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 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.

Procedures and techniques will vary greatly among surgeons and from patient to patient, however on the whole you can 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 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. Following surgery, a dressing is typically applied 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. 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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