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What Procedures Are Most Commonly Combined With a Facelift?

What Procedures Are Most Commonly Combined With a Facelift?

Comprehensive Guide by Dr. Kailash Narasimhan, Board-Certified Plastic Surgeon – Serving St. Petersburg, Tampa & Clearwater, Florida

A facelift (rhytidectomy) is one of the most transformative cosmetic procedures available for addressing facial aging. However, many patients seeking a facelift also choose to combine it with additional procedures to enhance overall facial harmony, improve structural support, and achieve more complete rejuvenation. Combining procedures can improve results, reduce overall recovery time, and provide a balanced, natural appearance that complements your unique facial anatomy.

In this in-depth guide, we’ll explore the most commonly paired procedures with a facelift and why they’re often recommended together. As a trusted plastic surgeon in St. Petersburg, Tampa, and Clearwater, Dr. Kailash Narasimhan integrates both artistry and surgical expertise to tailor comprehensive treatment plans for each patient’s goals.

Why Combine Procedures With a Facelift?

As we age, facial changes are not isolated to just one area. The aging process typically affects:

  • Skin laxity
  • Loss of facial volume
  • Changes in bone structure
  • Drooping of eyebrows and eyelids
  • Jowling and descent of mid-face tissues
  • Neck laxity and excess fat

Because these changes occur in multiple layers and regions of the face, a facelift alone may not address all aging concerns. Combining procedures allows for a more holistic rejuvenation and often produces results that are:

  • More natural-looking
  • More harmonious
  • Longer-lasting
  • Better balanced overall

In addition, combining procedures in a single surgical session can be more cost-effective and requires just one period of anesthesia and recovery.

1. Neck Lift (Platysmaplasty)

The Most Common Complement to a Facelift

A neck lift is arguably the most frequently combined procedure with a facelift—and for good reason.

Why It’s Combined

Aging doesn’t stop at the jawline. A significant part of a refreshed facial appearance involves the contours of the neck:

  • Loose skin under the chin
  • Vertical bands in the neck
  • Excess fat beneath the jawline
  • Loss of a youthful neck angle

A traditional facelift without addressing the neck can leave lingering signs of aging below the jawline. A neck lift tightens the:

  • Platysma muscle
  • Neck skin
  • Under-chinn fat pads

This restores a smoother, more defined neck and jawline that complements facelift improvements.

Results to Expect

Patients often notice:

  • A more elegant jawline
  • Removal of neck bands
  • Elimination of “turkey neck”
  • A more cohesive uplifted look

Because the neck and lower face age together, combining these procedures often delivers the most dramatic and natural transformation.

2. Blepharoplasty (Eyelid Surgery)

Aging around the eyes can betray your age, regardless of how youthful other facial areas appear.

Why It’s Combined

Eyelid rejuvenation addresses:

  • Sagging upper eyelids
  • Puffiness and under-eye bags
  • Excess skin that obstructs vision
  • Hollowing beneath the eyes

Even after a facelift, older appearing eyelids can draw attention and undermine overall facial harmony.

Combining a facelift with blepharoplasty provides:

  • A smooth brow-to-cheek transition
  • Youthful, rested eyes
  • Better overall facial balance

Upper, Lower, or Both

Depending on your anatomy, Dr. Narasimhan may recommend:

  • Upper blepharoplasty
  • Lower blepharoplasty
  • Transconjunctival lower eyelid approach
  • Fat repositioning or grafting for hollowed areas

The choice depends on your specific concerns and the structural condition of your eyelids.

3. Brow Lift (Forehead Lift)

The brow region plays a significant role in facial expression and “age appearance.”

Why It’s Combined

Sagging eyebrows can create:

  • A tired or angry look
  • Excess skin on the upper eyelids
  • Horizontal forehead lines

If a patient has both facial sagging and forehead descent, addressing only the lower face could leave the upper face out of proportion.

Types of Brow Lifts

  • Endoscopic brow lift – Minimally invasive with small incisions – Ideal for mild to moderate brow descent
  • Coronal brow lift – Larger incision but powerful lift – Ideal for significant brow laxity

By elevating the brow, we can:

  • Open the eyes
  • Smooth forehead creases
  • Restore a more alert and refreshed expression

A brow lift pairs beautifully with both blepharoplasty and facelift procedures.

4. Fat Grafting & Facial Volume Restoration

Facial aging includes not just sagging, but volume loss—especially in:

  • Cheeks
  • Temples
  • Under-eye hollow
  • Nasolabial folds

Why It’s Combined

A facelift repositions and tightens tissue, but it doesn’t restore lost volume. Volume replacement creates:

  • More youthful contours
  • Better cheek projection
  • Smoother transitions between facial zones

What’s Used?

Dr. Narasimhan often uses autologous fat grafting, where fat is harvested from:

  • Abdomen
  • Thigh
  • Flanks

…and reinjected strategically into the face. This provides:

  • Natural, long-lasting volume
  • No risk of foreign body reactions
  • Customized shaping

Combining volume restoration with a facelift enhances results while retaining natural facial proportions.

5. Laser Skin Resurfacing & Chemical Peels

Surface texture and skin quality matter as much as deeper structural changes.

Why It’s Combined

A facelift improves sagging—but doesn’t correct:

  • Fine lines
  • Wrinkles
  • Sun damage
  • Pigmentation issues
  • Rough texture

Options

  • Laser resurfacing – Targets sun damage – Improves skin elasticity – Smooths fine wrinkles
  • Chemical peels – Light to deep exfoliation – Enhances skin tone and texture

In combination with a facelift, these treatments give patients:

  • A smoother complexion
  • Brighter skin tone
  • More youthful surface appearance

6. Rhinoplasty (Nose Surgery)

Although technically not always combined with a facelift, many patients seeking overall facial rejuvenation choose to address nasal shape or breathing concerns at the same time.

Why It’s Combined

Facial proportions matter. A well-balanced nose can:

  • Improve facial symmetry
  • Harmonize with a lifted mid-face
  • Reduce shadows and visual imbalance

Combining rhinoplasty with other facial procedures is beneficial when:

  • Nasal asymmetry exists
  • Structural breathing issues are present
  • Patients want a unified facial aesthetic

Dr. Narasimhan’s expertise in both rhinoplasty and facelift gives patients a comprehensive rejuvenation option.

7. Chin & Jawline Enhancement

As we age, bone structure changes and soft tissues descend, affecting the jawline.

Why It’s Combined

Enhancing the chin or jawline can:

  • Improve facial balance
  • Strengthen the lower facial profile
  • Provide support that complements facelift lift

Implants vs. Fillers

Options include:

  • Chin implants – permanent structural support
  • Jawline implants – defined contour
  • Non-surgical fillers – temporary volume and definition

Chin and jawline refinement is often recommended when structural imbalance limits the overall effect of facial rejuvenation.

8. Ear Pinning (Otoplasty)

While not as common as other combinations, certain patients benefit from ear reshaping, especially if ear prominence becomes more noticeable after facelift tightening.

Why It’s Combined

A facelift changes the tension and position of tissues around the ears. Addressing ear shape simultaneously helps:

  • Maintain facial balance
  • Prevent disproportion between face and ears
  • Avoid future revision

Though less frequent, this combination is valuable for select patients.

9. Non-Surgical Adjuncts

Not all enhancements require surgery—and when paired correctly, they can amplify facelift results.

Common Non-Surgical Add-Ons

  • Botox – softens dynamic wrinkles
  • Dermal fillers – supports volume in cheeks, lips, nasolabial folds
  • PRP or microneedling – improves skin quality

These treatments can be timed with the surgical recovery or spaced out afterward for ongoing maintenance.

Planning Your Combined Procedure: What to Expect

1. Customized Evaluation

Dr. Narasimhan performs a detailed facial analysis focusing on:

  • Bone structure
  • Soft tissue volume
  • Skin quality
  • Brow and eyelid position
  • Patient goals and lifestyle

This enables a tailored surgical plan.

2. Surgical Coordination

Combining procedures requires precise planning to:

  • Optimize anesthesia time
  • Minimize recovery duration
  • Maximize patient comfort
  • Enhance surgical safety

3. Recovery Protocol

While recovery varies by individual and procedure set, patients typically experience:

  • Initial swelling and bruising
  • Gradual improvement over weeks
  • Most return to social activity in 10–14 days

Dr. Narasimhan provides detailed after-care instructions to ensure smooth healing.

Benefits of Combining Procedures With a Facelift

  • More complete rejuvenation
  • Enhanced overall balance
  • One recovery period
  • Cost-efficiency
  • Custom, natural results
  • Reduced need for secondary procedures

Is Combining Procedures Right for You?

Not every patient needs every procedure—but many benefit from a multimodal approach. Ideal candidates:

  • Have multiple signs of aging
  • Want a comprehensive transformation
  • Seek natural, balanced results
  • Desire fewer surgeries and recovery periods

During your consultation, Dr. Narasimhan will assess your anatomy and goals and help you decide the best plan.

Why Choose Dr. Kailash Narasimhan in St. Petersburg, Tampa & Clearwater?

Dr. Narasimhan is a board-certified plastic surgeon with extensive experience in facial rejuvenation, including:

  • Facelift surgery
  • Eyelid surgery
  • Neck lift
  • Rhinoplasty
  • Facial volume restoration
  • Skin quality enhancement

He takes a holistic, patient-centered approach, combining artistic vision with surgical precision to produce:

  • Natural-looking results
  • Long-lasting improvement
  • Age-appropriate enhancements
  • Enhanced confidence

Final Thoughts

A facelift can be life-changing—but the best results often come from a strategic combination of procedures. By addressing the face as a cohesive whole rather than in isolated parts, Dr. Narasimhan helps patients achieve rejuvenation that looks refreshed—not overdone.

Whether you’re considering a facelift alone or with complementary procedures, your journey begins with a thoughtful evaluation and expert guidance.

👉 Schedule a consultation with Dr. Kailash Narasimhan today to explore your options and create a personalized rejuvenation plan that fits your goals.