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Prime Vitality Signature Treatment

Ultra Facelift in San Antonio — A Surgical Result Without Surgery

Our signature combination of PDO threads, fillers, Botox, and RF technology — engineered by Dr. Goel to lift, tighten, and sculpt your face in a single session.

500+ 5-Star Reviews Triple Board-Certified San Antonio's Premier Med Spa
Signature Non-Surgical Facelift

What Is the Prime Ultra Facelift?

The Prime Ultra Facelift is our signature non-surgical facelift protocol — a comprehensive, multi-modality treatment that delivers surgical-caliber results without a single incision. Designed and performed exclusively by Dr. Shiv Goel, it strategically combines PDO threads, dermal fillers, neuromodulators (Botox/Dysport), and radiofrequency skin tightening in one extended treatment session.

Unlike individual treatments that address one concern at a time, the Ultra Facelift tackles every dimension of facial aging simultaneously: sagging tissue is mechanically lifted, lost volume is restored, dynamic wrinkles are smoothed, and skin laxity is tightened at the cellular level. The result is a visibly younger, sculpted face — achieved in 2–3 hours with no general anesthesia and dramatically less downtime than surgery.

Each Ultra Facelift is custom-planned using advanced 3D facial analysis, ensuring every thread, injection, and RF pass is placed with precision for your unique anatomy and aesthetic goals.

Physician-Designed & Physician-Performed

This isn't an off-the-shelf package. Dr. Goel personally designs your treatment plan and performs every modality himself — from thread placement to filler artistry to RF calibration. His triple board-certification in Internal Medicine, Functional Medicine, and Aesthetic Medicine is your assurance of safety, precision, and exceptional results.

Woman with sculpted, youthful facial contours after non-surgical facelift
Six Modalities, One Session

What’s Included in Your Ultra Facelift

Each component is strategically layered by Dr. Goel to create a synergistic result that no single treatment can achieve alone.

1 PDO thread lift for facial lifting

PDO Thread Lift

Absorbable threads create an immediate mechanical lift for sagging cheeks, jowls, and jawline — restoring youthful structure and triggering long-term collagen production along the thread pathway.

2 Dermal filler injection for volume restoration

Strategic Filler Placement

Hyaluronic acid fillers restore lost volume in the temples, cheeks, nasolabial folds, and under-eye hollows. Precisely placed to support the thread lift and recreate youthful facial contours.

3 Botox neuromodulator treatment for wrinkles

Neuromodulator Refinement

Botox or Dysport is strategically injected to relax dynamic wrinkles across the forehead, crow’s feet, and frown lines — creating a smooth, rested appearance that complements the structural lift.

4 Morpheus8 RF skin tightening device

RF Skin Tightening

Morpheus8 or Exion radiofrequency energy penetrates deep into the dermis, remodeling collagen and elastin at the cellular level. This tightens skin, refines texture, and enhances the overall lift.

5 PRP platelet-rich plasma treatment

PRP Infusion

Your own platelet-rich plasma (PRP) is drawn, concentrated, and infused into treated areas. Growth factors accelerate healing, amplify collagen production, and create a lasting post-treatment glow.

6 3D facial analysis and digital mapping

3D Facial Analysis

Advanced digital mapping technology creates a precise blueprint of your facial anatomy. Dr. Goel uses this data to plan every thread, filler placement, and RF pass with millimeter-level accuracy.

The Prime Vitality Difference

Why San Antonio Trusts Dr. Goel for Non-Surgical Facelifts

The Ultra Facelift requires a physician with expertise across multiple modalities. That’s what makes Dr. Goel uniquely qualified.

Physician-Performed

Every aspect of the Ultra Facelift — threads, fillers, Botox, and RF — is performed personally by Dr. Goel. Never delegated to a nurse, PA, or technician.

Triple Board-Certified

Internal Medicine. Functional Medicine. Aesthetic Medicine. Dr. Goel’s rare triple certification means your multi-modality treatment is guided by deep medical expertise.

Custom-Engineered Plan

No two Ultra Facelifts are identical. Dr. Goel uses 3D facial analysis to design a protocol tailored to your unique anatomy, aging patterns, and aesthetic goals.

Award-Winning Care

America’s Best Doctor 2025, Texas Top Physician 2023–2024, WebMD Top Doc 2025. Featured on KENS5 and Great Day SA. Over 500 five-star Google reviews.

Real Results

Ultra Facelift Before & After

See the dramatic, multi-dimensional results our Ultra Facelift patients achieve — all without surgery or general anesthesia.

Before Ultra Facelift treatment After Ultra Facelift treatment
BeforeAfter

Full-face lift & volume restoration — 1 session

Before jawline and jowl treatment After jawline sculpting treatment
BeforeAfter

Jawline sculpting & jowl elimination — 1 session

Before cheek and midface treatment After cheek lift and skin tightening
BeforeAfter

Cheek lift, skin tightening & wrinkle reduction — 1 session

Results may vary. Individual results depend on multiple factors including skin type, age, and treatment combination. Images shown are for illustrative purposes.

See More Results →
Your Journey

The Ultra Facelift Experience

From your initial consultation to your stunning reveal, every step is meticulously designed for safety, comfort, and transformative results.

1

3D Consultation & Design

Dr. Goel performs a comprehensive facial assessment with 3D digital analysis. He maps your anatomy, discusses your goals, and designs a custom Ultra Facelift protocol — showing you the projected results before treatment begins.

2

Comfort & Preparation

Medical-grade topical and local anesthesia is applied to ensure complete comfort throughout the extended session. You’ll be relaxed and pain-free in our private treatment suite.

3

Multi-Modality Treatment

Over 2–3 hours, Dr. Goel performs each component: PDO thread placement, strategic filler injection, neuromodulator refinement, RF skin tightening, and PRP infusion — all in one seamless session.

4

Recovery & Reveal

You’ll see an immediate lift on day one. Mild swelling resolves in 5–7 days. Progressive improvement continues for 3–6 months as collagen remodels. Dr. Goel schedules follow-up visits to monitor your transformation.

Patient Reviews

What Our Patients Are Saying

Real reviews from real patients — verified across Google, Yelp, Zocdoc, and RealSelf.

Google ★★★★★

“Dr. Goel is the best. I been to many dermatologist and non have given me the results that I have gotten at Prime Vitality. I 100% recommend this place to anyone that is looking for great results with any skin treatment.”

Kedra L.
Google ★★★★★

“Dr. Goel is amazing! He really takes his time to understand your concerns and provides the best treatment plan. The results have been incredible. Highly recommended!”

Vivek S.
Yelp ★★★★★

“This place is wonderful! The staff is super friendly and Dr. Goel really knows his stuff. I got the HydraFacial and my skin has never looked better. Already booked my next appointment!”

Christina G.
Zocdoc ★★★★★

“Great experience! Very professional and knowledgeable. Dr. Goel explained everything thoroughly and I felt very comfortable. Results exceeded my expectations.”

J.S.
RealSelf ★★★★★

“Had an amazing experience with Dr. Goel. He was very thorough in explaining the procedure and what to expect. The staff was incredibly welcoming. Results have been fantastic!”

Beastbro2001
Google ★★★★★

“I’ve been going to Prime Vitality for several months and each visit gets better! Dr. Goel and his team are amazing. They’re attentive, professional, and really care about results. Highly recommend!”

Serena J.
5.0 ★
Google (88 reviews)
5.0 ★
Yelp (11 reviews)
5.0 ★
Zocdoc
RealSelf
WebMD Top Doc
Vitals
Transparent Pricing

Ultra Facelift Investment

A comprehensive, multi-modality treatment performed by a triple board-certified physician. Your investment reflects the skill, time, and premium products involved.

Ultra Facelift Consultation

Free

Complimentary — no obligation

  • One-on-one with Dr. Goel
  • 3D facial analysis
  • Custom treatment plan
  • Projected results preview
  • No-pressure environment
Book Free Consultation

Ultra Facelift (Premium)

$6,000+

With PRP infusion + LED therapy

  • Everything in Standard
  • PRP growth factor infusion
  • LED light therapy session
  • Premium aftercare kit
  • Priority follow-up scheduling
Book Premium Ultra Facelift

Financing available through CareCredit and Cherry. Low monthly payments with approved credit.

✨ Save Up to 20% as a Prime Elite Member

Join our exclusive membership program for preferred pricing on the Ultra Facelift and all aesthetic treatments.

Learn About Membership
Common Questions

Ultra Facelift FAQs: Everything You Need to Know

Everything you need to know about the Prime Ultra Facelift at Prime Vitality Care in San Antonio.

The Prime Ultra Facelift is our signature non-surgical facelift that combines multiple advanced modalities in a single session: PDO threads for mechanical lifting, dermal fillers for volume restoration, Botox/Dysport for wrinkle smoothing, radiofrequency skin tightening (Morpheus8 or Exion), and PRP infusion for accelerated healing. Designed and performed exclusively by Dr. Goel, it delivers surgical-level results without incisions, general anesthesia, or extended downtime.

A surgical facelift requires general anesthesia, incisions along the hairline, 2–4 weeks of significant downtime, and carries risks of scarring, nerve damage, and surgical complications. The Ultra Facelift achieves comparable lifting, volumizing, and tightening results using minimally invasive techniques — all performed in-office in 2–3 hours. You go home the same day with only 5–7 days of mild swelling and bruising. No scars, no stitches, no surgical risks.

The complete Ultra Facelift session takes approximately 2–3 hours. This includes numbing/preparation time and the sequential application of all treatment modalities. Because everything is done in one session, you avoid the inconvenience and cumulative downtime of scheduling separate treatments over multiple weeks.

Expect 5–7 days of mild swelling and bruising — significantly less than the 2–4 weeks required after surgical facelifts. Most patients return to work and social activities within a week. Swelling peaks around days 2–3 and resolves progressively. You’ll receive a detailed aftercare plan and can cover any remaining bruising with mineral makeup after 48 hours.

Ultra Facelift results typically last 12–18+ months, depending on the specific combination used and your body’s response. You’ll see an immediate lift on day one, with progressive improvement over the following 3–6 months as collagen remodels and threads integrate. Many patients extend their results with targeted maintenance treatments (touch-up filler or neurotoxin) every 6–12 months.

Ideal candidates are adults experiencing moderate to significant facial aging — sagging cheeks, jowls, loss of jawline definition, volume loss, and skin laxity — who want dramatic results but prefer to avoid surgery. Typical patients are aged 35–65, in good general health, and have realistic expectations. During your complimentary consultation, Dr. Goel will evaluate your anatomy and goals to confirm candidacy.

Comfort is a top priority. Medical-grade topical numbing cream and local anesthesia are used throughout the procedure to keep you completely comfortable. Most patients report minimal discomfort — describing the sensation as mild pressure or warmth. Dr. Goel adjusts technique in real-time based on your feedback. Post-treatment, any tenderness is easily managed with over-the-counter pain relief for 1–2 days.

The Ultra Facelift requires mastery across four distinct treatment modalities — threads, injectables, neuromodulators, and energy-based devices — and the medical judgment to combine them safely in a single session. This level of complexity demands a physician’s training in anatomy, pharmacology, and complication management. Dr. Goel’s triple board-certification and thousands of aesthetic procedures performed make him uniquely qualified to deliver this comprehensive treatment safely and with optimal results.

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