Lower face and neck lift in Edinburgh
A lift for the jowls, jawline and neck that repositions the deeper tissues as well as the skin. The aim is a face that looks rested, never one that looks done.
- Anaesthetic
- General
- Surgery time
- 3-4 hours
- Hospital stay
- Daycase or overnight
- Recovery
- 1-2 weeks off work, 6 weeks before strenuous exercise
- Guide price
- From £14,000
Contents
Ideal candidates
A facelift is most appropriate for people who:
• Notice that the structure of their face is changing — typically from late 40s onwards
• Want a result that looks like a rested version of themselves rather than a different face
• Are in good general health and have no medical conditions that would significantly raise surgical risk
• Are non-smokers or willing to stop smoking before and after surgery, to support healing
• Understand that surgery is one part of an overall picture, not a substitute for skincare, sun protection or lifestyle
If you are not sure whether surgery is the right step, we suggest coming in for a consultation rather than committing to a procedure. Many patients leave with a clearer picture of their options and no booking pressure either way.
What the procedure involves
A lower face and neck lift is performed under general anaesthesia and typically takes between three and four hours. Incisions are placed in the natural creases around the ear and, where needed, beneath the chin. The deeper structural (SMAS) layer of the face is repositioned using either an SMAS or a deep plane technique, depending on what each face needs; fat is sculpted or transferred where appropriate, and excess skin is removed. The incisions are closed in fine layers to minimise scarring.
The procedure can be carried out as day surgery or with an overnight stay at a partner hospital with full medical and nursing support — your consultant will discuss which is appropriate for you. Where appropriate, a facelift may be combined with fat transfer to the mid-face or cheeks, or with upper or lower eyelid surgery, in a single operation. Combining procedures can shorten overall recovery time, and your consultant will discuss whether this is appropriate for you.
What a facelift can and can’t do
A facelift is a powerful operation for the jawline and neck, but it works on structure, not on everything that changes as a face ages. Knowing its limits now is the best way to be pleased with it later.
It can
- Lift jowls and restore definition along the jawline.
- Tighten loose skin under the chin and at the front of the neck.
- Reposition the deeper layer of the face as well as the skin, which helps the change hold.
- Soften the folds that run from the nose to the mouth and from the mouth to the chin.
It can’t
- Improve skin texture, fine lines or pigmentation. These sit in the skin itself and respond better to skincare and non-surgical treatments.
- Remove deep folds completely. The lines from the nose to the mouth soften, but some of the fold usually remains.
- Put back lost volume. Lifting repositions tissue but does not add to it. Where cheeks have hollowed, fat transfer can be added in the same operation.
- Stop your face ageing. It resets the clock rather than stopping it, and your face carries on changing from its new starting point.
- Be done without scars. The scars sit in the creases around the ear and sometimes under the chin. They fade well in most people but they are permanent, and short hair or hair worn up shows more of them.
Your consultant will tell you at your consultation which of these apply to you.
Facelift
Results vary from person to person. Your consultant will show you more examples at consultation and explain what is realistic for you.
What is the cost of a facelift?
- Consultation
- £200, with the consultant who would operate. A second consultation is free if you want one before deciding.
- Your quotation
- Written, sent by secure email after your consultation, and valid for 90 days.
- Paying
- Due two weeks before surgery. Interest-free finance over 6 or 10 months is available for treatment at Waterfront.
- Aftercare
- Included for 12 months: nurse reviews, dressing clinics, your consultant's follow-up and the treatment of any complications.
The guide price for a lower face and neck lift at Waterfront Private Hospital is from £14,000. The mini facelift is from £9,500. Both prices include the surgeon’s fee, the anaesthetist’s fee, the hospital and theatre fee, the overnight stay where required, and all post-operative reviews until you are fully discharged. The full price for your individual case can only be confirmed after a face-to-face consultation with the consultant who will perform your surgery, as the operation is tailored to what your face actually needs. Our consultation fee with a consultant plastic surgeon is £200.
Free · anonymous
Questions before you book?
Ask anything about facelift, its recovery, risks or cost, any time and in plain language. If you would like, our team can contact you afterwards.
General information, not a substitute for a consultation.
Patients often ask

Quick answers
What is the cost of a lower face and neck lift?
Guide prices for facelift surgery at Waterfront Private Hospital are listed in the Cost section above. The full price for your individual case is confirmed after a face-to-face consultation, as the operation is tailored to what your face needs.
Can I spread the cost?
Where are the scars after a facelift?
Will the same surgeon plan, perform and review my facelift?
Yes. At Waterfront, the consultant who assesses you at your first appointment is the consultant who plans your operation, performs it, and sees you through every follow-up. There is no handover between assessment and surgery, no patient coordinator, and no surgeon rotation.
Can I choose which surgeon performs my facelift?
Yes. You can request a consultation with a specific consultant on our team, and that consultant will be the one who plans, performs and reviews your surgery if you decide to proceed. Our consulting plastic surgeons performing facelift surgery are listed on this page.
How do I choose the right surgeon for a lower face and neck lift?
Look for a surgeon on the GMC Specialist Register for plastic surgery, with genuine experience in facial surgery — not one who performs facelifts occasionally alongside a wider mix of work. At Waterfront, the consultant who assesses you at your first appointment is the same consultant who plans, performs and reviews your surgery; there is no handover and no patient coordinator standing between you and your surgeon. A consultation will give you a sense of whether the consultant is the right fit, with no pressure to book on the day.
What is the difference between a mini facelift and a lower face and neck lift?
A mini facelift focuses on the mid to lower face and targets mild sagging around the cheeks and jawline with shorter incisions and a quicker recovery — suitable for earlier signs of ageing. A lower face and neck lift addresses more pronounced changes, including jowling, deep folds and loose neck skin, with more extensive tightening and contouring. Both aim for a natural-looking result. Your consultant will help you decide which is right for you based on what your face actually needs.
Can a lower face and neck lift correct double chin and jowls?
Yes. A lower face and neck lift is specifically designed to address these. By removing excess fat, tightening the underlying tissue and repositioning the skin, the procedure significantly reduces the appearance of a double chin and jowls, restoring definition to the jawline and the contour between the jaw and the neck.
How does fat transfer work with a lower face and neck lift?
Fat transfer (also known as fat grafting) involves taking fat from one area of the body and injecting it into specific areas of the face to restore lost volume. When combined with a lower face and neck lift, fat transfer addresses volume loss in the cheeks and mid-face, contributing to a fuller, more rested-looking face.
Can eyelid surgery be performed at the same time as a lower face and neck lift?
Yes. Eyelid surgery (blepharoplasty) is often performed alongside a lower face and neck lift, addressing drooping upper eyelids, under-eye bags and laxity in the lower face and neck in a single operation. Combining the procedures can also reduce overall recovery time and cost compared with having them separately.
Are there non-surgical alternatives to a lower face and neck lift?
Non-surgical treatments such as fillers, anti-wrinkle injections or skin-tightening devices can offer temporary improvements, but they cannot achieve the same result as a surgical lower face and neck lift — particularly for patients with significant skin laxity. These options may suit patients with milder concerns, or those who are not yet ready for surgery.
Is there an optimal age for a lower face and neck lift?
There is no specific age requirement. Most patients begin to notice the structural changes that a facelift addresses from their late 40s onward, though individual factors — skin elasticity, general health, and the rate at which a face is changing — matter more than age alone.
How long do the results of a lower face and neck lift last?
Results last many years, depending on skin quality, age and lifestyle factors such as sun protection and smoking. The procedure does not stop the underlying ageing process, but it resets the structural changes, and most patients are happy with their results for many years.
How does ageing affect the results over time, and can the procedure be repeated?
A lower face and neck lift gives long-lasting results, but the underlying ageing process continues. Over time, you may notice gradual changes in your facial structure due to age and lifestyle factors. The procedure can be repeated, or supplemented with other treatments such as fillers or non-surgical skin tightening, to maintain a rested look. Long-term care can be discussed with your consultant at your follow-up appointments.
How should I prepare for my facelift consultation?
Bring a note of your current medications and any relevant medical history, and a clear sense of what you would like the surgery to address. It is helpful to come with questions about the procedure, recovery and likely results — and, if you have them, photos that show what you are hoping for. There is no expectation that you will commit to surgery on the day.
What measures should I take during recovery?
Follow your consultant’s instructions on wound care closely, take any prescribed medications, avoid strenuous activity until you are cleared, and keep your head elevated to reduce swelling. Attending every follow-up appointment lets your consultant monitor healing and pick up on anything early.
Following a lower face and neck lift, you will be given detailed post-operative care instructions and a clear follow-up plan. Bruising and swelling are at their most noticeable in the first ten days and continue to settle over the following month. Sutures are removed at the first follow-up appointment. Most patients take two weeks off work and avoid social events for around three weeks. Driving and light exercise can usually resume after two to three weeks; vigorous exercise after six. Final results take three to six months to settle fully as the deeper tissues continue to refine. Throughout your recovery, your consultant remains personally involved. If anything concerns you between scheduled appointments, they respond directly and will arrange to see you as often as needed until things are settled.
What happens if I have concerns after my surgery?
Your consultant remains personally involved through your recovery. If anything concerns you between scheduled appointments, your consultant will respond directly and arrange to see you as often as needed until things are settled. You are not handed off to a generic aftercare team.
How can I ensure the best results from my lower face and neck lift?
The most important factor is the surgeon you choose — and at Waterfront the consultant who plans your facelift is the same consultant who performs and reviews it. Beyond that, follow your consultant’s pre- and post-operative instructions closely, attend every follow-up, do not smoke around the time of surgery, and protect the area from sun exposure during healing.
Our lower face/ neck lift specialists
You meet your consultant at your first appointment. The same consultant plans your treatment, carries it out and sees you afterwards.
John Biddlestone
Consultant Plastic Surgeon
GMC Specialist Register (Plastic Surgery)
Omar Quaba
Consultant Plastic Surgeon
GMC Specialist Register (Plastic Surgery) · BAAPS · ISAPS · Board Certified in cosmetic surgery
Awf Quaba
Consultant Plastic Surgeon
GMC Specialist Register (Plastic Surgery) · BAAPS · BAPRAS
Had a blepharoplasy and lower face and neck lift done by Mr Quaba in January this year and I’m delighted with the results, I look much fresher.
Just had my 6 month post op check up and Mr Quaba is going to refine the results of my eyes at the upper out side edge which I’m happy with too.
Mr Quaba is so careful and caring, he explains everything & makes sure he gets the best result for you. I just know I’m in good hands.
Patricia Cassidy
Jul 2024 Read on Trustpilot (opens in a new tab)
Risks, and how often they happen
Every operation carries risk. Here they are in three groups. The figures come from UK national guidance and published studies, averaged across many patients, so your own risk may be higher or lower. Your consultant will go through what applies to you, and every risk is in your written consent.
Expected Almost everyone, and they settle
-
Swelling and bruising, most noticeable in the first ten days and settling over the following month.
-
Numbness of the cheeks and around the ears, which usually returns over weeks to a few months.
-
Tightness across the face and neck for the first few weeks.
-
Scars around the ears and sometimes under the chin, pink at first and fading over a year or more.
Uncommon Some patients, and some need further treatment
-
Bleeding under the skin (haematoma) that needs treatment, usually in the first day and sometimes with a return to theatre. It is more common in men and with raised blood pressure, which we control closely around your operation.About 1 in 50in women; about 1 in 20 in men
-
Weakness of part of the face from bruising of a nerve branch, affecting the smile or brow on one side. It almost always recovers, usually within a few months.About 1 in 100
-
Thinning of hair near the scars, most often at the temples. It usually grows back within a few months.About 1 in 10usually temporary
-
Poor healing of the skin behind the ear. A small area of skin can break down and heal slowly. Smoking raises this risk many times over, which is why we ask you to stop well before surgery.Under 1 in 200in non-smokers
Rare but serious
-
Infection that needs hospital treatment or a return to theatre.Under 1 in 200
-
Permanent weakness of part of the face.Under 1 in 1,000
-
A blood clot in the leg or lung (DVT or PE). We assess your risk and take steps to prevent it.Under 1 in 1,000higher with combined surgery
-
A serious reaction to the anaesthetic.Very rare
For the long term
-
Your face keeps ageing. The jawline and neck will soften again over the years, more slowly with sun protection and not smoking. Some people choose further treatment later.
-
Scars take a year or more to mature. Most settle into fine lines, but occasionally a scar widens or thickens, most often behind the ear, and can be treated.
-
A facelift does not treat the eyes or brows. If these concern you, eyelid surgery or a brow lift can be planned with your consultant.
More from BAAPS on facelift and neck lift.
Where these figures come from
- Baker DC et al. Plast Reconstr Surg 2005;116:1973-85; Gupta V et al. Aesthet Surg J 2016;36:1-13. For: Haematoma (women); Infection needing hospital treatment.
- Baker DC, Stefani WA, Chiu ES. Reducing the incidence of hematoma requiring surgical evacuation following male rhytidectomy: a 30-year review of 985 cases. Plast Reconstr Surg 2005. For: Haematoma (men).
- Gandra G et al. Aesthetic Plast Surg 2025; Mortada H et al. JPRAS Open 2024. For: Temporary facial nerve weakness; Permanent facial nerve weakness.
- Mortada H et al. Evolution of SMAS facelift techniques: systematic review. JPRAS Open 2024;39:166-180; Rees TD et al. Plast Reconstr Surg 1984;73:911-5. For: Skin necrosis.
- Kim JH, Lew BL, Sim WY. Localized telogen effluvium after face lift surgery. Ann Dermatol 2015;27:119-120. For: Temporal hair loss.
- NHS: Facelift. For: Expected effects, scars and long-term ageing.
- Winocour et al., Aesthet Surg J 2017 (CosmetAssure, 129,007 patients), as cited in PMC9119342 (2022). For: DVT or PE after facial surgery.
Aftercare and recovery
Your recovery is led by the consultant who performed your surgery. A nurse reviews you at one week, and your consultant sees you again once everything has settled. Between appointments, our team are available whenever you have a concern — you do not need to wait for a scheduled review. Practical guidance on dressings, activity and returning to work is in our aftercare guide.
- Day of surgeryHome the same day with your written aftercare guide. Waterfront is a day hospital.
- Week 1Nurse review: wound checked, dressings changed, questions answered.
- Week 2Swelling and bruising settling. Short walks; no bending or straining.
- Weeks 2–3Back to work. No strenuous exercise yet.
- Weeks 3–4Light exercise and scar care.
- 3–6 monthsFinal refinement of the result.
- 6 monthsYour consultant reviews the settled result. Sooner if you need it.
- 12 monthsNurse reviews, dressing clinics and the treatment of any complications are included.
Typical timings. Your consultant and nurse will tailor them to you.
Written by
Mr Omar Quaba, MBBChir, FRCS (Plast), GMC 4586300, is a Consultant Plastic Surgeon with over 20 years of experience in plastic surgery. Based at Waterfront Private Hospital in Edinburgh, he is fully accredited on the GMC Specialist Register and specialises in advanced cosmetic procedures. Full member of BAAPS.






