Rhytidectomy
Facelift
What is a Rhytidectomy (Facelift)?
Facelift surgery is effective at supporting relaxed tissues and skin. It does not restore youthful elasticity. It has the greatest benefit in the upper neck, along the jawline, and in the region of the smile lines. A patient can simulate the procedure by lifting the cheek and neck with fingertips. Ultimately, we elevate the cheek and neck structures and remove the surplus above and behind the ear. Often, the hairline will be moved upward.
These patients are usually fitted overnight with a large and compressive bandage. This dressing reduces the chance of bruising, and in general, facelift patients will look well a few days after the operations. Most have little bruising. However, the operation is still likely to produce great fatigue for weeks and cause swelling.
Who is a good candidate?
You may be a candidate for a Rhytidectomy (facelift) if you have experienced a loss of skin elasticity and muscle tone of the face and neck. A facelift may also be desirable if you have the appearance of jowls and deep creases between the base of the nose and the corners of the mouth, or developed facial and neck wrinkles. If you believe you lack youthful chin and neck contours and/or feel you have a tired facial appearance, a facelift may be the answer. A facelift is intended to give you a more rested and youthful contour to the face.
How is the procedure performed?
Facelifts range in size from "mini" to "standard", depending on location and extent of skin laxity. The procedure is done on an outpatient basis under local anesthesia with sedation, or under general anesthesia. Incisions are made within the hairline (or along the hair margin) above the ear, extending down around the lobe and ending in or below the hairline behind the ear. The subcutaneous layers and neck muscles are tightened, the facial skin is re-draped and lifted, and the excess skin is removed.
What does recovery look like?
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First Week: Swelling, bruising, and mild to moderate discomfort are common. Most patients can manage pain with prescribed or over-the-counter medication. Keep your head elevated and avoid strenuous activity.
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Stitches & Dressings: Stitches are typically removed within 5–10 days. Dressings may be changed or removed within the first few days.
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Returning to Activities: Most people feel comfortable returning to work and social activities in 2–3 weeks, though minor swelling or numbness may persist longer.
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Final Results: Visible improvements appear within a few weeks, with optimal results developing over 2–3 months as swelling fully subsides.
Frequently asked questions
Does insurance cover my rhytidectomy (facelift) surgery?
Insurance carriers typically do not cover surgeries like facelifts which are cosmetic. Be sure to ask your surgeon about the total costs of the procedure, including anesthesia, medical tests, follow-up care, prescriptions, etc. We do offer CareCredit financing. Please inquire with our business office if you have questions regarding this option
What is the best age for a facelift?
While there's no single "best age" for a facelift, most patients have the procedure in their 40s, 50s, or 60s when they notice signs of aging. The right time is a personal decision, as genetics, lifestyle, and environment cause everyone to age differently. A facelift typically lasts seven to ten years, so some patients opt for an initial procedure in their late 40s or early 50s, followed by a second one later in life to maintain their results.
Are there any risks or complications?
All surgeries carry some risk. Some risks with this procedure include bleeding, infection, poor wound healing, temporary or permanent hair loss, prolonged swelling, etc. Your surgeon will discuss the specific risks of this procedure with you.
How long will swelling last?
Bruising and swelling are normal after this procedure, and will typically be at their peak about 2 days after surgery. By day 10-14 bruising and swelling usually become difficult to notice. As you get back into your routine, it's important to keep your face protected from the sun. You'll be susceptible to burns and increase the chances of poor scar healing.