery to minimize downtime.

Where are the facelift surgery scars placed?

Depending on your age, skin quality, facial anatomy and the desired rejuvenation effect the scars are either placed only in front of the ear within the natural crease (MACS-Lift) or go around the ear towards the back of your hairline (Lower Face and Neck lift). The scars are normally hardly visible after 6-12 months.

How is the facelift operation performed?

This kind of procedure is mostly performed under deep intra venous sedation (Twilight sleep) combined with loco-regional anesthesia. You will sleep throughout the procedure, but you will be able to move arms and legs like in normal sleep which lowers the risk for thrombosis. The procedure is generally pain free and takes between 3-5 hours.

How long is the recovery of facelift?

Recovery is 10- 14 days, with some swelling and bruising during the first 7 days. Stitches maybe removed by day 10 and swelling and bruising have mostly subsided after 14 days. Makeup can be worn after a week. There may be some numbness of the skin and hardness of the subcutaneous skin layers during the first 6-8 weeks before recovery is complete.

The PAVE-Facelift

Pioneered by Ocean Clinics plastic surgeons, the PAVE-Facelift combines a range of surgical and non-surgical procedures, such as liposuction, chemical skin peeling and fat grafting.

The idea of this enhanced facelift is to combine the most effective anti-aging techniques currently known to cosmetic surgery into one package. All carried out together, it not only offers patients the best results possible, it also reduces the cost, discomfort and downtime associated with having multiple procedures.

Rhytidectomy lifts and tightens the facial muscles and skin, correcting major sagging, meanwhile liposuction is used to target fat deposits under the chin or around the eyes. To improve the appearance of lines, age spots and discolouration, a chemical peel is applied to the skin. A Fat transfer will be done, to restore facial volume into the areas required. These could include the lips, cheeks and eye hollows. It is a permanent solution and can also be used to soften deep wrinkles such as those which appear around the mouth, nasolabial folds.

Tackling all signs of aging, the PAVE-Facelift achieves unparalleled results. The treatment is tailored to each patient and is therefore suitable for younger men and women as well as older individuals.

Facelift & Necklift Rhytidectomy - Marbella Madrid
... after surgery and beyond

Facelift aftercare

The Ocean Clinic Concept is to avoid any unnecessary pain and discomfort. Most of our facelift and neck lift procedures are performed under local anesthesia with intravenous sedation. This concepts allows for a complete pain –free procedure with our patients being sedated only for their comfort. Postoperative pain in facial surgery is rare, most of our patients only have a slight headache for 24h- 48 h treated with oral pain medication. Most patients can go home on the same day and come for a check -up the day after; stiches are removed after 10 days. During the first 4 weeks postoperative our patients will be referred to our unique physiotherapeutic aftercare for quicker recovery and less swelling. We will provide you with a chinstrap to be worn for 6 -7 days. Do not lift any objects beyond 5kg and avoid sports involving weights during 14 days.

Facelift procedure related risks

Facelift surgery has very few complications if carried out by an experienced surgeon in a accredited facility. Rare complications include postoperative bleeding requiring revision, unsatisfactory scar healing requiring scar correction at a later date and prolonged recovery due to swelling and / or hematoma. Permanent lesions to the facial nerve leading to facial asymmetries are extremely rare and depend on type of the facelift procedures. Changes of sensibility of the skin are expected during the early postoperative period and disappear with time.

How long does a facelift / necklift last?

Most patients have a very satisfying result for 8-10 years or more, and follow-up studies with a facelift patient and her non-operated twin sister over 25 years showed that even after that time the facelift patient looked younger than her non operated sister. However, facial ageing continuous after any procedure, therefore many of our patients choose to have touch-up procedure or alternative treatments after 10 years.

Facelift alternative treatments

Facial Fat grafting alone is a possible alternative technique if the laxity of skin and muscle is not too pronounced. 2 or more sessions may be necessary, as the body absorbs a certain amount of transplanted fat. It may be an option if you wish a shorter procedure without incisions, but the results are less dramatic than with a face and necklift.

A deep dermal skin resurfacing with a Phenol Peel can be a valid treatment alternative for skin with very pronounced Elastosis and Photo-Ageing. This method has dramatic results with pan-facial rejuvenation, but recovery is longer than with the surgical Facelift and results and suitability are skin-type dependent.

Ocean Clinics experience in rhytidectomy

Our surgeons performed more than 700 combined Pave-lift procedures within the last 10 years. Our clinic is a worldwide leader in combining facelift techniques with facial fat grafting for re-volumizing of the ageing face and skin resurfacing with peels to address the skin texture and imperfections like age spots and discolorations in one single treatment session. Many of these techniques have been published in international peer-reviewed journals and are on the forefront of new field of 3-dimensional facial rejuvenation.

In safe hands!

At Ocean Clinic, we bring together the world’s leading plastic surgeons, specialists in facelift, with more than 15 years of combined expertise and experience in plastic and cosmetic surgery.

Dr Kai O Kaye | Ocean Clinic
Dr Kai O Kaye

Specialist in plastic, aesthetic and reconstructive surgery, expert member of the ISAPS association and founder of Ocean Clinic.

Dr Richard M Fakin | Ocean Clinic
Dr Richard M Fakin

Plastic surgeon in Zurich and Madrid, member of the European Board of Plastic Surgery and adjunct professor at the University of Zurich.

Dr Felix Paprottka | Ocean Clinic
Dr Felix Paprottka

Member of EBOPRAS, he joined the Ocean Clinic Marbella in 2017 where he completed his residency program in plastic and cosmetic surgery.

Ocean Clinic Group

The best plastic and cosmetic surgery clinic specialized in facelift. Located in Marbella, Madrid and Zurich. With more than 15 years of experience and performing more than 1000 surgeries a year. Medical professionals, modern facilities, trust, experience and security. Come and meet us!

Best plastic and cosmetic surgery clinic. Ocean Clinic Marbella Madrid
Av. Ramón y Cajal, 7
29601 Marbella
Tel. 951 77 55 18
C/ Velázquez nº 109, 1º Izq
28006 Madrid
Tel. 910 56 79 33
Limmatquai 2
8001 Zurich
Tel. (+41) 44 250 95 88