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. 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 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 take place in a surgical center, hospital 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. A dressing is usually applied following surgery to protect the entire area where the incisions have been made. This dressing may involve loosely wrapping the head in bandages to minimize bruising and swelling. 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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