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.

While procedures and techniques will vary from patient to patient and among surgeons, you can generally expect the following:facelift procedures typically last between two and four hours, though more extensive procedures may take longer and multiple procedures may require two separate sessions. The surgery can be performed in a hospital, surgical center, 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 most often placed in the hairline, then pass 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. 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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