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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.
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.
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.
Each component is strategically layered by Dr. Goel to create a synergistic result that no single treatment can achieve alone.
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.
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.
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.
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.
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.
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 Ultra Facelift requires a physician with expertise across multiple modalities. That’s what makes Dr. Goel uniquely qualified.
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.
Internal Medicine. Functional Medicine. Aesthetic Medicine. Dr. Goel’s rare triple certification means your multi-modality treatment is guided by deep medical expertise.
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.
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.
See the dramatic, multi-dimensional results our Ultra Facelift patients achieve — all without surgery or general anesthesia.
Full-face lift & volume restoration — 1 session
Jawline sculpting & jowl elimination — 1 session
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 →From your initial consultation to your stunning reveal, every step is meticulously designed for safety, comfort, and transformative results.
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.
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.
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.
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.
Real reviews from real patients — verified across Google, Yelp, Zocdoc, and RealSelf.
“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.”
“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!”
“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!”
“Great experience! Very professional and knowledgeable. Dr. Goel explained everything thoroughly and I felt very comfortable. Results exceeded my expectations.”
“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!”
“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!”
A comprehensive, multi-modality treatment performed by a triple board-certified physician. Your investment reflects the skill, time, and premium products involved.
Complimentary — no obligation
Starting price — varies by treatment plan
With PRP infusion + LED therapy
Financing available through CareCredit and Cherry. Low monthly payments with approved credit.
Join our exclusive membership program for preferred pricing on the Ultra Facelift and all aesthetic treatments.
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.
The Ultra Facelift incorporates elements of these individual treatments. Explore each for targeted solutions.
Minimally invasive RF-assisted lipolysis for precision facial contouring and skin tightening with minimal downtime.
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Dissolvable threads provide immediate mechanical lift for sagging cheeks, jowls, and neck while stimulating natural collagen.
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Hyaluronic acid fillers restore volume, sculpt contours, and smooth wrinkles in the cheeks, lips, jawline, and under-eyes.
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FDA-cleared RF microneedling for deep collagen remodeling, skin tightening, and texture refinement on face and body.
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