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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.
20+ Years Experience
Board-Certified FRCSC
4.9 Google Rating
10-Day Avg. Recovery
Seeing Is Believing
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.
Real Patient Stories
Hear Real Patients Share their experiences
Hear directly from patients as they share their personal experiences, transformations, and journeys in their own words.
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MB, BS, MSc, FRCS (Plast), FRCSC
About Dr. Tregaskiss
Dr. Ashley Tregaskiss is a board-certified plastic surgeon in Vancouver with over 20 years of experience and a focus on advanced facial and neck rejuvenation. After a decade at Vancouver General Hospital treating complex craniofacial and head and neck conditions, he transitioned fully into private practice in 2024, bringing exceptional anatomical expertise and surgical precision to his aesthetic work.
Meet The Doctor
Understanding the Procedure
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.
Understanding the Procedure
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.
Hear it from our previous patients
Trusted by Vancouver’s most discerning patients.
“Two weeks ago, Dr. Tresgaskiss performed a complicated face and neck lift, eye blepharoplasty, laser resurfacing, and fat injection on me. I am thoroughly over the moon elated with the remarkable results, which went beyond any of my expectations. The results are FLAWLESS and after just 2 weeks, I'm back at work and observing a noticeable change in how people respond to me. Because I do high-end videos representing luxury real estate, it's critically important that my appearance reflect the magnificent quality of the homes I represent - and now they do! Thank you Dr. Tresgaskiss. I believe this is a life-changing event. Trust his instincts! He's honest, ethical, and extremely talented. Canada is truly lucky to have this amazing talent! ”
— Sharon. Verified Patient
“I had upper and lower blepharoplasty with Dr. Tregaskiss and my experience was absolutely amazing. From the very first consultation, he made me feel comfortable and confident in my decision. His professionalism, attention to detail, and kind bedside manner really stood out. The procedure itself went smoothly, recovery was easier than I expected, and the results are beyond what I imagined. I couldn’t be happier and would highly recommend Dr. Tregaskiss (and his team) to anyone considering eyelid surgery. ”
— Bre. Verified Patient
“Had an amazing experience with Dr. Tregaskiss and the team for my upper blepharoplasty! From start to finish they were knowledgeable, timely, professional, and I had incredible results. I’d highly recommend anyone to this clinic. Thanks team! ”
— Faith. Verified Patient
“I had a great experience at PPS for my lower blepharoplasty and under eye fat transfer! Could not recommend Dr. Tregaskiss more he was very supportive, thorough, and laid out many different options for me to consider :) ”
— Jessica. Verified Patient
“I had a lower bleph and am so happy with the results. Dr T has such a kind and comforting demeanour and the communication with the team was easy and great through recovery. ”
— Taelore. Verified Patient
“After years of looking into the mirror and hating what I saw and not being able to use eye makeup, I finally worked up the courage to have an eyelid lid lift. I was amazed by how great Dr. Tregaskiss and his whole team were; from initial consultation through the surgery, and follow-up. I am totally delighted every time I look in the mirror. Thank you Pacific Surgery, all your staff and especially Dr. Tregaskiss. ”
— Anonymous
“This is the perfect doctor. Knowledgeable, caring and skilled. He did my bleph and I couldn’t be happier. He is and artist and he has taken off at least 15 years. It’s as perfect as you can get. It will be hard to find someone as skilled as him. No pain whatsoever. He is from the UK, as I am and it’s hard to replicate the skills of a UK plastic surgeon. ”
— Anonymous
“The team was warm, organized, and supportive every step of the way, which made the experience even better. My upper eyelid surgery (upper blepharoplasty) exceeded my expectations—the results look natural and refreshed, and the improvement has been remarkable. I truly wish I had done it sooner. I would highly recommend Dr. Tregaskiss and the team at Pacific Plastic Surgery to anyone considering this procedure.”
— Anonymous
Pay Over time
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Pay over time with transparent monthly plans. Our team will walk you through the application and answer every question along the way.
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24-60
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$1,000 - $25,000+
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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.
Questions answered
Most Asked Questions
Don’t see your question? We answer everything personally at your consultation.
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What is rhytidectomy?
Rhytidectomy, commonly known as a facelift, is a surgical procedure aimed at improving visible signs of aging in the face and neck. It involves tightening underlying muscles, removing excess skin, and redistributing facial fat to create a more youthful appearance.
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Who are the ideal candidates for rhytidectomy?
Ideal candidates for rhytidectomy are individuals with sagging skin and loss of facial volume who have good skin elasticity and a strong bone structure. Generally, patients should be in good health and have realistic expectations about the outcomes of the surgery.
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What are the different techniques used in rhytidectomy?
There are several techniques for performing a facelift, including traditional facelifts, mini facelifts, and deep-plane facelifts. The choice of technique depends on the patient's specific needs, desired outcomes, and surgeon's expertise.
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How long does the surgery take?
The duration of a rhytidectomy can vary depending on the complexity of the procedure and whether additional surgeries (like eyelid surgery or brow lifts) are performed simultaneously. Generally, the surgery lasts between 2 to 6 hours.
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What type of anesthesia is used during rhytidectomy?
Rhytidectomy can be performed under general anesthesia or local anesthesia with sedation. The choice depends on the extent of the surgery and patient preference.
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What can I expect during recovery after a rhytidectomy?
Recovery from rhytidectomy typically involves swelling and bruising for several weeks. Most patients can return to light activities within 2 weeks but should avoid strenuous exercise for at least 4 to 6 weeks. Full recovery may take several months before final results are visible.
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Are there any risks associated with rhytidectomy?
As with any surgical procedure, rhytidectomy carries risks such as infection, scarring, hematoma (blood collection under the skin), nerve injury, and complications related to anesthesia. It's essential to discuss these risks with your surgeon prior to surgery.
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How long do the results of a rhytidectomy last?
The results of a rhytidectomy can last anywhere from 5 to 10 years, although individual factors like aging, sun exposure, and lifestyle choices will influence how long the results remain evident.
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Will there be visible scars after a rhytidectomy?
Scarring is an inevitable part of any surgical procedure; however, skilled surgeons make incisions in discreet locations (such as along natural creases) to minimize visibility. Over time, scars typically fade but may remain noticeable for some patients.
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Can rhytidectomy be combined with other procedures?
Yes, rhytidectomy is often performed in conjunction with other cosmetic procedures such as eyelid surgery (blepharoplasty), brow lifts, or fat transfer to enhance overall facial rejuvenation results
Schedule a 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.