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. 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 procedures typically take between two and four hours, though more extensive or multiple procedures may take longer or even 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. 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, the entire area where the incisions have been made is typically protected with a dressing. This usually includes a loose wrapping around the head which can minimize swelling and bruising. A small tube may be temporarily placed underneath the skin behind the ear in order to drain any blood that can collect there.

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