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Notes From Boston: Three Updates Coming to Southwest Plastic Surgery After The Aesthetic Meeting 2026

Dr. Frank Agullo, MD, FACS, double board-certified plastic surgeon, at The Aesthetic Meeting 2026 in Boston, in front of the The Aesthetic MEET Boston 2026 floral and gold branded backdrop, where he presented in the practice-management track on AI for reputation management.

I arrived back late Sunday night in El Paso. The Aesthetic Society’s annual conference finished up in Boston that afternoon and I jumped on a flight. By eight a.m. Monday morning, I was at the long table in the front office at Southwest Plastic Surgery with our coordinators and the team from Southwest MedSpa, talking about what was about to change this week, this month and this quarter in our practice.

What I want to cover here is the same thing I covered with my team Monday morning. Three things from Boston that are going to change what you see in our clinic and what we say.

Not “trends.” I am not into trends. I am talking about three concrete updates that our practice is putting into place now on real consults and operating days, and one quiet update to the patient care experience.

Update One: The Facelift Conversation Has Shifted

For years, the work a facelift consult involved was talking to a patient who had been told about a SMAS facelift by a friend. So I would walk her through why a different operation, the deep plane facelift, would look different and last longer. The deep plane goes underneath the SMAS, releases the four retaining ligaments of the face (zygomatic, masseteric, mandibular and platysma) and then lifts the composite of skin, fat, muscle and SMAS as one unit instead of pulling each layer one at a time. That was the conversation.

That conversation is over.

Boston this year had “the deep plane face” as the major highlight of the face portion of the program. Full rooms. The questions coming up were asked by surgeons who already do the operation and were trying to get better at it. The deep plane facelift is now the operation the community agrees best answers the needs of the right patient. The literature supports retention for years, with data published at ten, twelve and fifteen years out, holding.

The deep plane is now the default conversation starter for our facelifts at Southwest Plastic Surgery. We can walk you through alternatives, including a more limited neck lift, the Ponytail Lift (next section) or non-surgical alternatives if you are not a candidate for surgery yet, but we talk about the deep plane as the first option now, based on the data on its long-term durability and on how it looks at year three.

On a note that goes with facelift surgery: there was a lot more neck content this year and it was more advanced, concise and targeted than I have seen in years. The thing about a neck holding up at a year after a facelift has been proven to be less about what we do in the face itself (skin redraping) and more about the underlying neck contour, specifically what we do below the platysma muscle within the deep neck compartment. That is part of my deep plane facelift work, even on patients not requesting an isolated neck lift.

One floor-level debate from the deep neck portion is worth bringing into the open. The question of where to place the incision when a partial submandibular gland reduction is part of the plan. A vocal group of surgeons is choosing a longer scar low on the neck, near the natural crease, because it gives them easier access to the gland. I take the opposite position. I prefer a small incision hidden under the chin, in the natural shadow. The dissection is harder for me, the scar is better for you, and at Southwest Plastic Surgery that is the trade I will make every time. Two safety habits go with this work. I operate with the LigaSure, which seals small blood vessels with controlled energy as I work and keeps the field clean. I also keep a cell saver in the room as a backup, so if there is any meaningful blood loss your own red cells are collected, washed and returned to you, rather than relying on donor blood. It is an inexpensive safety net for an elective operation and I see no reason not to have it running.

Update Two: Clearer Rules for the Ponytail Lift

The endoscopic deep plane facelift is what you have probably seen on social media as the “Ponytail Lift.” It avoids the visible scar in front of the ear, hides every incision within the hairline and delivers the same deep-tissue facelift benefits as the open version. I trained for this operation at the Ponytail Academy, intermediate course in Pittsburgh and advanced course in Santa Monica. I attend meetings like the one in Boston annually to make sure I have the clearest understanding of indications and contraindications. Boston was the most productive meeting on this subject I have attended in three years.

Here is the concise description of who fits the operation.

Right candidate for the Ponytail Lift: a patient in her forties or fifties with moderate laxity in the midface and brow, good skin elasticity, an absolute refusal of any visible scar in front of the ear, and ideally thick hair that would easily hide the small hairline scars. She generally does not have pronounced laxity in the jowls.

Wrong candidate for the Ponytail Lift: a patient with thicker skin laxity, whose predominant sign of aging is located in the lower portion of the face (the jowls), and whose anatomy requires the skin itself to be redraped along with the deeper tissues. She will be better served by a full deep plane facelift performed with traditional incisions tucked in front of and behind the ear, allowing the tailoring and redraping of the skin along with the deeper tissues.

On midface fixation specifically, I want to be clear about how I have settled on my technique. For the midface I no longer rely on sutures alone to hold the lift. I use a small, well-designed surgical implant placed deep beneath the soft tissue (the Endotine Ribbon), which anchors the midface lift more durably than suture alone. In my hands, that combination delivers a stronger and longer-lasting midface lift than what I was getting with suture-only fixation, and Boston did not show me a long-term photo set that gave me a reason to change.

There is also a practical evolution in how I combine these techniques. Increasingly, when an open deep plane is the right operation, I run what I call a hybrid: the endoscopic Ponytail Lift approach (with the Endotine Ribbon midface fixation) takes care of the brows, forehead and midface, while the open deep plane technique handles the lower face and the deep neck. On the right patient, the hybrid gives the lift quality of an open deep plane in the lower face with the scar discipline of the Ponytail Lift across the upper two-thirds.

At Southwest Plastic Surgery, our consults focus on assessing your suitability for the Ponytail Lift, the open deep plane facelift, or the hybrid I just described. It is not one technique versus another. It all hinges on the desired and expected result at twelve months after surgery.

Update Three: AI on the Patient Experience, Not on the Operating Room

The third major theme of Boston was artificial intelligence, which should be approached carefully since it is the hottest, and perhaps the most overrated, subject in plastic surgery currently.

I went into the AI portion of the meeting with a stake in the conversation. I was one of the presenters in the practice-management AI track and spoke specifically on AI for reputation management in plastic surgery. That gives me a closer view of what is real and what is being oversold in this space, which is what I want to bring back to you and to our team.

The simple truth about AI at our practice, or honestly anywhere clinically applicable at the moment, is that it is not designing your facelift. The clinical AI demos shown at the meeting were surprisingly weak. I found zero reliable, ready-to-use, operating room-grade AI tool that would do this. The research is ongoing. The clinical applications are not there. So I am not going to push that angle.

What AI does work well on, and where we are already moving at Southwest Plastic Surgery, is the patient care experience. I want to be specific about what is already running. An AI chatbot is live on our practice homepage, available around the clock to answer your common questions, schedule consultations, and route the unusual concerns directly to the right person on our team. An AI scribe runs during consultations so that my eyes stay on you, not on a screen, and so that your visit summary is largely drafted by the time you walk out of the room. When you reach out through text message on a Sunday afternoon from California, or send a message at midnight with questions about your recovery, the wait until Monday morning is no longer necessary.

The same goes for our MedSpa side as much as the surgical side. Patients on their third session of Morpheus8 treatment, patients who have banked stem cells for YOU by Acorn, patients several visits into a hair restoration program, they all lead complex, multi-visit journeys that require ongoing communication between their appointments. The use of appropriate AI tools removes these bumps from the road while retaining the human touch and the warmth that makes coming to Southwest Plastic Surgery what it is.

What has not changed is who you see in the operating room during surgery. You will be accompanied by a board-certified surgeon, a board-certified anesthesia team, a recovery nurse and our entire team at Southwest Plastic Surgery that knows you by name. The AI sits as a front-end technology for the patient journey, not as an embedded tool that interrupts or replaces it.

Why Choose Southwest Plastic Surgery

As El Paso’s pioneering plastic surgery practice, Southwest Plastic Surgery was founded by me. I am double board-certified by both the American Board of Plastic Surgery and the American Board of Surgery, and I am a Fellow of the American College of Surgeons. I completed my plastic surgery fellowship at Mayo Clinic. I serve as a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, and as an Affiliate Professor at the University of Texas at El Paso. Castle Connolly has recognized me as a Top Doctor for thirteen consecutive years, Texas Super Doctors Hall of Fame honored me in 2025, and Aesthetic Everything named me Top Plastic Surgeon for 2026. Southwest Plastic Surgery brings together surgical procedures and MedSpa services under one roof, planning your facial, body and skin care together rather than as separate, isolated concerns.

Ready to Talk?

If you are considering a facelift, the Ponytail Lift, a deep neck lift or one of Southwest Plastic Surgery’s MedSpa programs, your journey starts with a consultation. I will personally review the version of the operation best suited for your facial anatomy, outline the recovery you should prepare for, and clarify how and where AI will (and will not) fit into your experience with our practice.

To read more on this Boston meeting from a surgeon-to-surgeon perspective, see my piece on drworldwide.com: Three Days in Boston: A Surgeon’s Read on The Aesthetic Meeting 2026. For a patient-focused version on my personal practice website, see What I Brought Home From Boston on agulloplasticsurgery.com.

Call (915) 590-7900, text 1-866-814-0038, or book your appointment online at agulloplasticsurgery.com/appointments. Follow @RealDrWorldWide on Instagram, TikTok and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook. #StayBeautiful

Why Kris Jenner Keeps Coming Up in Our El Paso Facelift Consultations: Dr. Frank Agullo on SMAS, Deep Plane, and the Honeymoon Phase

Kris Jenner facelift before and after color comparison reviewed by Dr. Frank Agullo, MD, FACS, double board-certified plastic surgeon at Southwest Plastic Surgery in El Paso, Texas

For the past two months, almost every facelift consultation at our El Paso office has begun the same way. The patient pulls out her phone, turns the screen toward Dr. Frank Agullo, and there are Kris Jenner’s two photos. The Vogue Arabia cover from August on the left, and a candid shot from the past few weeks on the right. The patient asks the same thing every time. What happened to her face.

It turns out to be a really useful question to chase down. Because the answer is the same answer that decides every facelift, ours included. Which technique. On whose face. At what age.

We grabbed Dr. Agullo between two surgeries last week and asked him to walk us through it the way he walks his consultation patients through it. The transcript below is lightly cleaned up.

Last summer’s reveal, and the year that followed

Last August, Kris Jenner appeared on the cover of Vogue Arabia and confirmed she had had a second facelift. The before-and-after circulated for weeks. One post on X asking who her surgeon was racked up tens of thousands of likes. Pundits called it the best celebrity facelift in a hundred years. She is seventy. Some of the photos made her look closer to forty.

Twelve months on, the headlines have flipped. Outlets are reporting that her facelift is “slipping” and that she has been asking her team about a revision. The same press cycle that crowned the result has started running comparisons against Denise Richards, who is fifty-five and looks, by any account, terrific a year out from her own facelift.

Asked what he sees in the recent photos, Dr. Agullo doesn’t reach for the gossip frame.

“None of this is unusual,” he told us. “What you’re watching happen to her face in real time, on the internet, is the textbook arc of a SMAS-based facelift on a seventy-year-old. It’s actually the best public-education moment we’ve had on facelift technique in years, and patients should pay attention.”

The question patients should be asking, and almost never do

Walk into any of our facelift consultations and you will hear the same first three questions. How much. How long is recovery. Will I look pulled. All fair, all important. None of them, in Dr. Agullo’s view, is the question that matters most.

“What I want patients to ask me,” he said, “is ‘what plane do you operate in.’ Because the plane decides almost everything else. How long the result lasts. How natural it looks at year five. Whether you’re still happy at year ten.”

There are essentially two planes a facelift can be done in.

A SMAS-based facelift works on a layer just under the skin called the SMAS (short for Superficial Musculoaponeurotic System). The surgeon either folds it on itself (plication) or removes a strip and stitches the cut edges back together (SMASectomy). Done well, it gives a clean three-month result. It has been the workhorse facelift for decades.

A deep plane facelift works underneath that layer. The surgeon dissects beneath the SMAS, releases the four retaining ligaments that anchor the face to the skull (zygomatic, masseteric, mandibular, platysma), and lifts the entire composite of skin, SMAS, fat, and muscle as one piece. Nothing gets pulled on. Nothing closes under tension. And because nothing is stretched out at closure, nothing relaxes back over the next two years. The published longevity data on deep plane results runs ten, twelve, sometimes fifteen years.

Kris Jenner’s surgeon performed a SMAS-based operation. Specifically, a lateral SMASectomy paired with a deep neck lift. Reputable surgeon. Well-executed work. But not the same operation as the deep plane Dr. Agullo performs.

The honeymoon phase

One of the reasons Kris Jenner’s reveal looked as breathtaking as it did, and one of the reasons her current photos look as different as they do, has nothing to do with her surgeon. It has to do with what Dr. Agullo calls the honeymoon phase of every facelift.

“Every facelift looks incredible at three months,” he said, almost cheerfully. “I mean every single one. It’s not a bug, it’s a feature, but patients need to know about it before surgery so they don’t fall in love with a result that isn’t actually their result yet.”

Three months postoperatively, the swelling has not finished going down. The skin is still tight from the closure. The deep tissues are healing in a position that is, frankly, just slightly tighter than where they will end up. Add a Vogue cover team, a top-tier glam squad, and the careful retouching that comes with a celebrity reveal, and you get the honeymoon face. Which, Dr. Agullo says, is real but not durable.

“The face you live with shows up at twelve to eighteen months. Swelling is gone, skin has relaxed, the tissues have settled where they’re going to settle. If your operation was right for your anatomy, the twelve-month face barely differs from the three-month face. Rested. Younger. Still you.”

When the operation isn’t right for the anatomy, twelve months is when the gap shows up. Volume that was masking a structural problem retreats. Skin that was tight relaxes. The midface, which is heavier than people think, starts dropping again. Which, in his read, is exactly what is on display in the recent Kris Jenner photos.

The midface, the malar bags, and what a SMAS technique can’t do

Asked to point at specifics, Dr. Agullo focused us on the midface.

“Look at her lower face and her neck. Both still meaningfully better than they were preop. Her jawline is cleaner. The platysmal bands are quiet. That part of the operation worked, and it’s actually pretty good work for the technique used.”

“Now look at her cheekbones. The malar bags, the rounded fullness sitting on top of the cheekbones, are right there. Two of them. Round, glossy, hard to unsee. They were briefly hidden by swelling and a tight closure at the reveal. Now the swelling is gone, the closure has relaxed, and the bags are back.”

He’s quick to say this isn’t a mystery and isn’t an error in any judgmental sense.

“It’s anatomy. A lateral SMAS technique pulls on the side of the face. It does great work in the lower third. But it does not reposition the malar fat pad, which is the cushion of fat that gives a cheekbone its shape and keeps the area from collapsing into a pouch. The deep plane does. We release the zygomatic ligament, free up the malar fat pad, and lift the whole construct as part of the composite flap. The endoscopic ponytail lift gets to the same anatomy through tiny incisions inside the hairline. If you skip the malar release on a face that needs it, you get exactly the trajectory we are watching.”

Seventy is not fifty

The Denise Richards comparison the press has run with isn’t really a fair fight, in Dr. Agullo’s view.

“Richards is fifty-five. Her surgeon took her into the deep plane. Fifteen years younger plus a more durable operation equals a result that, a year out, still looks like the result. Kris is seventy and had a SMAS-based operation. The math was hard before anyone scrubbed in.”

Why does age matter so much? Because tissue at seventy doesn’t behave like tissue at fifty. Less elastin. Thinner collagen. Less of the deep ligamentous architecture that holds a result in place. Run the same operation on a fifty-year-old and a seventy-year-old by the same surgeon on the same day, and the fifty-year-old will hold longer. Every plastic surgeon knows this. Most of them, out of professional politeness, don’t say it out loud.

Dr. Agullo will say it.

“At seventy, the technique you choose is doing most of the work. A SMAS-only operation might give you a year or two of looking like the day after the bandages came off, then a steady drift back to where you started. A deep plane, on the same patient, holds for ten to fifteen years. Those aren’t my numbers. Those are what the longitudinal studies show.”

Where MedSpa fits, and where it doesn’t

A question that comes up constantly in our consultations, especially with patients in their forties and fifties: can we just keep doing MedSpa treatments instead of surgery? Tox, fillers, lasers, Morpheus, BBL Forever Young.

Dr. Agullo’s answer is honest and a little nuanced.

“Look, our MedSpa side has real tools. Botox, hyaluronic acid fillers, BBL Forever Young, laser resurfacing, Morpheus8 radiofrequency microneedling. They earn their place. For a forty-year-old face they can buy you years before surgery is the answer. But none of them reposition deep tissue. They treat surface, volume, skin tone. So when somebody tries to use them as a permanent stand-in for a facelift on a face that has actually descended, what you get is a face that looks fuller. Not younger. Puffy cheeks, no jawline, an upper lip that nobody asked for. The filler tax, paid one too many times.”

Sequencing matters, in his telling.

“Forties and early fifties, lean MedSpa. Keep the skin in good shape. Be sparing and precise with injectables. When structure starts to slip, that is the moment to have a surgery conversation, and you want it before the slipping gets a head start. After the facelift, MedSpa picks back up. Skin care. Energy-based treatments to keep the result clean. The right cadence of small injectables, not a wall of them.”

That sequencing is something our surgical team and MedSpa team plan out together for facelift patients. It is part of why people fly into El Paso for the long arc of facial aging, not just for one operation.

What to ask any surgeon you consult, anywhere

We asked Dr. Agullo what questions he wishes patients would put to every surgeon they sit with, his own consults included.

He gave us four.

What plane do you operate in. SMAS, deep plane, composite. The honest answer matters more than the polished marketing language on a website.

How often do you do a deep plane facelift versus a SMAS-based operation. A surgeon who does the deep plane every week is a different surgeon from one who does it occasionally.

Where did you train for it. The deep plane and the endoscopic ponytail lift are unforgiving operations with a steep learning curve. A weekend cadaver course is not the same as a structured intermediate-and-advanced program.

Can I see your one-year, two-year, and five-year follow-up photos. Not three-month reveals. Three-month reveals are the honeymoon. The deliverable is the long view.

About Dr. Frank Agullo, MD, FACS

Dr. Frank Agullo is the medical director of Southwest Plastic Surgery in El Paso. He is double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, a Fellow of the American College of Surgeons, and a Mayo Clinic plastic surgery fellowship alum. He serves as Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center and Affiliate Professor at the University of Texas at El Paso. He has been named a Castle Connolly Top Doctor for thirteen consecutive years. His advanced facelift training includes the Ponytail Academy intermediate course in Pittsburgh and the advanced course in Santa Monica. Roughly sixty percent of his facelift patients fly into El Paso from out of town.

For two more reads on the technique conversation above, both written by Dr. Agullo himself:

The editorial take is on his personal blog, drworldwide.com: After the Honeymoon: Kris Jenner, the SMAS Plication, and the Difference a Decade Makes.

The deeper clinical version is on his medical-grade blog, agulloplasticsurgery.com: After the Honeymoon: What Kris Jenner’s Facelift Actually Tells Us About SMAS, Deep Plane, and Time.

Schedule a facelift consultation at Southwest Plastic Surgery

Southwest Plastic Surgery is the El Paso practice of Frank Agullo, MD, FACS. To schedule a facelift consultation with Dr. Agullo or to talk to our MedSpa team about non-surgical options, call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. Follow Dr. Agullo at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook. #StayBeautiful

A Facelift Nobody Should Be Able to Tell: Deep Plane and the Ponytail Lift

Before and after a Deep Plane Facelift by Dr. Frank Agullo in El Paso, showing a sharper jawline and restored neck contour

I can spot an old-school facelift from across a restaurant. Pulled temples. Waxy cheek. Earlobe pointing up instead of down. A smile that does not quite reach the eyes. These are the tells I have been trained to notice for twenty years, and once you know them, you cannot unsee them.

The whole point of the operation I do now is that nobody should be able to tell.

I rebuilt my facelift practice at Southwest Plastic Surgery around that single idea. Two operations carry it. The Deep Plane Facelift, and its endoscopic sibling, the Ponytail Lift.

What changed in a decade

The standard facelift in 2010 was, essentially, a skin operation. A surgeon lifted the skin off the face, tightened a thin fascial layer called the SMAS, trimmed the excess, and closed up. Results looked good in the short run. They also faded. Skin has memory. Tension leaks out of it over years. And a patient who came back for a second facelift on a stretched-out first one often walked out looking worse, not better.

The Deep Plane Facelift rewrote the premise. Nothing gets pulled on the skin. The dissection happens beneath the SMAS, releasing the four retaining ligaments that anchor the face to the skull (zygomatic, masseteric, mandibular, and platysma) so the whole composite flap lifts as one block. Skin, SMAS, fat, muscle. Everything moves together. Everything moves without tension. And because it all moves without tension, it does not stretch back out two years later.

That one shift drives everything good about the modern facelift. The peer-reviewed data on deep plane results now runs ten, twelve, and fifteen years.

The quick comparison:

Aspect Traditional SMAS facelift Deep Plane Facelift
What moves Skin and a thin SMAS layer Skin, SMAS, fat, and muscle together
Ligaments released No Yes (all four)
Skin tension High Low
Typical longevity 6 to 8 years 10 to 15 years
The “pulled” look Possible over time Rare; tissue is not stretched

 

The Ponytail Lift is the same surgery through a different door

The Ponytail Lift is the endoscopic version. Same plane. Same ligament releases. Same composite flap. Different access entirely.

The traditional deep plane incision sits in front of the ear, wraps around the earlobe, and ducks into the hairline behind. Healed well, it fades to a line most people will not register. But a certain kind of patient does not want to gamble on “most people.” For her, I do the same deep plane work through small openings tucked inside the hairline, with an endoscope for visualization. No pre-auricular incision. No tug on the earlobe. Nothing to hide when the hair goes up.

This is a harder operation. The access is narrow. The view is indirect. The margin for error is thinner than it looks. A lot of surgeons advertise it. Far fewer have trained for it.

Who fits which operation

The Ponytail Lift fits a specific anatomy. Forties or early fifties. Early-to-moderate midface descent. A jowl that has started to form but has not taken over. Skin that still rebounds when you pinch it. And a firm line against any visible pre-auricular scar. Thick hair is a bonus, because it hides the hairline incisions completely.

The open Deep Plane is a broader tool. It fits faces in the mid-sixties and beyond, skin with real laxity, heavier volumes in the jowl and the neck. That anatomy needs the skin redraped and excised, not just the deeper tissues repositioned. Try to do all of that through the hairline and the Ponytail Lift under-delivers.

Part of a facelift consultation at Southwest Plastic Surgery is telling you, plainly, which operation suits your face. I perform both. I do not favor one over the other. I favor the right one for you.

Why training matters

I trained at the Mayo Clinic plastic surgery fellowship, and Mayo taught me that an operation worth doing is worth learning from the surgeons who invented it. That is not how you pick up a technique from a YouTube cadaver video on a Saturday.

I took the Ponytail Academy Intermediate Course in Pittsburgh first. Days of cadaver dissection, real-time correction from the faculty who developed the approach. Then I returned for the Advanced Course in Santa Monica. Same lab format, deeper into the technique.

When a surgeon advertises an operation they have not trained in, the person who finds out is the patient on the table.

One more word on fillers

I use fillers every day. They work. They are also a tax. You pay it every six to twelve months, and when you stop paying, the face resets.

A Deep Plane Facelift is not a tax. It is an investment. You pay once, and it appreciates over the decade that follows. Patients who have chased volume loss with filler for years often walk into Southwest Plastic Surgery with a face that looks fuller, not younger. Puffed cheeks. No jawline. Odd lip volume. That is the filler tax, paid too many times.

If filler is right, I will say so. If surgery is right, I will do it right. The goal does not change. A face you still recognize in the mirror. #StayBeautiful.

Why Southwest Plastic Surgery for a facelift in El Paso

Southwest Plastic Surgery is the practice I founded. I am double board-certified (American Board of Plastic Surgery, American Board of Surgery), a Fellow of the American College of Surgeons, Mayo Clinic plastic surgery fellowship-trained, and Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center, where I teach the same techniques I use every day. I am an Affiliate Professor at UTEP. Castle Connolly has named me a Top Doctor for thirteen consecutive years. I have completed both Ponytail Academy courses, intermediate in Pittsburgh and advanced in Santa Monica. About sixty percent of my current patients travel in from outside the region, from Canada, Seattle, California, New York, Florida, across Texas, and Mexico, to have their surgery done here.

Ready to talk?

A facelift consultation at Southwest Plastic Surgery starts with your anatomy and your goals, not with a menu of procedures. I look at your face, I listen to what you actually want, and I tell you what a Deep Plane or Ponytail Lift would do for you. If surgery is not the answer yet, I will say so out loud.

For more depth on the philosophy, read my piece on drworldwide.com: The Facelift You Can’t See. For the candidacy and hairline-scar angle, see the companion post on agulloplasticsurgery.com: Inside the Hairline.

Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. Follow along at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.

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