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. 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.

Depending upon each patient and each surgeon, procedures and techniques will vary greatly, but 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. Facelift surgery can be performed in an office, surgical center, or hospital. 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 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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