Rhytidectomy, also known as rhytidoplasty or more commonly as a facelift, is the surgical procedure to reduce sagging and wrinkling face and neck skin. This can be done by redraping the skin of the face and neck, removing excess fat, and/or tightening the underlying muscles. Other procedures like forehead lifts, rhinoplasty or eyelid surgery are often performed in conjunction with a facelift to further resolve the effects of aging.

While procedures and techniques will vary from patient to patient and among surgeons, you can generally expect the following:Facelift surgery generally takes between two and four hours, though it may take longer when combined with other procedures and more extensive procedures may require two separate sessions. The surgery can take place in a surgical center, hospital or office. Outpatient procedures are more common and typically involve some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia, though inpatient procedure requiring a night or more in the hospital may be required, particularly when using general anesthesia or with patients with conditions requiring extra post-operative care.

Incisions are most often placed in the hairline, then pass in front of and behind the ears. Sagging muscles may be tightened and fatty deposits removed before the skin is lifted up, the excess removed, and then sutured into place. Following surgery, the entire area where the incisions have been made is typically protected with a dressing. This dressing may involve loosely wrapping the head in bandages to minimize bruising and swelling. A small drainage tube may be placed behind the ear temporarily in order to drain any blood that can collect there.

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