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 is achieved by redraping the face and neck skin, tightening the underlying muscles, and/or removing fatty deposits. Facelifts can be performed in conjunction with other procedures to further resolve the effects of aging, including forehead lifts, rhinoplasty, or eyelid surgery.

Procedures and techniques will vary greatly among surgeons and from patient to patient, however on the whole you can 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. The procedure is most typically done on an outpatient basis while the patient is under some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia, though some surgeons may choose to hospitalize patients for a night or more, particularly when using general anesthesia or performing the procedure on patients with conditions requiring additional post-operative care.

Incisions are most often placed in the hairline, then pass in front of and behind the ears. The surgeon may then remove fatty deposits and/or tighten sagging muscles before lifting the skin up, removing the excess, and suturing it into place. A dressing is usually applied following surgery to protect the entire area where the incisions have been made. This usually includes a loose wrapping around the head which can minimize swelling and bruising. In order to drain any blood that can form and collect, a small tube may be temporarily placed beneath the skin behind the ear.

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