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The Ponytail Facelift is a contemporary facial rejuvenation technique inspired by the natural lifting effect of tying the hair into a high ponytail. This procedure aims to elevate the facial tissues vertically, restoring a youthful and refreshed appearance without the extensive incisions or recovery period associated with traditional facelifts.
The concept focuses on subtle enhancement rather than drastic alteration, targeting the upper and mid-face — including the temples, cheeks, and jawline. The incisions are hidden within the hairline, allowing for scar-free healing and natural results. It is particularly suitable for patients experiencing early signs of facial sagging or loss of elasticity, typically between their late 20s and 40s.
What Is a Ponytail Facelift?
A Ponytail Facelift involves lifting and tightening the deeper facial structures known as the SMAS (Superficial Musculo-Aponeurotic System). This is the foundational layer that supports the skin and soft tissues of the face. Instead of pulling the skin horizontally, the SMAS is repositioned upward and backward, achieving a natural elevation of the cheeks, brow, and jawline.
The operation is performed through short incisions in the temporal region within the scalp, making them almost invisible. This technique minimizes trauma to the tissues, shortens recovery, and ensures the results maintain facial harmony and expression.

Step-by-Step: Before, During, and After
Before surgery, the surgeon performs a comprehensive facial analysis to assess bone structure, skin elasticity, and degree of sagging. The operation is usually performed under local anesthesia with sedation or mild general anesthesia.
During surgery, small incisions are made inside the hairline, allowing access to the SMAS layer. The tissue is lifted and anchored higher on the facial skeleton. The skin is gently redraped, avoiding excessive tension. The procedure typically lasts between 1.5 and 3 hours.
After surgery, patients are monitored for a few hours and can often return home the same day. Swelling and mild discomfort may occur for a few days. Most individuals can resume social life and work within 7–10 days.
Comparison: Ponytail Facelift vs Traditional Facelift
| Feature | Ponytail Facelift | Traditional Facelift |
|---|---|---|
| Invasiveness | Minimally invasive | More extensive tissue dissection |
| Incision Placement | Hidden within the hairline | Extends around ears and neck |
| Scarring | Nearly invisible | Concealed but longer |
| Recovery Period | 1–2 weeks | 3–4 weeks |
| Ideal Candidates | Younger patients (25–45 years) | Older patients (45+ years) |
| Result Style | Subtle and natural | More dramatic rejuvenation |
| Longevity | 5–10 years | 10–15 years |
Advantages of the Ponytail Facelift
- Natural and youthful results without an over-pulled look.
- Shorter downtime, allowing patients to return to daily life quickly.
- Hidden incisions that heal with minimal or no visible scarring.
- Ideal for younger patients with mild to moderate skin laxity.
- Can be combined with other procedures such as brow lift, eyelid surgery, or fat grafting.
Recovery and Aftercare
Recovery following a ponytail facelift is typically comfortable and quick. Mild swelling and bruising can be expected for several days, but they subside rapidly. Applying cold compresses and sleeping with the head elevated helps minimize discomfort.
Most patients return to work within 7–10 days and resume physical activity within 3–4 weeks. As the tissues settle, the final results become apparent after 2–3 months, revealing a refreshed and natural facial contour. The discreet incision placement allows individuals to tie their hair freely without concern about scars.
Ponytail Facelift in Turkey
Turkey, and especially Istanbul, has become one of the top destinations for facial aesthetic surgeries. The combination of board-certified plastic surgeons, advanced surgical facilities, and high patient satisfaction rates attracts individuals from all over the world.
Clinics in Turkey offer comprehensive medical tourism packages that include accommodation, transfers, translation services, and personalized postoperative care. The Ponytail Facelift in Turkey is performed using advanced surgical techniques, ensuring natural results and a comfortable recovery experience.
Price of Ponytail Facelift
The price of a ponytail facelift varies depending on several factors, including the surgeon’s expertise, the location of the clinic, and whether complementary procedures such as fat grafting or eyelid surgery are performed simultaneously. A personalized consultation is essential to determine the exact cost and to design a treatment plan that suits each patient’s needs.

Frequently Asked Questions (FAQ)
1. Who is a good candidate for a Ponytail Facelift?
This procedure is ideal for individuals in their 20s–40s who show mild to moderate skin sagging but do not require a full facelift.
2. How long do the results last?
Results typically last 5–10 years, depending on the patient’s skin condition, genetics, and lifestyle.
3. Are there visible scars?
No. The incisions are placed within the hairline, making scars virtually invisible once healed.
4. When can I return to normal activities?
Most patients can return to work after 7–10 days and resume full physical activity within 3–4 weeks.
5. Can it be combined with other procedures?
Yes. It can be safely combined with brow lift, eyelid surgery, or fat transfer for a more comprehensive rejuvenation effect.
![dr.leyla-arvas-800×1000.jpg[1] dr.leyla arvas](https://www.quartz.com.tr/wp-content/uploads/2024/11/dr.leyla-arvas-800x1000.jpg1_.webp)
Author : Op. Dr Leyla ARVAS
Dr Leyla Arvas is an internationally recognised specialist in aesthetic surgery based in Istanbul. Graduated in 1998 from Istanbul University Faculty of Medicine, she has developed her expertise by studying in Taiwan, Japan and Spain during her 20 years of experience.
This article November 19, 2025 was updated on
Editor: admin@quartz.com.tr


