At Cosmetic Plastic Surgery of Maryland, our facelift procedures focus on revitalizing your appearance instead of changing your natural features.

*Results May Vary

Cosmetic Plastic Surgery of Maryland is located in Hanover and serves the Annapolis and Washington D.C. metro areas. Contact us today to schedule a consultation with board-certified plastic surgeon Dr. Salman Ashruf and find out if you are a candidate for facelift surgery.

What is a Facelift?

One of the most popular surgical procedures in the world for facial rejuvenation, facelift surgery is also referred to as a rhytidectomy. Dr. Ashruf has extensive training in aesthetic facial plastic surgical methods to create a natural, refreshed and relaxed appearance*. During facelift surgery, patients are made comfortable with general anesthesia or sedation and feel no pain during the procedure.

Dr. Ashruf will make sure your procedure is as minimally invasive as possible, placing all incisions in concealed areas. He will then remove excess skin and tighten underlying muscles and tissues to create a firmer, more toned facial structure*.

Concerns Addressed with a Facelift

  • Loose, sagging skin in the face
  • Wrinkles and fine lines
  • Loose neck skin
  • Jowls
  • Excessive skin in the upper or lower eyelids

*Results May Vary

Am I a Good Candidate for Facelift Surgery?

During your Hanover consultation, Dr. Ashruf will discuss your concerns and create a customized facelift procedure that is tailored to your specific needs.

Men and women who are unhappy with loose, sagging skin or other signs of visible aging in the face, who are in general good health with no contraindicating medical conditions, and who have realistic cosmetic goals and expectations may be candidates for facelift surgery.

Computer imaging may be used to create a visualization of how your improved appearance may look, and you will be given specific instructions for how to prepare for surgery as well as what medications you should discontinue prior to your procedure.

*Results May Vary

Types of Facelift

There exists a whole array of facelift techniques, each tailored to address a specific cosmetic issue. Depending on the particular problems you wish to address through undergoing facelift surgery, Dr. Ashruf will individualize his treatment using one of the following methods.

Traditional Facelift

The traditional facelift involves an incision made along the hairline, starting from the temples and leading down and around the back of the ear. Fat, tissue, and muscles are repositioned, and excess skin is removed appropriately. The skin is then redraped and sutured.

SMAS Facelift

The SMAS (Superficial Musculo Aponeurotic System) technique is one of the most widely used facelift approach because of its enormous versatility. This type of facelift tightens the entire lower face, thus reducing the patient’s jowls, lifting hollow and sagging cheeks, and getting rid of the nasolabial folds (creases around the mouth and nose)*. It works by separating the superficial musculo aponeurotic system, which is a classification of facial muscles, from the skin layer and reworking it to make the facial structure appear younger and more beautifully contoured*.

Mini Facelift

This method is less invasive than other facelift styles, but as a result it also offers more subtle cosmetic results*. It focuses solely on regions of the face that need rejuvenation without impacting the neck. The mini facelift can be done endoscopically, resulting in smaller incisions and a shorter recovery period, and is designed to reduce common signs of age like sagging and wrinkling*.

Deep-Plane or Extended SMAS Procedure

The deep-plane facelift takes the basic technique of the SMAS procedure and takes it one step further by separating the SMAS from the level of the temple to the connect with the neck dissection. It is more specifically designed to address nasolabial folds and get rid of drooping and creasing in this region*. However, it also carries higher inherent risks because of the deeper level of invasiveness.

*Results May Vary

Mid Facelift

Just as the name implies, this approach addresses the middle portion of the face, leaving out impact on the neck, chin, and jowl areas. Like the mini lift, it is used in cases where the patient’s lower face has not suffered the effect of age to a significant degree, and thus can be performed alone in order to revitalize the entire face and make the patient look more youthful*. The mid facelift addresses the nasolabial folds and sunken cheeks that people can often start to get in their 40’s, and requires a less extensive healing period*.

Skin-Only Facelift

This facelift also implies its technique by its name. The skin only facelift impacts only the skin layer, leaving out the muscle, fat, and tissue underneath. People naturally lose elasticity in their facial skin as time goes on, leading to a baggy and drooping appearance. The skin-only facelift works to counteract that effect, tightening the surface of the face back to its original smooth contour. But because it is only skin-deep, so to speak, the effects of method may only last a couple of years, but it is less invasive and risky for patients.


The MACS (Minimal Access Cranial Suspension) lift expressly works to create as little scarring as possible by only using small incisions in front of the ear. The result is less scarring that is more invisible than with other facelift techniques*. It is also very effective in reviving areas of the face that have started yielding to gravity and literally lifting them up. Because it affects the skin and facial tissue to a lesser degree, the healing time for this procedure is lower and carries less side effects and risk of complication*.


There are a few other, less common facelift methods that may be used in instances where the surgeon decides it would be more successful. These may include:

  • The composite facelift, which contours the deeper facial tissue and targets malar crescents, or under-eye bags.
  • The subperiosteal facelift, a more extreme technique which actually disconnects the tissue from the facial bones in order to lift it up and creates longer-lasting aesthetic results*.
  • The thread lift, another less invasive procedure which also addresses the eye and brow region.

*Results May Vary


In order to determine which of these techniques will get you the results you want, schedule a consultation appointment with Dr. Ashruf at the Cosmetic Plastic Surgery & Laser Center of Maryland. The doctor can offer expert advice in deciding how to approach your aesthetic issues and get you the stunning, youthful face you desire. A consultation examination will be performed to determine the best technique for your individual case. He will also answer any questions you may have and evaluate your health and medical history to be certain you are a good candidate for a facelift procedure.

*Results May Vary

How to Prepare for Surgery

There are several preparation measures that must be taken to ensure safety during surgery. Patients should steer clear of any anti-inflammatory meds like aspirin, ibuprofen, and drugs containing them, as these thin the blood and could hinder the body healing properly. Smoking should also be avoided in the weeks leading up to the procedure. Please do not eat anything after midnight on the night before your surgery, and make sure you have transportation arranged to and from surgery. Further individualized preparatory instructions will be provided at your consultation.

Facelift Procedure

Facelift surgeries are conducted under anesthesia and sedation. Dr. Ashruf will mark the incision locations per the technique decided upon, and once anesthetized the incisions will be made. Restructuring of the facial skin, fat, muscle, and tissue will then take place to sculpt to your desired results*.

The facelift surgery alone generally takes between two and four hours. Other procedures to address the eyelids and forehead may be added to the facelift procedures for enhanced results*.

*Results May Vary

What is Recovery Like?

The amount of time necessary for recovery from facelift surgery depends on the techniques used and the extent of the procedure. During your consultation, Dr. Ashruf will advise you on how much time you should take off from work and what daily activities to avoid in order to allow the appropriate amount of time for healing.

You will also receive instructions for any necessary aftercare for your incisions and new facial contours. Dr. Ashruf will provide you with a list of suggested vitamins and homeopathic drugs to take after surgery that can help control bruising and swelling.

*Results May Vary


The outcome of facelift surgery will become more and more apparent as the weeks of the healing process elapse. When swelling and bruising reduce and the incision scars gradually fade, patients are able to see the more final, beautiful results*. To ensure that your facial contour looks exactly the way you want, continue to take good care of yourself during the recovery period and check in with Dr. Ashruf during your follow-up appointments so that your healing process can be closely monitored*.

The longevity of a facelift’s aesthetic outcome is dictated by the surgical technique used and the particulars of each patient’s face and age*. The impacts are generally long-lasting – up to ten years, sometimes more – but as the physical influence of age continues to take effect, those facelift results may gradually fade in a natural way*.


Average cost: $7,000-$8,000

The cost of your facelift procedure will depend on your specific case and if you opt to receive additional treatments or procedures. Please feel free to schedule a private consultation to receive a quote.