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4.6 out of 5 stars 4.6 stars from 61 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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5 out of 5 stars Rhinoplasty

58 Yr.old House Wife Needed Confidence.

Dr.Standefer is the best gave me my confidence back he takes time to listen and answer all my questions made me feel comfortable I would recommend him to my family and friends everyone on staff there is wonderful and helpful.

5 out of 5 stars Eyelid Surgery

64 Year Old with Saggy Eyelids - Dallas, TX

I saw Dr. Standerfer on a morning news show in Dallas. I went to the Fresh Image Cosmetic Surgery Center website to look at before and after photos of some of his patients ( I had already had 2 other consultations with other doctors over the last few years and decided to have one more with him. I was so pleased with him and his staff. All were so friendly and he spent so much time with me explaining how he would do each procedure. I can not say enough good words about his manner and skills with what I had done! I am one very pleased lady!

5 out of 5 stars Facelift

It Was Time to Hit the "Refresh" Button! - Dallas, TX

Dr. Standefer and staff really love what they do. I am so grateful for my results and the care that I received.

5 out of 5 stars Neck Lift

Extraordinary Outcome! - Dallas, TX

During my consultation with Dr. John A. Standefer, my first impression was that he is very kind. He has a comforting way of putting you at ease to speak openly. He doesn't hurry you through your consultation or any other time spent with him. I had all the time I needed to ask questions, or discuss what I was experiencing without feeling rushed. He is extremely informative. He shared extensive information to make sure I knew exactly what to expect before, during and after my procedure. He is attentive, paying attention to the smallest details. It was obvious he wanted my experience to be pleasant and the outcome of my procedure all I wanted it to be. The result exceeded my expectation. I am beyond ecstatic with my decision to choose Dr. Standefer and his amazing team of experts at Fresh Image Cosmetic Surgery Center for my procedure. If I could offer anyone advice, I would tell them to search no further than Dr. John A. Standefer.

5 out of 5 stars Facelift

Grandma of 6 Feeling 40 Again!! - Dallas, TX

Easy to talk to and answered all of my questions. He loves what he does, it shows in his interactions with his patients and his results!

5 out of 5 stars Forehead Lift

Happy Go Lucky - Dallas, TX

Best bedside manners handsone,smart funny. Enjoyed him very much

5 out of 5 stars Facelift

Fresh Look! - Dallas, TX

Dr. Standefer is great! He told me what to expect every step of the way. He always took plenty of time to make sure all my questions were answered. He truly enjoys what he does and I could tell as he was almost as happy as I was with my results!

5 out of 5 stars Eyelid Surgery

My Experience Lower Lid Blepharoplasty - Dallas, TX

Dr. Standerfer is so mild mannered and personable. He is very knowledgeable. He went into great detail explaining my lower lid blepharoplasty and allowed me to ask as many questions as I needed to. Dr. Standefer is also very accessible, if required, post surgery. Two thumbs up and a 5 star rating for Dr. Standefer.

5 out of 5 stars Lower Face Lift

48 Years YOUNG. Dallas, TX

The entire office was very welcoming, regardless of their role in the practice. I interviewed 4 practices before choosing Dr. Standefer's group. After my original consult I knew immediately he was my choice. I highly recommend Dr. Standefer! As you start your research on plastic surgeons, be sure he and his staff on on your short list. I cannot not say enough about how much I appreciate how everyone treated me, before and after surgery! JAG

5 out of 5 stars Facelift

73 Yr Old, Wife & Mom - Dallas, TX

The doctor is so easy to talk to, shows you the results you'll get, and takes his time with you in answering questions. He makes you feel at ease & is very skilled in his profession!

Personal Statement

I have been fortunate to have completed over 10,000 successful facial surgeries, some with other procedures including injectables or laser treatments. I strive to give a fresh, natural appearing results using the most advanced surgical techniques.

Board Certifications

Board-certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology


American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)
Fellow, American College of Surgeons (FACS)

Consultation Fee

Free. I educate my patients so they can make an informed decision about the best treatment(s) to achieve their goals.

Awards & Recognition

#1 overall ranking physician for Lifestyle Lift, 2007 - 2014
RealSelf TOP 500, 2015

Professional Recognitions:
Presenter, American Academy of Facial Plastic and Reconstructive Surgery
Presenter, International Academy of Facial Plastics
Trainer, Lifestyle Lift physicians
RealSelf Top Doctor


  • Undergraduate & Medical School

    Undergraduate: BS, Texas A & M University
    Medical: MD, University of Texas Health Science Center
  • Post-Medical School Training

    Internship: General Surgery, UTHSC San Antonio
    Residency: Otolaryngology, UTHSC San Antonio

Treatments offered at Fresh Image Cosmetic Surgery and Skin Center

Most popular answers from John A. Standefer Jr., MD, FACS

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Is there a way to make my eyes pretty? (Photo)

The eye alignment is the only thing that causes any negatives to their appearance. When the muscles that move your eyeballs are not in alignment, it... READ MORE

I lost 100 lbs and am considering a Facelift but I am only 25 years old. Any suggestions? (photos)

"It's all about elasticity" One of the sad side effects of aging is loss of elasticity. Since you are only 25, you should still have wonderful... READ MORE

Should I have a Blepharoplasty to remove my under eye bags or get Restylane/Fillers? (Photo)

The so-called "under eye bags" cause us to look tired or older than we are. A very youthful contour can be achieved with repositioning the fat pads... READ MORE

How extensive would my rhinoplasty be to correct the things I do not like?

There are many components of the nasal structure and any of them can be modified either with augmentation of with reduction. The crooked nose can be... READ MORE

Dissection vs. lipo/ dissection vs. plication: mini facelift.

The definition of a mini facelift vs a lower face lift differs somewhat depending on who you talk to. A mini lift vs a lower facelift is often thought... READ MORE

What procedure do I need to remove this extra skin on eyelid? (Photos)

The cause of the dry patch of skin is unclear from the photos. Since it has been stable for a few years, it shouldn't cause any problems to have it... READ MORE

I'm losing volume under my eyes.

Tear troughs are universal to some degree. Puffy lower eyelids can make them worse by protruding anterior to the tear troughs. This causes a ... READ MORE

Will rhinoplasty/septoplasty affect my voice?

The amount of change in one's voice after rhinoplasty should be minimal, but you asked if your nasality would change. If your nasality is due to nasal... READ MORE

Fat transfer to face, can I achieve good result in one process?

Fat transfer to the face has evolved greatly over the past 20 plus years. Improved extraction techniques, improved preparation techniques and improved... READ MORE

How to Correct Uneven Eyebrows Caused by Minor Bell's Palsy

Uneven brows can occur with or without Bell's Palsy. In fact, uneven brows are much more common than perfectly even brows. There are many reasons for ... READ MORE

Before and After Photos by Dr. Standefer

John A. Standefer Jr., MD, FACS has shared 196 before and after pictures with 418 helpful votes from the RealSelf community.

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Videos by John A. Standefer Jr., MD, FACS

John A. Standefer Jr., MD, FACS has shared 10 videos.

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What's the Difference Between Mini Facelift and Full Facelift?

Dr. John A. Standefer Jr. explains the differences between these two procedure and what to expect, live from Vegas at VCS 2016. WATCH VIDEO

What's an Eyelid Lift and How Much Does It Cost?"

Dr. John A. Standefer Jr., explains various types of eyelid surgery and their cost. WATCH VIDEO

How Much Does a Facelift Cost?

Dr. John A. Standefer Jr., explains what's included in a facelift, and how much it typically costs. WATCH VIDEO

The Doctor Explains the Mini Facelift?

Dr. John A. Standefer Jr., explains that a mini facelift depends on what doctor you're talking to. WATCH VIDEO

What Is a Non-Surgical Facelift and How Much Does It Cost?"

Dr. John A. Standefer Jr., explains the types of non-surgical facelift and the various costs. WATCH VIDEO

How Long Is the Recovery Time After a Facelift?

Dr. John A. Standefer Jr., explains what you can expect in the weeks after your facelift. WATCH VIDEO

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