Does a Facelift Also Include the Eyes and Neck?

I always assumed that a "facelift" meant the entire face,including the eyes, neck cheeks, jowls, etc. But reading these, I get the impression that it's all separate and could add up to a small fortune (not to mention finding the right doctor to do it all). Am I right in this and what is ballpark cost in LA area for the whole enchilada? And it also seems like a very difficult task finding a reputable certified plastic facial surgeon here.

Doctor Answers 50

Facial rejuvenation surgery would combine procedures and offer great results.

Facelift surgery is a specific procedure that’s designed to address skin sag that results from the facial aging process.This procedure addresses hanging facial skin, nasolabial folds jowls and hanging neck skin. It doesn’t address redundant upper and lower eyelid skin with associated fat pads or brow descent.
When facial aging occurs it’s not unusual for the face to age as a unit.For this reason patients who require a facelift often require other procedures as well. It’s not unusual for facelift patients to also require upper and lower eyelid blepharoplasty and brow lift surgery as part of the facial rejuvenation process.
When these procedures are performed in combination they’re associated with significant expense. In the Midwestern United States the cost may range from $10,000 to $15,000.
If you’re considering facial rejuvenation surgery it’s important to consult a board certified plastic surgeon. This surgeon should be able to perform a comprehensive evaluation and determine your specific needs. This surgeon can also formulate a treatment plan that addresses your concerns.

Facelift cost

You are absolutely correct. The pricing of a faceluft can be broken down in such a way to make it quite costly.  I call this a la carte pricing.  In my opinion, a facelift includes the neck, but not the eyelids.  Separating out the face and neck to make it more costly is called unbundling, but the practice is not at all uncommon.  You are wise to pick up on this.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 22 reviews

Face lift will not include the eyes


Thank you for the question.  A "face lift" will not include the eye lids or eyebrow as part of the facial rejuvenation process.  It typically involves repositioning and tightening of the facial soft tissue which addresses the cheeks, jowls, and neck.  Obtain several consultations with board certified plastic surgeons and get their assessment and opinion on how to achieve your facial rejuvenation goal.

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 144 reviews

Rys included in "face"lift

Neck liposuction, fat grafting and other procedures to the eyes or forehead  are ot part of the facelift. The facelift is from cheekbones down and including neck. Some include lipo and other do not.

Facelift Definition

Each practice has a different definition of a facelift.  Neck Lift and Blepharoplasty generally are distinct procedures which may be done at the same time as a basic facelift. Before proceeding with surgery, it is important for the surgeon to clearly define what he/she is planning to do so you can provide proper consent.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 32 reviews

Face lift terminology

Although some surgeons and patients use the term 'full face lift' to describe procedures on the entire face, most surgeons use the term face lift (facelift) to describe a procedure that primarily addresses the lower face and neck.

If you really want to break it down here is a list of procedures that are typically done to address the aging face

  1. Brow lift (aka forehead lift)
  2. Upper blepharoplasty (aka upper eyelid lift)
  3. Lower blepharoplasty (aka lower eyelid lift)
  4. Midface lift (aka cheek lift)
  5. Face & Neck lift (aka facelift, face lift
  6. Mini face lift ( a mini version of #5)

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 194 reviews

Facelift in LA

  For years, there have been doctors who have used the term "complete facelift" to cover cosmetic procedures of the eyes (blepharoplasty), forehead lift, face and neck lift.  Personally, I don't like that term and refer to the procedures individually, and it seems like most other doctors on this forum do likewise. 

If you have trouble finding a reputable facial plastic surgeon in LA, then you probably aren't looking very hard.  There are more excellent cosmetic surgeons in CA  than anywhere, with my state (Florida) being second.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
5.0 out of 5 stars 105 reviews


Thank you for the question.

"Facelifting"  generally refers to facial rejuvenation of the face and neck area. Forehead (brow) lifting  refers to rejuvenation surgery of the  forehead area and blepharoplasty refers to surgery of the eyelids.

Costs of these procedures will vary from surgeon to surgeon.

Best wishes.

What does a facelift include?

Researching facelift procedures can be confusing. Many surgeons use different terminology and there are many techniques used to address facial rejuvination.

The face is typically divided into vertical thirds with the forehead and brow representing the upper third, the eyes and cheeks the middle third, and the jawline and neck the lower third. Everybody ages differently. Some people age more rapidly in the lower face and neck and the midface and brow/forehead region look fine. You really need to evaluate which part of your face bothers you the most and emphasize this when you consult with a surgeon. It is possible to perform a lower third facelift which typically includes a neck lift as well. If your eyes show significant signs of aging you can have a blepharoplasty done as well but this is a separate procedure. A brow lift is separate from a facelift as well although it can be combined with a facelift.

There really is no ballpark figure. It all depends on which areas you want to address and the surgical options available. Lower facelifts can range from 5000-10,000 dollars. Lower face/mid-face/and browlift with blepharoplasty can range anywhere from $25,000 up.

It is important that you have a comprehensive analysis by an experienced facial plastic surgeon who can give you a thorough breakdown of every area that is to be addressed and how it is going to be addressed. If you are confused get a second opinion and see if the opinions are similar. Typically, if you have agreeing opinions from reputable surgeons you can be confident that you are making the right decision. Remember, it is your face, take your time, do as many consultations as necessary to feel comfortable.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Does a Face Lift always include the eyes and neck?

 No, I have performed Face Lifts for over 20 years and there are types of Face Lifts that do include the neck and those that do not.  The eyes have always been considered a separate area and procedure called Blepharoplasty or eye lift.  I think that you'll find experienced Face Lift surgeons will also be experienced performing Neck Lifts and Eye Lifts.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.