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 can be done by redraping the skin of the face and neck, removing excess fat, 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.

Procedures and techniques will vary greatly among surgeons and from patient to patient, however on the whole you can 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 most typically placed within in the hairline and passing in front of and behind the ears. The surgeon may then remove fatty deposits and/or tighten sagging muscles before lifting the skin up, removing the excess, and suturing it into place. Following surgery, the entire area where the incisions have been made is typically protected with a dressing. 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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