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What Is the Cost of an Extended Deep Plane Facelift vs. SMAS Facelift?

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March 31, 2025 | Extended Deep Plane Facelift
5 minute read


Female touching her face with both hands

Facelift pricing varies widely based on surgical technique, geographic location, and the extent of tissue repositioning involved. Two commonly discussed approaches include the Extended Deep Plane Facelift and SMAS plication facelift. Understanding how these procedures differ—and why their costs vary—can help patients make informed decisions when planning surgery.

In this blog, we’ll break down the prices of an Extended Deep Plane Facelift and a SMAS Facelift, explaining what factors influence the final cost for each procedure.

What’s Different Between Extended Deep Plane and SMAS Plication Facelifts?

Extended Deep Plane and SMAS plication facelifts differ in surgical approach, scope of tissue repositioning, and overall complexity, which directly impacts cost. Understanding these differences helps explain why pricing varies between the two procedures both nationally and within Texas.

How the Techniques Differ

An Extended Deep Plane Facelift involves releasing deeper facial retaining ligaments and repositioning facial tissues at multiple structural levels. This approach is often used for patients with more advanced facial and neck aging and typically requires longer operative time and greater technical complexity.

SMAS plication facelifts focus on tightening and repositioning the superficial muscular aponeurotic system (SMAS). This technique is commonly used for patients with mild to moderate aging changes and generally involves a more limited dissection compared to deep plane approaches.

National and Texas Facelift Cost Benchmarks

Facelift pricing varies widely across the United States and within Texas due to differences in surgeon expertise, facility type, anesthesia costs, and procedural complexity.

Nationally, SMAS plication facelift procedures often range from approximately $8,000 to $15,000. More extensive deep plane or extended deep plane facelifts commonly range from $15,000 to $30,000 or more, depending on the scope of surgery and geographic region.

In Texas, and particularly in large metropolitan areas such as Houston, facelift pricing often reflects higher costs associated with accredited surgical facilities, board-certified facial plastic surgeons, and comprehensive perioperative care. Advanced deep plane techniques may be priced higher due to increased operative time and technical demands.

Extended Deep Plane Facelift Cost at Facial Plastic Surgery Associates

At Facial Plastic Surgery Associates, the cost of an Extended Deep Plane Facelift typically ranges from $22,000 to $25,000. This reflects the complexity of the procedure, which involves deeper structural tissue repositioning and requires advanced surgical expertise and longer operative time compared to more limited facelift techniques.

This fee includes comprehensive perioperative care designed to support safety, continuity, and optimal outcomes. Surgical costs typically encompass the surgeon’s fee, use of an accredited surgical facility, anesthesia services, and all routine post-operative follow-up visits. As part of the surgical plan, platelet-rich plasma (PRP) therapy may be incorporated using the patient’s own blood at the time of surgery, which can support healing in appropriately selected patients.

Because facelift surgery is highly individualized, final pricing is confirmed during consultation after a thorough evaluation of facial anatomy, surgical goals, and whether additional procedures may be performed in combination.

What Is Included in the Cost of a Facelift?

Facelift procedures at Facial Plastic Surgery Associates are structured as comprehensive surgical packages designed to clarify expectations and streamline care. Your procedure payment includes all these services with no surprise fees later:

  • Operating room and anesthesia costs at Facial Plastic Surgery Associates
  • Surgeon’s fees
  • Post-operative care visits, including your first hair wash
  • Post-surgery care kit with all necessary supplies
  • Around-the-clock access to your surgical team
  • Pre-operative facial by our Medical Aesthetician 

These procedures are comprehensive, integrating multiple elements of facial rejuvenation within a single surgical plan, which can help clarify overall expectations for patients. This means that each procedure combines a facelift, neck lift, platysmaplasty (tightening of neck muscles), and PRP treatment into one seamless approach. These components work together to create natural, lasting results that address aging throughout your face and neck, not just one isolated area.

What Influences the Cost of a Facelift?

Not all facelifts are created equal, and you can expect to pay different prices depending on several factors. Here’s what influences the final cost of your procedure:

Surgeon’s Expertise

Board-certified facial plastic surgeons with specialized training and extensive experience may command higher fees, reflecting advanced expertise, technical skill, and consistent results.

Operating Room Fees

Basic surgical settings cost less than advanced facilities with the latest technology. FPSA’s AAAHC-certified, state-of-the-art surgical center adds to the total investment but significantly improves safety and results for each patient’s specific case.

Anesthesia Services

Anesthesia costs vary based on provider qualifications and procedure length. We only work with certified anesthesia specialists who focus on facial procedures, which significantly reduces risks for our patients.

Pre and Post-Operative Care

Comprehensive pre- and post-operative care contributes to overall pricing and includes consultation visits, follow-up appointments, medications, and recovery supplies.

Combined Aesthetic Procedures

Some patients elect to combine additional procedures, such as brow lift, blepharoplasty (eyelid surgery), facial fat transfer, or CO2 laser skin resurfacing, which can impact total costs and overall surgical planning. Combining procedures into a single surgical plan allows for one recovery period, which many patients find advantageous. During consultation, patients review their aesthetic goals and surgical options with their facial plastic surgeon to develop an individualized treatment plan.

Looking for a Premium Facelift in Houston, TX?

When it comes to your facial aesthetic, you deserve board-certified facial plastic surgery specialists. At Facial Plastic Surgery Associates, our surgeons focus exclusively on facial procedures. Give us a call at (713) 526-5665, and our staff can answer your questions or help you reserve a spot on our consultation calendar. Not a phone person? No problem! Complete our online contact form to request a consultation.