Dr. Michael Boggess earned his reputation as one of the best facelift surgeons, not only in Nashville and Brentwood 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 the specific concerns and goals of each facelift patient from Memphis and Knoxville, TN, and Huntsville, AL, for a truly custom procedure.
With nearly 20 years of experience and having performed more than 4,000 facelift surgeries, Dr. Boggess has developed techniques that lead to optimal results for all different types of patients.
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 consultatio... 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 los... 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 c... Read More
What sets the Reflection Lift apart from the traditional facelift, deep plane facelift, and 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
How Much Does a Facelift Cost in the Nashville Area?
The cost for the average facelift ranges from approximately $10,000 to $15,000. It can vary significantly depending on multiple factors, including:
Region of the country
Experience of the surgeon
Complexity of the procedure performed
Location of the procedure (office, surgery center, hospital)
Type of anesthesia used
In general, the cost of a facelift includes the surgeon’s fee, the facility fee, and the anesthesia fee. However, cost should not be the primary consideration in determining the right surgeon to perform your procedure. The experience of the surgeon, his facelift results as indicated by a review of before and after photos, and the satisfaction of his patients based on testimonials and reviews should be seriously taken into consideration.
A low-cost procedure performed by an inexperienced surgeon who delivers poor results is not a good combination. At Youthful Reflections, we try to make facial rejuvenation procedures more affordable for the average person by performing our procedures in an office-based setting using light sedation and local anesthesia. The cost of a facelift in our practice ranges from $7,000 to $10,000, depending on the complexity of the procedure and the type of anesthesia used.
Considering a Facelift?
Start With Our Expert's Guide
"An Expert's Guide to Facelift Surgery" provides essential information for anyone thinking about getting a facelift. Double board-certified facial plastic surgeon Dr. Michael Boggess is considered Nashville's facelift expert after performing thousands of facial rejuvenation procedures with consistently remarkable results.
The Expert's Guide explains:
How to choose a surgeon you can trust
What to do before your facelift
Why a Reflection Lift is more than a facelift
When you'll be ready for a big social event
Get Your FREE Expert's Guide to Facelift Surgery
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, collagen 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.
Surgical Facelift vs. Liquid Facelift
A liquid facelift is a nonsurgical facial rejuvenation procedure performed entirely with injectables. By combining dermal fillers and BOTOX® Cosmetic, folds and wrinkles can be smoothed away and volume can be restored to the cheeks and around the eyes. The liquid facelift provides subtle results and does not address the neck. It is most appropriate for patients with early signs of aging and must be repeated every few months to maintain the results.
A surgical facelift can be personalized to the unique needs of the patient, whether they have early or more advanced signs of aging. This procedure addresses the cheeks, nasolabial folds, marionette lines, jowls, and neck. Results are impressive yet natural-looking and long-lasting (about 10 years), regardless of the degree of correction provided.
Facelift vs. Brow Lift
Facelift and brow lift are both facial plastic surgery procedures that can help you look younger; however, they address different areas of the face. Here are some differences:
How it works: Raises the skin and soft tissues of the forehead and eyebrow through incisions in or along the edge of the hairline or in an existing forehead crease.
Benefits: Corrects lines across the forehead, creases between the eyebrows, and a heavy brow.
Recovery: About a week.
Best for: Aging of the upper face.
How it works: Raises skin, fascia, muscle, and soft tissues of the lower face, jawline, and neck through incisions that begin in the hairline at the temple and run in front of the ear and around to the back. If needed, an incision is made under the chin.
Benefits: Corrects nasolabial folds, jowls, and skin laxity on the lower face and neck. Restores definition to the neck and jawline.
Recovery: 1 to 2 weeks.
Best for: Aging of the lower face, jawline, and neck.
Many patients like this one benefit from a combination of facelift and brow lift procedures for a more complete facial rejuvenation.
This patient had a facelift without brow lift surgery.
A Reputation Built on Results
My Lifestyle Lift was done 2012. I will be looking again to Dr. Boggess for recommendations re additional...
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.
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. It is also important to be in good overall health and have realistic expectations from the procedure.
What Is a Mini Facelift?
A mini facelift, which Dr. Boggess calls a Level I Reflection Lift, is a very conservative facelift procedure that is best utilized for younger patients with mild to moderate laxity along the jawline and mild laxity in the neck. It is also appropriate for patients who have had a previous facelift and just need a little tuck-up. This procedure involves lifting a short skin flap around the ear to allow limited mobilization of the SMAS and platysma to tighten the jawline and neck.
How Much Time Do I Need for Recovery After a Facelift?
Most patients are ready to return to work in 1 to 2 weeks, although patient recovery times differ. Some people are fine being out and about during the healing process. Typically, noticeable swelling will go down within 10 to 14 days. If you’re hoping to look your best for a special occasion, you should schedule your Reflection Lift at least a month before the event.
Visit our Facelift FAQ to learn more about facelift surgery.
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.