Dr. Michael Boggess earned his reputation as one of the top facelift experts not only in Nashville, but nationally, with his signature Reflection Lift – a unique approach that creates remarkable, natural-looking results. As a double board-certified facial plastic surgeon, his comprehensive knowledge of facial anatomy enables him to address each patient’s specific concerns and goals for a truly custom procedure.
Facelift / Reflection Lift Before & After Photos
Keep in mind that each patient is unique and your results may vary.
Procedure:Level 3 Reflection LiftResults:This patient had never really had a good neck line. Although she was still young, mid-40’s, she felt that the lack of definition in her neck and jawline made her look much older than her actual age. She decided to schedule a complimentary consultation with Dr. Boggess to see if he could help address her concerns.... Read More
Procedures:Level 3 Reflection LiftResults:She is a 52 year-old female who presented with concerns related to sagging in the neck and jowls and deepening of the marionette lines. These issues had been slowly progressing over at least 2 years. She wanted to do something to turn back the hands of time and restore a more youthful appearance. She had... Read More
Procedures:Level 3 Reflection LiftUpper BlepharoplastyFractional CO2 Laser Skin ResurfacingResults:Patient presented at 65 years of age with concerns related to aging of the face and neck that had been bothering her for several years. These changes were progressively worsening over time, making her look much older on the outside than she felt... Read More
Procedures:Facelift / Reflection LiftFat TransferFractional CO2 Laser Skin ResurfacingResults:Patient is a 55 year-old female who presented with concerns related to progressive sagging in the jowls and neck and wrinkling of the skin. She had noticed these problems progressively worsening over the past 10 years. She did not like the aging appearance... Read More
Procedures:Level 3 Reflection LiftFractional CO2 Laser Skin ResurfacingResults:Patient is a 60 year-old female who had a previous facelift performed by another surgeon 9 years ago prior to her initial visit with Dr. Boggess. Over the years following that initial procedure, she noticed progressive sagging in the neck and jawline and wrinkling of the... Read More
Procedures:Facelift / Reflection LiftLower BlepharoplastyFat TransferResults:Patient presented in her early 70’s with concerns related to aging of the face and neck. African-American patients tend to have thicker dermis of the skin and don’t typically wrinkle the way Caucasians do as they age. However, they commonly experience volume loss in... Read More
Procedures:Facelift / Reflection LiftFractional Co2 Laser Skin ResurfacingResults:Carolyn was 55 years old when she presented to Dr. Boggess with concerns related to aging of the face and neck. She had noticed these slowly progressive changes for at least 1 year before she decided to seek help. Her primary concern was sagging in the neck and jowls.... Read More
Procedures:Level 3 Reflection LiftFat TransferResults:Patient is a 46 year-old female who presented with concerns related to sagging in the neck and along the jawline, in addition to deepening of the smile lines around the mouth. She had noticed these aging changes slowly progressing over a 2 year period. She decided to schedule a consultation with... Read More
Angie’s Testimonial“It’s the best feeling, It’s great. The best thing I have ever done. It has changed the way I feel about myself and has given me confidence again. I would highly recommend Dr. Michael Boggess.” <iframe width="560" height="315" src="https://www.youtube.com/embed/pdkRDIdkbaM" frameborder="0" allow="accelerometer;... Read More
Procedures:Level 3 Reflection LiftUpper BlepharoplastyFractional CO2 Laser Skin ResurfacingResults:Patient presented at age 52 with premature aging of the face and neck. She had marked sagging of the neck and hooding of the upper eyelids that made her look much older than her age. She hated looking in the mirror and struggled with poor self-esteem,... Read More
Procedures:Level 3 Reflection LiftFat TransferFractional CO2 Laser Skin ResurfacingResults:At age 67, patient had noticed progressive aging of the face and neck for several years. She didn’t like to look at pictures of herself anymore, because she felt like she looked old. She hated the wrinkles around her mouth and the sagging in the... Read More
Procedures:Facelift / Reflection LiftFat TransferBrowpexyUpper BlepharoplastyLower BlepharoplastyFull Face CO2 Laser Skin ResurfacingResults:Patient is a 48 year-old male who presented with multiple cosmetic concerns related to aging of the face and neck. He had marked brow ptosis and hooding of the upper eyelids, bags under the eyes, marked... Read More
Procedures:Level 3 Reflection LiftBrow LiftFractional CO2 Laser Skin ResurfacingResults:Patient had noticed progressive aging of the face and neck for a few years before she finally decided to see what could be done for her. She had a lot of sun exposure during her youth and now was noticing facial wrinkles and brown spots that were worsening... Read More
Procedures:Level 3 Reflection LiftFat TransferResults:She is a 69 year-old female who lost a significant amount of weight over a 3 year period through lifestyle change, including diet and exercise. Following the weight loss, she began to notice increased sagging in the neck and along the jawline, midface volume loss, and deepening of the nasolabial... Read More
Procedure:Level 2 Reflection LiftResults:This patient presented in her early 40’s with concerns related to her neck. Although she was still a young lady, she had never had a great neckline, and it was only worsening with age. She was, otherwise, still very youthful in appearance. She scheduled a consultation with Dr. Boggess to see what she could... Read More
Procedure:Facelift / Reflection LiftResults:Patient presented at 72 years of age with concerns related to sagging in the neck. He had been bothered by the progressive neck laxity for a couple of years before he decided to seek help. He felt like the sagging neck made him look much older than he felt. He wanted to achieve a natural, more youthful... Read More
Procedures:Level 3 Reflection LiftResults:She is a 47 year-old female who presented with concerns related to sagging in the neck and along the jawline. These concerns had been progressively worsening over the past 5 years. Although she was still attractive and youthful, she wanted to do something to help restore her neck and jawline and maintain... Read More
Procedures:Level 3 Reflection LiftUpper BlepharoplastyFractional CO2 Laser Skin ResurfacingResults:Patient presented with concerns related to an overall aging face appearance. She had noticed that the hooding of her upper eyelids was making her look tired. She had significant loss of skin elasticity with deepening facial... Read More
Procedures:Facelift / Reflection LiftUpper BlepharoplastyFractional CO2 Laser Skin ResurfacingResults:This patient presented at age 62 with premature aging of the face and neck. She had noticed progressive sagging in the jowls and neck and deepening facial wrinkles over several years. She has had a lot of sun exposure throughout her life.... Read More
Procedures:Facelift / Reflection LiftFractional CO2 Laser Skin ResurfacingResults:Patient presented at age 65 with concerns related to aging of the face and neck. She had spent a lot of time in the sun during her youth and now had developed significant sun-damaged skin with brown spots and deep wrinkles. She also had sagging along the jawline... Read More
Procedures:Facelift / Reflection LiftFractional CO2 Laser Skin ResurfacingResults:As a realtor, patient works in a business in which a youthful, attractive appearance is an asset. At 64 years of age, she felt that age related changes in the face and neck were making her look much older than her age, and that her appearance was making her less... Read More
Procedures:Level 3 Reflection LiftBrow LiftResults:This patient is a 67 year-old female who lost a large amount of weight following bariatric surgery. After losing so much weight, she had marked sagging in the neck and along the jawline, midface volume loss, and deepening of the nasolabial folds. She also had some concerns related to drooping of... Read More
Procedures:Facelift / Reflection LiftResults:Patient is a 70 year-old patient who presented with concerns related to sagging in the jowls and marked sagging in the neck with heavy platysmal bands. She felt that these issues gave her an aged appearance that she did not like. She scheduled a complimentary consultation with Dr. Boggess to learn more... Read More
Procedures:Facelift / Reflection LiftBrow LiftFractional CO2 Laser Skin ResurfacingResults:Patient had noticed progressive aging of the face and neck for 2 years prior to considering facial rejuvenation. She is a musician and spends a lot of time in the public eye, and therefore, always wants to look her best. She felt that she was starting... Read More
Procedures:Level 3 Reflection LiftFractional CO2 Laser Skin ResurfacingResults:Patient is a 50 year-old female who presented with concerns related to progressive sagging in the neck and jawline and wrinkling of the facial skin. She travelled several hours to see Dr. Boggess, due to his experience, reputation, and results. After meeting with Dr. Boggess... Read More
What sets the Reflection Lift apart from other facelift procedures is that the surgical plan Dr. Boggess creates is based on a consultation that involves a thorough evaluation of your concerns and facial anatomy. He spends as much time as necessary to examine your facial structure, answer questions, and set appropriate expectations.
The hallmarks of a Reflection Lift include:
Performed in an office-based setting using light sedation and local anesthesia, eliminating the risks and cost of general anesthesia (patients can choose to have general anesthesia for an additional cost)
Conservative approach results in reduced risk for complications and faster recovery compared to traditional facelift surgery
Most patients show no visible signs of surgery within 1 to 2 weeks of their procedures
Typically recommended that patients allow at least 3 to 4 weeks for recovery prior to any major social event
With nearly 20 years of experience and having performed more than 3,500 facelift surgeries, Dr. Boggess has developed techniques that lead to optimal results for all different types of patients.
The Different Levels of a Reflection Lift
Not all patients who are considering a facelift need the same level of correction to reach their cosmetic goals. Dr. Boggess developed 3 distinct levels of his signature facelift procedure for different patients.
Level 1 Reflection Lift
A conservative SMAS facelift for addressing mild to moderate sagging in the jowls and mild sagging in the neck. The SMAS is a web of fascia that encompasses the muscles and fat in the face. This fascial layer is continuous with the platysma muscle in the neck. All properly performed facelift procedures involve some technique for lifting the SMAS to restore a youthful contour to the jawline and neck. The Reflection Lift employs Dr. Boggess’ unique approach to the management of the SMAS to achieve optimal results for a more youthful, well-defined jawline and neck.
Level 2 Reflection Lift
Indicated for moderate sagging in the jowls and mild to moderate sagging in the neck with accumulation of fat along the jawline and neck. The procedure involves a SMAS facelift in combination with liposculpting of the jawline and neck.
Level 3 Reflection Lift
Indicated for moderate to severe sagging in the jowls and neck with associated laxity or banding of the platysma muscle in the front of the neck. The procedure involves a SMAS facelift in combination with tightening of the platysma muscle in the midline of the neck and liposculpting of the face and neck, as indicated.
A Facelift Glossary
SMAS (Superficial Musculoaponeurotic System): A fibrous network of fascia, deep to the skin and subcutaneous tissue in the face, that surrounds the muscles of facial expression. It is one of the most important support structures for the face.
Collagen: A protein that binds tissues, it provides volume and contributes elasticity that keeps skin plump and smooth. It begins breaking down faster than our bodies can replace it as we get older.
Elastin: A protein that is one of the primary elements of elastic, connective tissue found mostly in the skin.
Platysma Muscle: A draping muscle that extends from the jawline to the clavicles in the neck. The age-related weakening of these neck muscles leads to laxity and vertical bands in the neck with advancing age.
Jowls: The sagging skin and fat below the jawline.
Liposculpting: A procedure that removes excess fat from the neck and sculpts more attractive contours.
Combining Procedures
Many of the men and women who come to our Nashville practice for a facelift can benefit by combining other procedures—either surgical or nonsurgical—with a Reflection Lift. This is one of the reasons that Dr. Boggess produces such extraordinary results. Facial aging rarely occurs in just one area of the face. A facelift only addresses the lower portion of the face, including nasolabial folds and hollow cheeks in addition to jowls and loose neck skin.
Some of the procedures that Dr. Boggess might recommend include:
Combining 1 or more of these procedures with a Reflection Lift is something you and Dr. Boggess can discuss during the consultation.
Dr. Boggess
By focusing exclusively on facial procedures, Dr. Boggess provides patients a level of expertise rarely found at other plastic surgery practices in the Southeast. Certified by both the American Board of Facial Plastic & Reconstructive Surgery and the American Board of Otolaryngology, Dr. Boggess combines exceptional technical skill with a down-to-earth demeanor that puts patients at ease from the moment they meet him.
You may be a good candidate if you are age 40 or older and want to correct one or more signs of aging on your face and neck. You may have varying degrees of facial sagging and loss of skin elasticity. Being in good overall health and having realistic expectations from the procedure are also important.
Start With a Consultation
The first step in learning about what Dr. Boggess can do for you is scheduling a personal consultation. Dr. Boggess is known for taking however long it takes to learn about your concerns and expectations and to recommend the procedure or procedures best suited to your goals. You can request a consultation using the online form or call our office at
(615) 942-8016 to schedule an appointment.
I am excited to inform everyone that Youthful Reflections is re-opening for business. For the safety of our patients and staff and to minimize potential exposure risk to respiratory pathogens, including the virus that causes COVID-19, we have implemented additional policies and procedures for screening and protection for all who enter the Youthful Reflections facility.
