About Dr. Tregaskiss
MB, BS, MSc, FRCS (Plast), FRCSC
Dr. Ashley Tregaskiss is a board-certified plastic surgeon in Vancouver with over 20 years of experience and a practice increasingly dedicated to advanced facial and neck rejuvenation.
Following a decade at Vancouver General Hospital treating complex craniofacial trauma and head and neck conditions, he transitioned fully into private practice in 2024. This background provides a level of anatomical expertise and surgical precision that directly informs his aesthetic work.
Dr. Tregaskiss specializes in facelift and neck lift surgery, eyelid rejuvenation, facial fat transfer, and laser-based skin rejuvenation. He has particular expertise in combining facial surgery with laser treatments to enhance skin quality and achieve more refined, natural results. His approach is defined by careful planning, technical precision, and a commitment to outcomes that are balanced, elegant, and undetectable.
5/5
Vancouver’s highly rated plastic surgeon on Ratemds and Google
Facelift and neck lift surgery remain the gold standard for patients seeking to restore a more youthful and refreshed appearance. At Pacific Plastic Surgery, we offer advanced surgical options designed to address facial aging at every level, whether you are noticing early changes in the face, concerns isolated to the neck, or more comprehensive aging across both areas. Each treatment plan is fully customized by Dr. Ashley Tregaskiss to deliver natural-looking results that enhance your features rather than change them.
What Is a Facelift?
A facelift, also known as a rhytidectomy, is a surgical procedure designed to improve visible signs of aging in the mid-to-lower face, including sagging skin, deep folds around the mouth, jowling along the jawline, and loss of definition in the cheeks. The procedure involves carefully placed incisions around the ears and hairline, allowing for repositioning of deeper facial tissues and removal of excess skin, creating smoother contours and a more youthful facial profile. Techniques such as traditional, ponytail, or deep-plane approaches are selected based on your goals.
What Is a Neck Lift?
A neck lift focuses on improving the contour of the neck and jawline by addressing loose skin, excess fat under the chin, and visible muscle banding. In cases of isolated fullness, liposuction performed through small, discreet incisions can refine the neckline, while more advanced concerns may require a comprehensive surgical approach that targets skin, fat, and muscle through hidden incisions around the ear and hairline, resulting in a more defined neckline that complements the face.
Facelift Versus Neck Lift Versus Combined Surgery
Some patients benefit from treating only one area while others achieve the most natural and balanced outcome by addressing both the face and neck together, as a facelift alone is ideal for concerns in the cheeks and jawline while a neck lift alone focuses on the area under the chin and along the neckline, and combining the procedures creates a more seamless transition between the face and neck with a more comprehensive rejuvenation that produces longer lasting and more harmonious results.
Recovery and Downtime
Recovery timelines vary depending on the extent of your procedure, but most patients can expect a manageable healing process, with facelift patients typically returning to daily activities within about 10 days and light exercise within three weeks, while neck lift recovery may require two to three weeks away from work and a gradual return to activity, with swelling and bruising improving over the first few weeks and full activity resuming around four to six weeks as results continue to refine over several months.
Results and What You Can Expect
Patients often report looking 10 to 20 years younger following facelift and neck lift surgery. While results are not permanent, these procedures effectively reset the aging process so you can continue to age more gracefully over time. With Dr. Tregaskiss prioritizing natural-looking outcomes that restore youthful structure and definition without creating an overdone appearance, so you look refreshed, confident, and like yourself.
Before & After
View More Before & AfterFace and Neck Lift Before & Afters
Many patients say they look 10-20 years younger after their face & neck lift procedure. Although these results are not permanent, facelift surgery significantly sets the clock back on skin aging so that you will continue to age more gracefully with a younger and more refreshed look. Dr. Tregaskiss prioritizes natural-looking results to enhance your facial features rather than change them completely. We encourage you to visit our face & neck lift gallery for more before and after photos of our satisfied facelift patients.
Traveling for Surgery
Dr. Tregaskiss regularly treats patients from across northern British Columbia, Yukon, Alberta, and the broader Pacific Northwest, and understands that access to specialized care can be limited in remote areas, which is why our team provides guidance through every step from consultation to recovery planning to ensure a smooth and well-coordinated surgical experience in Vancouver.
Out-of-Town InformationFinancing Options
Flexible third-party financing through Beutifi is available to help make your procedure more accessible, and our team is available to assist you through the application process and answer any questions so you can move forward with confidence.
Why Choose Pacific Plastic Surgery?
At Pacific Plastic Surgery, we are committed to delivering an elevated patient experience by taking the time to understand your goals, recommending solutions that are the right fit for you, and providing attentive pre- and post-surgical care, all supported by an experienced, highly reviewed team known for achieving natural, refined results.
FAQs
What is rhytidectomy?
Who are the ideal candidates for rhytidectomy?
What are the different techniques used in rhytidectomy?
How long does the surgery take?
What type of anesthesia is used during rhytidectomy?
What can I expect during recovery after a rhytidectomy?
Are there any risks associated with rhytidectomy?
How long do the results of a rhytidectomy last?
Will there be visible scars after a rhytidectomy?
Can rhytidectomy be combined with other procedures?
Schedule Your Consultation
Whether you are considering a facelift, a neck lift, or a combination of both, the best way to determine the right approach is through a personalized consultation. Contact Pacific Plastic Surgery using the online contact form to begin your journey.
Contact Us Today
Ready to take the next step? Whether you’re looking to schedule a consultation, ask questions about a procedure, or simply want more information, our expert team at Pacific Plastic Surgery is here to help you feel confident and informed. Reach out today to connect with us — we’d love to start the conversation and support you on your aesthetic journey.
Book a Consultation
You deserve the best solutions to achieve your positive body image. Beautiful results. Highly personalized service.
Call Now: 604-332-6801

