Facelift, Blepharoplasty, and Neck Lift: Why Combining Procedures Is Becoming More Popular in Winter

Modern facial rejuvenation no longer focuses on treating just one area of the face. Today, the goal is to create harmony among all facial structures while preserving each patient’s identity and achieving natural-looking results.

For this reason, many patients seeking a facelift also show signs of aging around the eyelids and neck. Instead of treating each area separately, a comprehensive surgical plan may be the most appropriate approach, always respecting each patient’s individual needs and safety.

Winter has also become one of the most popular seasons for this type of surgery because it offers conditions that can make the recovery period more comfortable.

However, choosing the right season is only part of the process. Careful planning, an experienced surgical team, and an unwavering commitment to patient safety remain the most important factors.

Facial Aging Does Not Affect Just One Area

Facial aging occurs throughout the face rather than in a single isolated region.

While some people first notice sagging cheeks, others become more concerned about under-eye bags or loss of neck definition.

Common signs of aging include:

• Facial skin laxity
• Fat bags around the eyelids
• Excess eyelid skin
• A double chin
• Loss of jawline definition
• Vertical neck bands

When several of these changes occur simultaneously, treating only one area may result in a less harmonious outcome.

This is why a personalized evaluation is essential.

Why Combine Procedures?

The purpose of combining procedures is not simply to perform multiple surgeries at once.

Instead, the goal is to address facial aging comprehensively while respecting each patient’s anatomy and overall health.

Depending on the medical evaluation, combining procedures may provide benefits such as:

• Better harmony between the face, eyes, and neck
• More balanced facial rejuvenation
• A single recovery period
• Integrated surgical planning
• More natural-looking results

However, combined surgery should only be performed when medically appropriate and when the patient’s overall health allows it.

Every patient has individual limits that must always be respected.

The Role of a Facelift in Facial Rejuvenation

Modern facelift techniques primarily address the deeper structures of the face.

Their purpose is to reposition tissues that naturally descend with aging.

A facelift can help:

• Improve facial laxity
• Restore jawline definition
• Soften deep facial folds
• Rejuvenate the neck
• Preserve natural facial expressions

Today’s objective is not to tighten the skin excessively, but to restore youthful facial contours naturally.

When Does Blepharoplasty Enhance the Results?

Even after a well-performed facelift, the eyes may still appear tired if excess skin or fat bags remain around the eyelids.

Blepharoplasty may be recommended to:

• Correct under-eye fat bags
• Remove excess eyelid skin
• Rejuvenate the eyes
• Improve the visual field in selected patients

When combined with a facelift, blepharoplasty contributes to a more balanced and harmonious facial rejuvenation.

The result is often a fresher, more rested appearance while preserving natural facial characteristics.

The Neck Is Also Part of Facial Rejuvenation

Many people focus only on the face and overlook the neck, even though both areas age simultaneously.

When significant neck laxity is present, patients may notice a contrast between a rejuvenated face and an aged neck.

Depending on the patient’s anatomy, treatment may include:

• Neck skin laxity
• Excess skin
• Fat beneath the chin
• Loss of the cervicomental angle between the neck and jawline

Addressing these areas together creates a more balanced and natural overall result.

Why Is Winter a Popular Time for These Procedures?

Although facelift surgery can be performed safely throughout the year, many patients choose winter.

Some of the reasons include:

• Reduced sun exposure
• Cooler temperatures
• Greater comfort during recovery
• Easier use of scarves and protective accessories
• A more discreet postoperative period

These seasonal advantages may make recovery more comfortable, but they never replace proper postoperative care or medical guidance.

Safety Always Comes Before Combining Procedures

In recent years, patient safety in combined surgeries has become an increasingly important topic.

The CREMESP Resolution No. 400/2026 established ethical and clinical guidelines for extensive, multiple, and combined elective plastic surgeries, reinforcing that patient safety must always take priority over every other consideration.

The resolution emphasizes careful clinical evaluation, documented surgical planning, risk assessment, and special attention to operative time, particularly during more extensive elective procedures.

In practice, the decision to combine surgeries should always consider:

• Overall health status
• Surgical complexity
• Estimated operating time
• Appropriate hospital facilities
• An experienced multidisciplinary team
• A carefully planned recovery process

The objective is never to perform more procedures than necessary, but rather to perform only those that can be completed safely.

The Importance of a Personalized Evaluation

Not every patient benefits from combining a facelift, blepharoplasty, and neck surgery.

During the consultation, the surgeon carefully evaluates factors such as:

• Degree of facial aging
• Skin quality
• Deep facial structures
• Overall health
• Personal goals
• Available recovery time

This evaluation makes it possible to develop a fully personalized surgical plan.

Modern plastic surgery is based on individualized care rather than standardized solutions.

Natural-Looking Results Are the Main Goal

Today’s patients seek elegant and subtle rejuvenation.

Most want to:

• Look well-rested
• Preserve natural facial expressions
• Maintain their identity
• Avoid an artificial appearance
• Achieve balanced facial rejuvenation

This philosophy guides Dr. José Salim Cury’s work, focusing on facial rejuvenation through careful medical planning, individualized treatment, and a commitment to natural-looking results.

Looking younger is less important than continuing to look like yourself.

When medically indicated and carefully planned, combining a facelift, blepharoplasty, and neck lift can provide comprehensive and harmonious facial rejuvenation.

Winter offers conditions that may make recovery more comfortable, but the true difference lies in choosing an experienced surgeon, undergoing surgery in an appropriate hospital setting, and following today’s highest safety standards.

Successful facial rejuvenation is not about performing more procedures.

It is about performing the right procedure, at the right time, for the right patient.

Schedule Your Consultation

If you would like to learn whether combining a facelift, blepharoplasty, and neck lift is the right option for you, schedule a consultation with Dr. José Salim Cury in São Paulo.

During your evaluation, a personalized treatment plan will be created to understand your goals, respect your unique facial anatomy, and recommend the most appropriate facial rejuvenation strategy with a focus on safety, natural-looking results, and long-term outcomes.

The first step toward elegant facial rejuvenation begins with a treatment plan designed exclusively for you.