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What is a ponytail facelift? A clear explanation for patients

Published on
November 28, 2025
By Dr. Maarten Van Genechten
Patient explanation of ponytail facelift

The term "ponytail facelift" sounds modern and appealing, but in reality it is imprecise. In fact, it is neither a medical term nor a specific surgical technique. Exactly what a ponytail facelift entails depends greatly on who is asking the question, and who is performing it.

‍Aterm with different meanings

For some people, a ponytail facelift refers to the effect of a tightly tucked ponytail: a slight elevator at the temples, outer corner of the eye and middle face. For others, it is their own interpretation of a mini-lift, subtly tightening superficial skin and tissue layers.

And for some doctors, it is even a commercialized, self-appointed procedure that has nothing to do with what others call "ponytail facelift.So there is no uniform technique, no set steps and no anatomical definition.

In short, "ponytail facelift" is primarily a marketing term, not a medical category.

What a ponytail facelift usually does mean

When people search online for a ponytail facelift, they usually mean: 

A slight elevator of the upper and middle face, through small incisions hidden in the hairline, with a subtle, fresh effect around the temples and cheekbones, and without treatment of the neck or jawline.

Thus, this is not an alternative to a classic or deep plane facelift, as these work at a deeper level and often treat the face more extensively than what the term is usually looked up for by patients.

A realistic conclusion

Because everyone means something different by a "ponytail facelift," it is difficult to judge it as a technique. It is primarily a commercial term that creates expectations, while the actual surgical approach depends entirely on the patient's anatomy and the surgeon's philosophy.

Those who want to know which procedure is really appropriate are therefore best advised based on anatomy and degree of aging, not on a commercial term.

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