Rhytidectomy, or facelift surgery, is the surgical procedure which reduces wrinkling and sagging skin of the face and neck. This is achieved by redraping the face and neck skin, tightening the underlying muscles, and/or removing fatty deposits. Facelifts can be performed in conjunction with other procedures to further resolve the effects of aging, including forehead lifts, 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 last between two and four hours, though more extensive procedures may take longer and multiple procedures may require two separate sessions. Facelift surgery can be performed in an office, surgical center, or hospital. 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 most often placed in the hairline, then pass 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. A dressing is usually applied following surgery 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. In order to drain any blood that can form and collect, a small tube may be temporarily placed beneath the skin behind the ear.

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