Rhytidectomy, also known as rhytidoplasty or more commonly as a facelift, is the surgical procedure to reduce sagging and wrinkling face and neck skin. Facelifts are performed by removing excess fat, redraping the skin of the face and neck, and/or tightening the underlying muscles. 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.

While procedures and techniques will vary from patient to patient and among surgeons, you can generally 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 take place in a surgical center, hospital or office. 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. 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 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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