Awake, and completely comfortable
Local anesthesia with light IV sedation means no breathing tube and no risks of general anesthesia. Most patients simply doze off naturally and remember little of the day, just that it was easy.
Beverly Hills · Deep Plane Face & Neck Lifts
For 39 years, Dr. David Hansen has performed deep plane face and neck lifts under gentle local anesthesia, with no breathing tube, no drains, and no two weeks of bruising. Most patients simply doze through the procedure and are unwrapped two days later, looking like themselves: rested, refined, and natural.
Consultations with Dr. Hansen personally · 310-273-8006
Patient Results
Drag the handle, or use your arrow keys, to compare each patient before and after surgery. Every photograph is unretouched and shared with the patient's written permission.
Individual results vary. Photographs represent the experience of individual patients and are not a guarantee of any particular outcome.
Ready to see results like these in person?
Call the office · 310-273-8006
Meet Your Surgeon
Dr. Hansen holds two specialties. He is a board‑certified dermatologic surgeon who then completed full plastic and reconstructive surgery training. The combination is rare, and it matters: a plastic surgeon's technique guided by a dermatologic surgeon's deep understanding of how skin stretches, heals, and scars.
For 39 years he has practiced in the same Beverly Hills office, with his own fully accredited surgery center attached. He schedules one patient per surgery day, performs every consultation himself, a full, unhurried hour, and personally follows each patient through recovery, weekends included. He lives five minutes from the office, and his patients know it.
The Difference
Local anesthesia with light IV sedation means no breathing tube and no risks of general anesthesia. Most patients simply doze off naturally and remember little of the day, just that it was easy.
Under general anesthesia, a surgeon can never sit you upright to check symmetry. Dr. Hansen does, several times, which is how he delivers his signature: a sharp, defined jawline and a smooth, even, natural result.
No drains. Minimal bruising and swelling. Most patients need a single pain pill the first night, drive themselves to their two‑day follow‑up, and are amazed at how good they already look.
Your surgery gets Dr. Hansen's entire day. He is never rushed and never books two cases. Afterward he sees you at every stage of healing, on weekends when needed, until your final photographs.
The Procedure
A deep plane facelift works beneath the surface, releasing the ligaments and repositioning the muscle layer, the underlying tissue, and the skin as one unit. Dr. Hansen has worked this way for decades; what sets his approach apart is doing it while you're comfortably awake.
Sagging jowls, a softening jawline, deepening folds, and loose or crepey skin in the neck. The face and neck age together, so Dr. Hansen always treats them together. A tight face above a sagging neck is never the goal, and never the result.
A lift repositions skin; it doesn't renew it. That's why most patients add same‑day skin resurfacing (Morpheus8 radiofrequency and a TCA peel across the face, neck, and chest) so the skin itself looks as refreshed as the contour beneath it.
Arrive in the morning, home by late afternoon. Most patients doze through the procedure and feel no pain.
The head wrap comes off. With no drains and minimal bruising, most patients drive themselves in, and can't believe the mirror.
A simple daily wrap at home. Sutures dissolve on their own. Most patients feel comfortable in public by two weeks.
Back to work and social life. Follow‑up visits confirm everything is healing beautifully.
Resurfacing collagen continues to build. Incisions fade until they're difficult to find. The refined result matures.
In Their Own Words
Hear patients describe their consultation, their recovery, and how they feel about their results, in their own words.
"Her saggy neck made her feel older, so she fixed it" · Tony
"10 years later, her facelift still looks this good" · Anita
"One week later, people couldn’t believe it" · Ann Marie
"A facelift while awake, and felt no pain" · Carlita
Kind Words
Testimonials reflect individual experiences. Individual results vary.
Questions
Honest answers to the questions patients bring to consultation. Anything we haven't covered, Dr. Hansen will answer in person, and there is no such thing as a silly question.
Technically yes, but practically no. You receive gentle relaxing medication and IV sedation, and most patients simply fall asleep naturally and remember little or nothing of the procedure. You feel no pain at any point. Dr. Hansen only rouses you briefly when it's time to sit up so he can fine‑tune your result.
Three reasons. Safety: avoiding general anesthesia eliminates the majority of surgical risk, which is why patients with heart or health histories can often still qualify. Precision: with no breathing tube distorting your mouth, Dr. Hansen can sit you upright during surgery to check that both sides are even, which is impossible under general. Recovery: general anesthesia affects the blood physiologically, which can raise blood pressure and, in turn, increase bleeding, leaving weeks of bruising and the need for drains; under local there are no drains and minimal bruising.
Patients range from their mid‑forties to their eighties. Most are bothered by jowls, a softening jawline, or a crepey neck that fillers and non‑invasive treatments no longer help. Because the procedure avoids general anesthesia, many patients with heart conditions or other health histories can still qualify with clearance from their own physician.
A mini lift pulls a little skin near the ear. It looks fine for a few months and then relaxes. A deep plane facelift works in three layers: the muscle is lifted with its supporting ligaments released, the underlying tissue repositioned, and the skin redraped without tension. The result lasts longer and looks natural because nothing is stretched. Everything is returned to where it used to be.
Meticulous suturing is Dr. Hansen's craft. Incisions follow the natural ridges of the ear and are hidden inside the hairline, never in front of it, and as a dermatologic surgeon he also knows how to treat and fade scars as they heal. After three to four months, they are very difficult for anyone to find.
You go home the same afternoon. Most patients take a single pain pill the first night, usually just to sleep, and nothing after that. At two days the head wrap comes off, with minimal bruising or swelling and no drains. You'll wear a simple wrap at home for a week or two, and most patients feel comfortable in public within two weeks. Dr. Hansen sees you personally throughout.
Yes. About half of Dr. Hansen's patients come for exactly this. Some had a lift under general anesthesia that healed uneven or didn't include the neck; others simply want their result refreshed after many years. Because revisions are done under local, he can sit you up and correct precisely what bothers you. Other surgeons refer their own patients to him for this reason.
Every surgical plan is individual, so exact fees are quoted in writing at your consultation, with the surgery center, follow‑up visits, and supplies included, and no hidden costs. Most face and neck lifts fall in the $20,000–$30,000 range, with the optional skin resurfacing package quoted separately. Financing is available through Cherry and CareCredit.
You spend a full hour with Dr. Hansen himself, not a coordinator. He examines your face and neck, explains exactly what he would and wouldn't recommend, shows you before‑and‑after cases like yours, walks you through the surgery center attached to the office, and gives you every fee in writing. Then the decision is yours, on your own timeline, and if a question comes to you later, you call him directly.
Begin the Conversation
Sit down privately with Dr. Hansen in Beverly Hills. Ask every question, see results for patients like you, and tour the surgery center where your procedure would take place. Then decide, on your own timeline.