Rhytidectomy, also known as rhytidoplasty or more commonly as a facelift, is the surgical procedure to reduce sagging and wrinkling face and neck skin. Facelifts are performed by removing excess fat, redraping the skin of the face and neck, and/or tightening the underlying muscles. 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 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. Outpatient procedures are more common and typically involve some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia, though inpatient procedure requiring a night or more in the hospital may be required, particularly when using general anesthesia or with patients with conditions requiring extra 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, 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. 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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