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 A professional portrait photo of Livia Berkei wearing a white doctor's coat and smiling with folded arms against a bright background.

Livia Berkei

Resident doctor for plastic, aesthetic and reconstructive surgery

Table of contents
Face
Anti-Aging

Facelift or liquid facelift? Comparing two ways to rejuvenate your face

23.9.2025
Frankfurt am Main, Germany
Reading time:
Zeit
min.
Side view of a woman with wrinkled skin standing in the sun and looking into the distance

The desire for a fresh, youthful facial expression is as old as aesthetic medicine itself. But facial rejuvenation methods have evolved significantly in recent years, from classic Facelift operations to minimally invasive techniques such as Liquid Facelift. Both approaches promise a visibly rejuvenated appearance, but differ fundamentally in their approach, effect and durability.

In our practice in Frankfurt, we see patients every day who ask themselves: Which is better for me: a surgical Facelift or a Liquid Facelift with hyaluronic acid and botulinum toxin? The answer depends heavily on your individual situation, your expectations and your lifestyle.

In this article, we compare the two methods holistically and show who which treatment is suitable for.

Classic Facelift: surgical tightening with lasting effect

A classic Facelift is a surgical procedure in which excess skin is removed, the underlying tissue is repositioned and the facial contours are tightened. This not only involves superficial work, but also mobilizes and repositions the so-called SMAS layer (Superficial Musculoaponeurotic System). This creates a particularly natural, long-lasting effect.

Typical features of a classic Facelift:

  • Objective: Significant tightening of the middle and lower face, reduction of excess skin

  • Duration of surgery: approx. 3-5 hours

  • Anesthesia: general anesthesia

  • Healing time: 2—3 weeks recovery time, socially acceptable usually after 10—14 days

  • results: Visible for many years, with the option to make minor corrections over time

A surgical Facelift is particularly suitable for people with advanced skin sagging, sunken facial contours or pronounced wrinkles in the area of cheeks, chin and neck. Anyone who wants sustainable results and is willing to accept a certain amount of downtime will benefit from the classic Facelift in the long term.

Liquid Facelift — Facelift without surgery

The so-called Liquid Facelift is a minimally invasive alternative to surgical intervention. It combines targeted injections with hyaluronic fillers and sometimes botulinum toxin to lift facial features, compensate for volume losses and smooth wrinkles, all without a scalpel.

What happens during a Liquid Facelift?

  • Volume building e.g. in cheeks, temples, or jawline

  • wrinkle reduction through padding and muscle relaxant effect

  • Gentle lift by raising the facial contours at strategic points

  • skin rejuvenation through improved hydration and easy stimulation of collagen formation

Key facts about the Liquid Facelift:

  • duration: approx. 30-60 minutes

  • Anesthesia: usually not necessary, optionally with cream or local anesthetic

  • Socially acceptable: immediately up to 1-2 days

  • results: immediately visible, shelf life approx. 12-18 months (depending on the material)

The Liquid Facelift is ideal for patients who want a subtle, fresh change without prolonged downtime. This method is also ideal for preventing and maintaining youthful facial features in early stages of aging.

Differences at a glance — Facelift vs. Liquid Facelift

Conclusion:

A surgical Facelift offers long-term, profound results, particularly when there is severe excess skin and sagging structures. The Liquid Facelift, on the other hand, is ideal for younger patients or as a supplementary measure to maintain and refresh.

Which method is right for me?

The classic Facelift is ideal for patients

• who suffer from severe sagging skin on the face and neck

• where deep wrinkles and tissue sinks can no longer be corrected by minimally invasive methods

• who want a lasting, comprehensive result

• and are prepared to accept several weeks of downtime

The Liquid Facelift is particularly suitable for people

• want to specifically treat the first signs of skin aging (e.g. sunken cheeks, nasolabial wrinkles, sagging corners of the mouth)

• who want a natural refresh without a scalpel

• who can plan for little or no downtime

• or want to postpone or keep a face lift result gentle

In our practice in Frankfurt, we provide individual and honest advice: For many patients, a clever liquid lift can achieve fresh, harmonious results over the years. For others, surgery is the better option to return the tissue to its youthful position in the long term.

FAQ — Frequently asked questions about Facelift and Liquid Facelift

How long does the result of a classic Facelift last?

A surgical Facelift provides long-lasting results. As a rule, the new face shape remains stable for 7 to 10 years, depending on skin quality, lifestyle and genetic predisposition.

How long does a liquid face lift last?

The shelf life of a Liquid Facelift is around 12 to 18 months. With regular refreshments, the effect can be maintained in the long term. Individual fillers (e.g. Radiesse, Sculptra) even have a stimulating effect on new collagen formation.

Which method is less risky?

Both procedures are very safe when carried out professionally. Facelift involves the usual surgical risks (e.g. hematomas, wound healing); liquid lift can occasionally cause swelling, redness or nodules. The expertise of the treating doctor is decisive.

Is it possible to combine both methods?

Yes Many patients regularly have a light liquid lift after a surgical facelift to keep the results fresh. A combination with botulinum toxin or skin boosters is also possible.

How much does a Facelift cost?

The cost of a Facelift depends on the extent of the procedure. A mini lift operation usually starts in the lower four-digit range, a full facelift including a neck lift is significantly more extensive. After the consultation, we will prepare an individual cost plan for you.

And how much does a Liquid Facelift cost?

The costs for a Liquid Facelift depend on the product used and the quantity required. Initial treatments often start at around 1.000 to 5.000€. At our practice in Frankfurt, you will receive a transparent assessment during the consultation appointment.

More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate
More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate
More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate

Change starts now

Whether it's fine corrections or comprehensive changes — The path to a new body feeling, more radiance or youthful freshness starts right now. The practice clinic of Dr. med. Julia Berkei focuses on your wishes — with the highest level of expertise, an eye for natural results and a treatment concept that is as individual as you are.

Get personal advice and discover how modern aesthetic medicine can change the way you feel about life in the long term.

Dr. Julia Berkei stands in a white doctor's coat with slightly outstretched hands and a friendly smile against a neutral background.

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