Rhytidectomy, or facelift surgery, is the surgical procedure which reduces wrinkling and sagging skin of the face and neck. This can be done by redraping the skin of the face and neck, removing excess fat, 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 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 be performed in a hospital, surgical center, or office. The procedure is most typically done on an outpatient basis while the patient is under some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia, though some surgeons may choose to hospitalize patients for a night or more, particularly when using general anesthesia or performing the procedure on patients with conditions requiring additional post-operative care.

Incisions are typically situated within the hairline and passing in front of and behind the ears. Sagging muscles may be tightened and fatty deposits removed before the skin is lifted up, the excess removed, and then sutured into place. Following surgery, a dressing is typically applied 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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