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$500 off Upper Eyelid Lift (Blepharoplasty)
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4.6 out of 5 stars 4.6 stars from 60 reviews See details Hide details
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5.0 out of 5 stars After care follow-up
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5.0 out of 5 stars Staff professionalism & courtesy
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5 out of 5 stars Rhinoplasty

58 Yr.old House Wife Needed Confidence.

I went in for my consultation with Dr.Standefer on Rhinoplasty I had a hump on the bridge of my nose which I have always hated he took the time to listen and answer to all my questions on this proceder he made me feel very comfortable I am very pleased with my new look and if anyone is looking for a great doctor look no more thanks Dr.Standefer I have my confidence back. Love my new me...

5 out of 5 stars Eyelid Surgery

64 Year Old with Saggy Eyelids - Dallas, TX

I had my upper lids done at the same time as I had my full facelift with Dr. Standerfer. The main reason I went to see him was to talk about my sagging neck, which I have had my whole life. I asked him what else he might suggest to make me not look over 60. He told me that most people notice other's eyes first. I knew my upper lids were beginning to sag and I also knew I seemed to have...

5 out of 5 stars Facelift

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

I had a facelift, brow lift and lower blepharoplasty four months ago today! I am thrilled with the results. Ready to take on the next 50 years. The pain was very manageable. I was up and walking around 48 hours after surgery. Just do not look in the mirror too much:-). At 2 weeks could go out with a hat, scarf. Lower lids were the last to heal. 3 weeks with makeup. I attended my...

5 out of 5 stars Neck Lift

Extraordinary Outcome! - Dallas, TX

Entering my fifties, I began to notice the progressing development of a double chin. As time passed, I became aware I was avoiding exposing my profile in social situations, always trying to position myself to hide my ever expanding double chin which eventually included saggy, drooping skin. I began researching plastic surgeons, first casually, then with more urgency as my problem continued to...

5 out of 5 stars Facelift

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

I was ready to look as young as I feel. I saw Dr. Standifer on Good Morning Texas and decided to go in for a free consult. He was very down to earth, easy to talk to and answered all of my questions. There was no pressure to do more procedures than I needed. I decided to have a Fresh Lift. I also had some laser procedures. I have never been happier with the way I look and feel! I...

5 out of 5 stars Forehead Lift

Happy Go Lucky - Dallas, TX

It was a nerve racking decistion but once i got there for my consultation about 5 minutes into it i knew i wanted to this and agter saif and done i was happy camper. Surgery/ before,during and after beat care anybody could wish for they make you feel like you are the only patient they have and i could ask any question and they dont make you feel like you from another planet i am very fond of...

5 out of 5 stars Facelift

Fresh Look! - Dallas, TX

Very happy with my results!! Have been told several times that I look younger and more refreshed in my appearance. I hated my profile for years and now I love it! Every single person in the office are friendly and caring, from the front desk, nurses, administrative staff on. Every visit was always a positive experience.

5 out of 5 stars Eyelid Surgery

My Experience Lower Lid Blepharoplasty - Dallas, TX

While shopping online for a plastic surgeon I ran across the Real Self page and decided to inquire about Dr. Standefer. I requested information online on a Saturday night and I was contacted by the Office Consultant the following Monday. The entire procedure was explained to me in great detail and I was given the opportunity to ask questions w/o feeling rushed. Once my surgery was...

5 out of 5 stars Lower Face Lift

48 Years YOUNG. Dallas, TX

I have dry skin and small facil features, so I had developed many wrinkles before, 47, that Botox could no longer fix. I had the lower face lift, upper eyelids, and a little bit done to my lower eylid and lip implants. I cannot express how happy I am! My goal was to look like a younger version of myself and that is exactly what Dr. Standefer delivered (but better :) ). Fresh Image also...

5 out of 5 stars Facelift

73 Yr Old, Wife & Mom - Dallas, TX

I wanted a healthy, natural look that would turn back the clock a few years so I could feel better about the way I looked, ie., I wanted to look like my younger self; however I didn't want to look fake & different. I was assured of a great result, & that my procedure would give me the fresh, rested & natural look I was after. That is exactly what I got!!! I'm so excited, with the results...

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

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

What is wrong with my left eyelid? How can it be fixed? (Photo)

The difference of the levels of your eyelids is caused by a common problem called ptosis of the left upper eyelid. The left upper eyelid is almost... READ MORE

Would a lateral brow lift or a full eyebrow lift make my eyes appear less tired and droopy (like in #3 picture)?

Dear Miamigirl: Lifting the brows gives a more refreshed and rejuvenated look to be sure. There are at least 8 different ways to do a brow lift... READ MORE

Why are my eyelids uneven? (photos)

Nasal allergies often are associated with itchy eyes. Our normal response is to rub the eyelids to relieve the symptoms. As you have noticed, the more... READ MORE

Before and After Photos by Dr. Standefer

John A. Standefer Jr., MD, FACS has shared 181 before and after pictures with 414 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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