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. 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. 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 typically placed within in 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. A dressing is usually applied following surgery 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. 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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