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. To further resolve the effects of aging, facelift surgery is often performed in conjunction with other procedures, such as a forehead lift, 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 procedures typically take between two and four hours, though more extensive or multiple procedures may take longer or even require two separate sessions. Facelift surgery can be performed in an office, surgical center, or hospital. The procedure is most typically done under some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia on an outpatient basis, though some cases may be performed on an inpatient basis, requiring an overnight stay in the hospital, particularly when using general anesthesia or for patients with conditions requiring additional post-operative care.

Incisions are typically situated within the hairline and passing in front of and behind the ears. Removal of fatty deposits beneath the skin and tightening of sagging muscles may be required before the skin is then lifted up, the excess removed, and sutured into place. Following surgery, a dressing is typically applied to protect the entire area where the incisions have been made. This may include wrapping the head loosely in bandages, which helps to minimize bruising and swelling. 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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