Facial Surgery

Y Facelift

Dr Yannis Alexandrides’ signature approach to lower face and neck rejuvenation is designed to define the jawline, soften jowling and create a smoother, more youthful neck.

Procedure Time

2.5 -3.5 Hours

Results Last

10-20 Years

Hospital Stay

Not Required

Recovery Time

4-6 Weeks

Time Off Work

10-14 Days

Anaesthesia

TIVA Anaesthesia

Exercise

4-6 Weeks

Price

£15,000

Procedure

What is a Y Facelift?

The Y Facelift is Dr Yannis Alexandrides’ signature approach to lower face and neck rejuvenation. Developed through more than 30 years of surgical experience, the technique combines precise lifting of the lower face and neck with repositioning of the SMAS and refinement of the platysma to restore support, redefine the jawline and create a smoother, more youthful neck contour.

Rather than relying on skin tension alone, the Y Facelift addresses the deeper anatomical changes responsible for jowling, loss of definition and neck laxity. Every operation is individually planned around the patient’s anatomy, facial proportions and desired result, with the aim of creating transformative rejuvenation without an over-tightened or operated appearance.

For patients seeking more comprehensive facial rejuvenation, the Y Facelift can also be considered alongside procedures such as blepharoplasty, brow surgery, facial fat transfer, micrografting and advanced skin resurfacing, where appropriate.

Expected Effects & Benefits

Restores definition through the jawline and lower face
Softens jowling and marionette-line heaviness
Tightens and refines the neck
Improves visible platysmal banding
Repositions deeper facial support structures
Removes excess skin without an over-tightened appearance
Preserves natural expression and facial identity
Creates long-lasting, balanced facial rejuvenation

RESULTS

Before & After Y Facelift

Before

After

Facelift

Before

After

Facelift

Before

Facelift

y-Facelift

After

Facelift

Your Journey

The 360° Approach

Your journey begins with an in-depth consultation with Dr Yannis Alexandrides. He takes time to understand your concerns, medical history, lifestyle and the result you hope to achieve, alongside a detailed assessment of your face, jawline, neck, skin quality, SMAS position and platysmal anatomy.

The consultation is about determining what is right for you, rather than simply performing the procedure requested. Dr Yannis may recommend the Y Facelift, another surgical technique, a combined approach or, where surgery is not appropriate, a non-surgical alternative. Your dedicated Patient Care Coordinator will be your first point of contact and guide you through each stage of your journey at 111 Harley St.

Ahead of surgery, eligible patients receive a Skin Diagnostic Scan alongside a comprehensive pre-operative medical assessment. This allows our team to understand your skin health and overall wellbeing and to plan the preparation and recovery protocols most appropriate for you.

Our specialist nursing team, led by Lead Nurse, will guide you through your clinical preparation and what to expect before and after surgery.

Your pre-operative pathway includes medical screening and checks appropriate to your health, anaesthetic and surgical plan, alongside clear guidance on medication, supplements, smoking, nutrition and preparation for recovery.

Your individual protocol is designed to ensure you are properly prepared for surgery and supported throughout your recovery.

Skin health is an important part of our 360° approach. As the founder of 111SKIN, Dr Yannis has long championed the benefits of scientifically led skincare before and after facial surgery.

Your personalised preparation may include 111SKIN homecare, Dramatic Healing Serum, selected supplements, LED light therapy and other treatments where appropriate to optimise skin condition and support recovery.

Our care continues well beyond your operation. Following surgery, our specialist nursing team will guide your recovery through regular clinical reviews, wound and scar care and a personalised post-operative protocol.

Depending on your recovery, this may include ELIXIR, LED light therapy, Endermologie lymphatic drainage, 111SKIN skincare and nutritional support. Every element is selected according to your individual healing and surgical plan.

As healing progresses, we continue to review your facial contours, scars and skin quality. Your personalised long-term care programme may incorporate 111SKIN, UltraClear laser resurfacing, regenerative treatments, injectables or other advanced non-surgical treatments where appropriate.

With surgical, skin and non-surgical specialists under one roof, your care can continue to evolve with you and support the quality and longevity of your result.

Procedure

How does a Y Facelift work?

Facial ageing is not caused by loose skin alone. Over time, deeper support structures descend, the SMAS weakens, facial fat changes position and the platysma can separate or become more visible through the neck. The Y Facelift addresses these changes as one connected anatomical process, restoring support from beneath rather than relying on tension at the skin.

LOWER-FACE RESTORATION:

The SMAS is carefully elevated and repositioned
Deeper support is restored through the jawline and lower face
Jowling is softened without relying on excessive skin tension

NECK REFINEMENT:

The platysma is assessed and tightened where required
Visible neck bands and laxity are improved
Excess fat beneath the chin may be refined when appropriate

NATURAL CLOSURE:

Excess skin is conservatively removed after the deeper lift is complete
Incisions are positioned discreetly around the ear and hairline
Closure is designed to minimise tension and support refined scar healing

Procedure

Surgical Techniques & Technology

Signature Y Facelift

A comprehensive approach that restores deeper facial support and addresses signs of ageing across the lower face, jawline and neck.

SMAS Repositioning

The supporting SMAS layer is elevated and secured to restore lower-face structure and definition without relying on excessive tension at the skin.

Platysma Tightening

The neck muscles are refined where required to soften banding and create a cleaner cervicomental angle.

Jawline Refinement

Jowling and tissue descent are addressed to restore elegant lower-face definition while maintaining the patient’s natural facial proportions.

Discreet Incisions

Incisions are carefully planned around the natural contours of the ear and hairline to support discreet, refined healing.

Bespoke Surgical Planning

No two Y Facelifts are identical. Dr Yannis adapts every procedure according to facial anatomy, ageing patterns, skin quality and tissue descent.

Your Journey

The 5-Step Process

Consultation

An in-depth assessment with Dr Yannis to understand your face, concerns and desired result before creating a bespoke surgical plan.

1

Preparation

Medical assessment, skin analysis and a personalised preparation protocol supported by our specialist clinical team.

2

Surgery

Your individually planned Y Facelift is performed using precise SMAS repositioning, platysma refinement and conservative removal of excess skin under general anaesthesia.

3

Recovery

Structured clinical aftercare, scar and wound care and personalised recovery protocols support you as the initial swelling and bruising settle and your result begins to refine.

4

Long Term Care

Your personalised programme may include 111SKIN, advanced skin treatments, UltraClear laser resurfacing and non-surgical treatments where appropriate to support your skin and optimise your result.

5

Your Journey

Recovery Timeline

1-2 Weeks

During the first one to two weeks, initial swelling and bruising progressively subside as the early healing process takes place. Some patients feel comfortable returning to work and everyday activities towards the end of this period, depending on their individual recovery.

2-6 Weeks

During this period, the face continues to settle and residual bruising and swelling reduce. You will begin to see greater definition through the face, jawline and neck, although the tissues are still healing and the final result has not yet developed. By around six weeks, many patients feel confident returning to important social occasions and events.

6 Weeks-6 Months

This is an important period of refinement. The facial tissues continue to settle, contours become increasingly defined and the result begins to feel more natural. Subtle changes can continue throughout this period and, for some patients, refinement may take longer.

6-12 Months

For some patients, particularly following more extensive facial rejuvenation, subtle healing and refinement can continue for up to 12 months. Scars continue to mature and soften as the final result becomes established. Recovery varies between patients and procedures. Your progress will be closely reviewed by Dr Yannis and our clinical team throughout your post-operative journey.

Your Journey

Post surgery activity guidelines

Shower

After 48 hours

Following your surgical team’s instructions and keeping incisions protected.

Driving

Usually after 1-2 weeks

Once you are no longer taking sedating medication and can turn your head comfortably and safely.

Work

10–14 days

Those wishing to feel more socially confident may prefer to allow additional recovery time.

Exercise

2 - 6 Weeks

Gentle walking is encouraged during the early recovery period. Exercise is gradually reintroduced between two and six weeks.

Suitability & Safety

Is a Y Facelift right for you?

Ideal Candidate Profile

The Y Facelift may be suitable if you have jowling, loss of jawline definition, loose skin through the lower face and neck, visible platysmal bands, or a softened neck contour
It can also address lower-face heaviness, tissue descent and localised fullness beneath the chin where appropriate. Suitability depends on your anatomy, skin quality, and degree of facial ageing rather than age alone.

During your consultation, Dr Yannis will assess your face and neck in detail, along with your health, concerns, and desired result, to determine whether the Y Facelift or an alternative surgical or non-surgical approach is right for you.

Risks & Complications

All surgery carries risk. Potential complications include bleeding, infection, haematoma, fluid collection, delayed healing, visible or widened scars, temporary or persistent numbness, asymmetry, hairline changes, skin compromise, nerve weakness, contour irregularity, anaesthetic complications and blood clots.

Dr Yannis will discuss your individual risk profile, the steps taken to reduce risk and what to expect throughout recovery before you decide to proceed.

Your Surgeon

Dr Yannis Alexandrides

Dr Yannis Alexandrides, an American Board-certified Plastic Surgeon with over 30 years of surgical experience and specialist training at the University of Miami and Jackson Memorial Hospital, developed the Y Facelift.

Internationally recognised for his expertise in advanced facelift and facial rejuvenation surgery, Dr Yannis is a founding faculty member of the NYC Facelift Master Course. His approach combines surgical precision with highly personalised planning to deliver transformative, natural-looking results while preserving each patient’s individual facial identity.

Pricing

Overview

Every patient and procedure at 111 Harley St. is unique, which is why surgical pricing is tailored to your individual case rather than based on a one-size-fits-all approach.

The cost of your procedure will depend on factors such as your anatomy, the complexity of surgery, the technique required and your personalised treatment plan.

Following your consultation and assessment, our team will provide a clear, individualised quotation based on the surgery recommended for you.

Finance Calculator

Loan Amount: £5,000

£5,000 £7,500 £10,000 £12,500 £15,000

Term: 12 months

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First Payment

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*Interest rates are subject to status and individual credit score.

Resources

Reviews

     
 
 
      Posted on Google  
   
   Ellie Hook 
 3 September 2026
 
 
  I came to the 111 Harley Street for UltraClear laser treatment with Claudia Brand. She was absolutely incredible, talking me through the process and made me feel very safe. She was also brilliant throughout the process. I cannot wait to see my result! Thank you Claudia!
  
 
     Posted on Google  
   
   Jenna Nicholls 
 2 September 2026
 
 
  Really lovely team - thank you Anna and Jamy for looking after me during treatment! Can’t wait for the results 🥰
  
 
     Posted on Trustindex  
   
   Edward Smith 
 31 August 2026
 
 
  Very Impressed With My Rhinoplasty I had been unhappy with the shape of my nose for years and finally decided to look into rhinoplasty. Choosing the right surgeon and clinic was extremely important to me, so I spent a lot of time researching before booking my consultation at 111 Harley St. The consultation was detailed and reassuring, and I appreciated the focus on achieving a result that suited my face rather than simply changing my nose. The whole process was handled professionally, from the initial consultation through to the follow-up appointments. My nose now looks much more balanced with the rest of my face, and the improvement is significant without looking artificial.
  
 
     Posted on Google  
   
   Louise F 
 28 August 2026
 
 
  I had my consultation with Anna and honestly couldn’t have been happier with the experience. She took the time to really listen to all of my concerns and went through everything with me in so much detail, including the different treatment options. I really appreciated how thorough and attentive she was, and the whole consultation felt very personal and tailored specifically to me rather than a one-size-fits-all approach. I felt really comfortable and well looked after. I’m really happy with the experience and will definitely be coming back for my treatment. Thank you so much, Anna!
  
 
     Posted on Google  
   
   Mily Barnett 
 27 August 2026
 
 
  Spoke to Anna about all my skin concerns over a consultation - she was super helpful, knowledgeable and can’t wait to start my journey with 111 Skin. Thank you Anna.
  
 
     Posted on Google  
   
   Mia Raggett 
 25 August 2026
 
 
  Had a lovely consultation with Anna, helped me so much with my questions and was very friendly. Thanks!
  
 
     Posted on Google  
   
   Yasmine Rabah 
 20 August 2026
 
 
  Just did the thermale treatment and the whole experience with the staff and the treatment and care has been superb. I highly recommend. Will let you know how it goes with the other treatments that I will do:)
  
 
     Posted on Google  
   
   Kat M 
 19 August 2026
 
 
  Fantastic facial with Jamy and consultation with Anna. Would 100% recommend!
  
 
     Posted on Trustindex  
   
   Rosie Walker 
 17 August 2026
 
 
  A Wonderful Experience I decided to explore a Y Facelift after becoming increasingly unhappy with the loss of definition around my lower face. I was initially quite nervous about having facial surgery, so having a detailed consultation was really important to me. Everything was explained clearly and I felt comfortable asking lots of questions. I’m so pleased with the outcome my face looks fresher and more defined, but it still looks completely like me.
  
 
     Posted on Google  
   
   Anna 
 10 August 2026
 
 
  Amazing experience with Claudia. I was really nervous but she put me at ease and explained the process to me. I would definitely recommend coming here for all aesthetic treatments!
  
 
     Posted on Google  
   
   Altay Ali 
 7 August 2026
 
 
  Claudia Is always amazing, and I would highly recommend her services.
  
 
     Posted on Google  
   
   Robert White 
 4 August 2026
 
 
  Claudia was amazing! Really friendly, polite and professional. Will 100% be coming back.
  
 
     Posted on Trustindex  
   
   Jessica Thomas 
 4 August 2026
 
 
  The Best Decision I Made I had a facelift at 111 Harley Street. From my very first consultation, I felt completely comfortable and confident that I was in safe hands. The surgeon took the time to understand what I wanted to achieve and explained every stage of the process clearly, from the operation itself to the recovery and expected results. The care I received was outstanding from start to finish. Every member of the team was kind, professional, and incredibly supportive. They were always available to answer any questions, and I felt genuinely looked after throughout my entire journey. Now that I've fully recovered, I am absolutely delighted with the results. I look refreshed, younger, and far more confident, while still looking completely natural. The best compliment I've received is that people keep telling me I look really well without realising I've had surgery. It's exactly the subtle, natural result I was hoping for. Choosing 111 Harley Street was one of the best decisions I've made. The expertise, attention to detail, and exceptional aftercare exceeded all of my expectations. I would wholeheartedly recommend them to anyone considering a facelift.
  
 
     Posted on Google  
   
   Hannah Lucy 
 31 July 2026
 
 
  I had a consultation with Anna who was so knowledgeable and extremely friendly. The team were welcoming and I look forward to starting treatment.
  
 
     Posted on Google  
   
   Aashika Balaji 
 31 July 2026
 
 
  Claudia is excellent and incredibly intuitive
  
 
     Posted on Google  
   
   William Julian Taranu-Lee 
 29 July 2026
 
 
  Had such a lovely consultation at 111 Harley St. I felt so welcomed and comfortable in their hands, and really appreciated their honest cosmetic advice. Would absolutely recommend having a consultation at 111 Harley St. You won’t regret it :)
  
 
     Posted on Google  
   
   Bilgi P 
 28 July 2026
 
 
  +0
I had plastic surgery from doctor Ashvani in 2019 and he messed up my tummy completely. I lost all my sensation in my tummy area and after 7 years, I still regret of having tummy tuck with him. He stitched my whole tummy tuck area without leaving drainage after the operation. I ended up having this massive hole in my tummy area. I have the most horrible scars and I don’t wear bikini for not showing my belly button. You can see how bad his stitches are from the photo. Please do your research before you trust him so you don’t regret like I did. My friend had similar operation in Turkey and you would not even notice she had plastic surgery.my advice is  go to Turkey to have proper plastic surgery with surgeons who knows how do operate.
  
 
     Posted on Google  
   
   Georgia Westley 
 28 July 2026
 
 
  Had a consultation with Anna who helped with my skin concerns, she helped advice on treatments and products to support on my hyper pigmentation and dryness. Would highly recommend
  
 
     Posted on Google  
   
   Chloe L 
 27 July 2026
 
 
  Really pleased with my consultation with Anna. She explained everything clearly, and the skin scanning was very insightful. Everyone was warm and friendly – I’d highly recommend.
  
 
     Posted on Google  
   
   Zara Walsh 
 27 July 2026
 
 
  Thank you so much, great experience!
  
 
 
  
 
 
   Trustindex rating score: 4.9 of 5, based on 856 reviews,showing our latest reviews

Resources

Frequently Asked Questions

What is the difference between a Y Facelift and a Deep Plane Facelift?

Both procedures reposition deeper facial structures rather than simply tightening the skin. The Y Facelift is Dr Yannis’ signature approach focused particularly on the lower face, jawline and neck, including SMAS repositioning and platysma refinement.

A Deep Plane Facelift may involve broader release and elevation through the midface as well as the lower face. The most appropriate technique depends on your anatomy, ageing pattern and goals, which Dr Yannis will assess during consultation.

Will my Y Facelift scars be visible?

Incisions are carefully planned around the natural contours of the ear and hairline. Scars are expected after any surgery, but they usually soften and fade considerably as they mature.

Scar quality varies between patients. Your 360° aftercare plan will include guidance on wound care, sun protection and personalised scar management to support the healing process.

How long do Y Facelift results last?

The result is designed to be long-lasting, and many patients retain a meaningful improvement for 10-20 years. Longevity varies according to genetics, skin quality, lifestyle, sun exposure and the natural ageing process.

The procedure cannot stop ageing, but it repositions the deeper facial structures into a more youthful position. Our personalised long-term care approach can incorporate 111SKIN, advanced skin treatments and non-surgical procedures where appropriate to support skin quality and the longevity of your result.

Can a Y Facelift be combined with eyelid surgery?

Yes. In suitable patients, a Y Facelift may be combined with upper or lower Blepharoplasty, Brow Lift, Facial Fat Transfer, micrografting or other facial rejuvenation procedures to create a more balanced result.

Whether combined surgery is appropriate depends on your health, anatomy, operating time and recovery considerations. Dr Yannis will advise whether a combined or staged approach is most appropriate for you.

Will a Y Facelift look natural?

The Y Facelift is designed to preserve facial identity and expression. By restoring deeper support before removing excess skin, the technique avoids relying on excessive tension at the surface.

The aim is for you to look refreshed, more defined and rejuvenated, while still looking unmistakably like yourself.

How much downtime is required after a Y Facelift?

Most patients allow around 10-14 days away from work, although individual recovery varies. Initial swelling and bruising progressively subside during the first two weeks, with the face continuing to settle between two and six weeks.

By around six weeks, many patients feel confident returning to important social occasions. Refinement continues over the following months as the tissues settle and the final result develops.

Am I too young for a Y Facelift?

There is no single correct age. Suitability depends more on anatomy, tissue descent, skin quality and the degree of lower-face and neck laxity than on age alone.

Some patients develop jowling or neck laxity earlier because of genetics, weight change or facial structure. Dr Yannis will assess whether surgery is appropriate or whether a non-surgical approach could better achieve your desired result.

When can I exercise again after a Y Facelift?

Gentle walking is encouraged during the early stages of recovery to support circulation. Exercise can then be gradually reintroduced between two and six weeks, depending on your healing and the intensity of the activity.

More strenuous exercise, heavy lifting and high-impact activity should only resume once your surgical team confirms it is safe to do so.