Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

POSTED UNDER Lower Facelift REVIEWS

Dr.Harley is Amazing! THRILLED WITH MY RESULTS! Asheville, NC

ORIGINAL POST

I wanted to share my experience to pay forward my...

User Avatar
san antonio lady
WORTH IT$6,400
I wanted to share my experience to pay forward my thanks to the reviewers who helped me on realself.com.
I researched facelift doctors for almost two years. It’s a huge decision since the results are with you, everyday, for the rest of your life. You can change your hairstyle, your career, your house, almost anything-- but your face is with you forever.
I’m from Texas and looked into plastic surgeons within the state. Then I stumbled across Dr. Harley on realself.com, and—WOW!!! His results looked fantastic, more natural, not overdone or underdone, and more refined. His reviews are consistently outstanding. So, I began to consider traveling to North Carolina for this procedure, even though I disliked the inconvenience of traveling.
I took photos of my face and neck, and had my phone consultation with Dr. Harley in November. I liked him immediately. His Biltmore Lift is his signature procedure, his facelift surgery less invasive (2 hours compared to 4 by most other surgeons), and all done under local anesthesia. The recovery time is much faster. Dr. Harley impressed me as being very intelligent, setting realistic expectations, and highly experienced. His practice is accustomed to arranging out of town/state/international patients. He was confident I was a great candidate for this procedure. As you can see from my consultation photos, a more defined jawline, lifting of the jowls, and lifting of the sagging neck could make a big impact. That’s what you get with The Biltmore Lift.
By March, I was ready to book my surgery. Be prepared that Dr. Harley’s office is slower to respond to calls and emails than is typical in the corporate world. I accepted this as being typical of a top doctor; and medicine is different than the business world. His staff is excellent. I booked my surgery for May and paid a $500 deposit toward a $6400 Biltmore Lift.
Now my main apprehension was not to get sick before the trip. I had an extremely intense work schedule for two months leading up to the procedure, very long hours, lots of work stress, and am prone to sinus infections. So I took lots of zinc, vitamin C, limited my social activities and prayed to stay healthy.
Travel: I booked travel through Southwest Airlines Rapid Rewards partners and found some great deals. Our daughter, a medical student, offered to go with me. We flew into Charlotte, rented a car and drove two hours to Asheville. Gorgeous scenery, no traffic, an easy highway drive. We booked a suite with a kitchen and living room at The Residence Inn, very close to Dr. Harley’s office. Excellent rooms, great beds, very quiet, great location, free hot breakfast, some snacks in the evening, very VERY clean and well maintained, very nice staff. We highly recommend this hotel.
One thing I didn’t realize—Asheville is gorgeous! A charming, upscale, tourist community nestled in the mountains. You instantly de-stress here. Don’t miss a tour of the Biltmore Estate before your procedure.
In person consultation: Dr. Harley’s office is a charming, cozy house. His lobby looks like an upscale living room from Southern Living magazine. Unlike every other doctor’s office I have ever been in, there are no brochures selling other procedures, no display cases full of skin creams and products. Obviously they are not here to sell you anything. You feel at ease. Juanita is warm and welcoming. Dr. Harley looks younger in person, but he immediately inspires confidence. He reminds me of some of the tech geniuses I work with —unassuming, very sincere and extraordinarily intelligent. One concern of mine was to be cautious with the pain meds (I am in long-term sobriety). Dr. Harley arranged a plan that worked perfectly. Now off to Walgreens to fill my prescriptions and wash my hair. I’m ready for the big day.
Surgery Day: Dr. Harley gave me cocktail of Tylenol 3 and Valium. I remember curling up in my daughter’s arms, then nothing until Dr. Harley and his nurse Kelly woke me up after surgery. That’s it??? I’m amazed it’s over. My head is wrapped in a compress with a port for drainage. Back to the hotel for sleep. Incredibly, I never felt any pain. NONE.
Post Surgery: The next day, Dr. Harley and his nurse Kelly remove my bandages and port. WOW! I have cheekbones again! I have a defined jawline again! No bruising! Amazing. Just mild facial swelling and fine sutures along my hairline and under my chin. I actually feel like I am dreaming this all happened.
For the next six days, I follow a regimen of antibiotics, ice packs, arnica, regular Tylenol, and a little Valium so I can sleep sitting upright. Very important--DO EVERYTHING THEY SAY TO DO IN YOUR POST OP INSTRUCTIONS. Dr. Harley said following his instructions to the letter helped me get a great recovery. And you can see I did! Everyday I look better and better.
You cannot fly for seven days after your surgery. While this initially annoyed me, I now see this as wise advice. I am grateful for the rest and taking a break. Also very grateful to my daughter, the future doctor, who has been taking great care of me.
On Saturday I begin to see yellow bruising on my neck for the first time. My sutures are healing beautifully.
This surgery was essentially painless, easy, and with a remarkably fast recovery, thanks to Dr. Harley.
Suture removal day: Totally painless, and done in 15 minutes. Dr. Harley, Kelly, and Juanita are really impressed at my recovery. I am simply amazed! I have essentially no bruising or swelling at this point.
The next day: When I see my before and after photos, I am amazed at the results. I love the way I look! Now I feel so much more confident. I was so tired of looking tired. The outside me now matches the inside me, all thanks to Dr. Harley. The man is a brilliant doctor, and a man of integrity.
I cannot recommend Dr. Harley more highly to anyone considering this procedure. He is a special and extraordinary doctor. This is one of the best things I have ever done for myself in my life ---and you should go for it, too. You’ll be thrilled you did.

san antonio lady's provider

David H. Harley, MD

David H. Harley, MD

Board Certified Facial Plastic Surgeon

4.9 | 335 Reviews
PROFILE
san antonio lady

san antonio lady rating for Dr. Harley:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Replies (53)

May 26, 2016
What a great success story; it sounds as though you had one of the easiest times of all, although it's becoming standard fare for Dr. Harley's patients to say these kinds of "no pain", "little bruising" things. Your results are enviable and stunning - congratulations and thanks for sharing!
May 26, 2016
Congratulations! You look wonderful… not different… just more youthful. I am considering the same procedure with Dr. Harley and, like you, I have light hair/eyes and somewhat translucent skin. I am worried I won't have great results or a lot of bruising/scaring due to my thin skin. Now I am less concerned. Thank you for sharing your adventure!
User Avatar
May 26, 2016
I understand, my light coloring was a big factor in my selecting Dr. Harley. I bruise VERY easily, and my skin is much more sensitive than my girlfriends with darker coloring. I saw Dr. Harley had a lot of before/after photos with light-skinned blondes, and they had great results.
User Avatar
May 26, 2016

Whoa! That is amazing. Thank you so much for sharing your experience and photos. You are looking lovely.

May 26, 2016
You look great. I wrote to Dr. Harley's office weeks ago and no response yet.. I will try again. How long did you have to wait for your appointment?
User Avatar
May 26, 2016
It took me about three days to get a response back. I would call them on the phone bc it's possible your email did not get through to them (or their email back to you). That said, it's a very small office, so the response time is slower than most. Theirs is not a flashy plastic surgery clinic with coordinators answering calls; it's a small, niche, specialist's doctor's office. Hope that helps.
May 27, 2016
I loved reading your story, thank you so much for sharing,, you are beautiful..
UPDATED FROM san antonio lady
9 days post

Additional recovery photos. So happy!

User Avatar
san antonio lady
Adding these two photos where the incisions are clearly visible. Hope this helps realself.com viewers.

Replies (23)

May 26, 2016
You look beautiful! I'm curious to know how you continue to heal!
User Avatar
May 26, 2016
Thank you for this wonderful review! I have no idea of your age but you look 40 in your after photos!!!
User Avatar
May 27, 2016
Thank you for the compliment. I am 58.
User Avatar
May 27, 2016
Amazing. I have a consult in July but keep researching. Everything you said really helped. I am 7 hours away and driving with girlfriends. Would you recommend staying a week or would you have gone home if it was driving distance?
User Avatar
May 27, 2016
absolutely beautiful
May 27, 2016
Great result!!!!
May 28, 2016
Amazing results. I keep following everyone who has seen him because the results are so amazing. Can you tell me what type of facelift this is, as in how deep does he go into different layers, if you will? And how long are the results supposed to last? Thank you and congrats!
User Avatar
May 28, 2016
According to Dr. Harley, results last about 10 year, depending upon the persons genetics, lifestyle habits, health, etc. Dr. Harley calls his procedure The Biltmore Lift, but it is a traditional lower face lift. He tightens the muscles in the lower face and neck, not just the skin. It is a full lower face and neck lift, not superficial. He did say this would not eliminate the need for facial fillers or Botox, just less so. I was told this by the other surgeons I consulted as well, for the best results you should keep up the maintenance. I like that Dr. Harley does not "sugar coat" anything, he is a realist about managing patient expectations. He covers this in his phone consultation after you have sent him your photos to review.
May 28, 2016
Thanks for the info! That helps. I was worried it might be one of those "lunch time" procedures when I read it was just done under local anesthetic. If I'm going to go through with this, I want the deeper, longer lasting option. Thanks, again!!!
UPDATED FROM san antonio lady
14 days post

Day 14 Update: No visible marks

User Avatar
san antonio lady
Time to return to work! No visible marks or bruises. I have used a little DermaBlend on the incisions; you can't see them. Coworkers tell me I look rested but no one asks if I have had "work done", so no need to bring it up. So happy with these great results and recovery!

Replies (19)

User Avatar
June 1, 2016
You look amazing! I hope you continue to heal well.
User Avatar
June 1, 2016
you look beautiful I agree no need to say a word
User Avatar
June 1, 2016
Beautiful :-)
June 1, 2016
you look great!
User Avatar
June 1, 2016
You look like you got about 20 years back!!