What is a facelift?

Rhytidectomy, a surgical procedure commonly known as a facelift, involves the removal of excess facial fat, the tightening of facial muscles, and the stretching of facial skin to approximate a smoother, firmer facial appearance. The procedure takes place on either the face, neck, or both.

Depending on the area of the face or neck where the "lift" is to take place, the surgeon will separate the skin from the fat and muscle. The fat is then removed and the skin is pulled back into place with any excess removed.

Possible complications associated with facelifts

Possible complications associated with facelifts may include, but are not limited to, the following:

• Nerve injury. Facial nerve injury or weakness may occur along with numbness or changes in skin sensation.

• Infection and anesthesia reaction. As with any type of surgery, there is a risk of infection and a reaction to the anesthesia.

• Hematoma. A hematoma, blood that collects under the skin, could occur. They are generally removed by the doctor.

• Slower healing process (for some people). Smokers, in particular, may find that the healing process following a facelift is slower than normal.

Who are candidates for facelift?

The best candidates for a facelift are those whose face and/or neck have begun to sag, but whose skin still has some elasticity. The procedure also works best on persons whose bone structure is strong and well-defined.

About the procedure

Although each procedure varies, generally, facelift surgeries follow this process:

• Location options may include:

  • Surgeon's office-based surgical facility

  • Outpatient surgery center

  • Hospital outpatient

  • Hospital inpatient

• Anesthetic options may include:

  • General anesthesia

  • Local anesthesia, combined with intravenous (allows the patient to remain awake but relaxed)

• Average length of procedure:

  • Several hours or longer, if more than one procedure is being performed

• Some possible short-term side effects of surgery:

  • Pain after surgery is not unusual, though generally well-controlled with medication 

  • Temporary numbness of the skin