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. 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 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 be performed in a hospital, surgical center, 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 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 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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