Rhytidectomy, or facelift surgery, is the surgical procedure which reduces wrinkling and sagging skin of the face and neck. Facelifts are performed by removing excess fat, redraping the skin of the face and neck, 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.

Depending upon each patient and each surgeon, procedures and techniques will vary greatly, but 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 be performed in a hospital, surgical center, 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 typically situated within the hairline and passing 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. 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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