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. Other procedures like forehead lifts, rhinoplasty or eyelid surgery are often performed in conjunction with a facelift to further resolve the effects of aging.

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 last between two and four hours, though more extensive procedures may take longer and multiple 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. 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 usually includes a loose wrapping around the head which can minimize swelling and bruising. 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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