facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:

  • Relaxation of the skin of the face causing sagging
  • Deepening of the fold lines between the nose and corner of the mouth
  • Fat that has fallen or has disappeared
  • Jowls developing in the cheeks and jaw
  • Loose skin and excess fat of the neck that can appear as a double chin or "turkey neck".

The loss of youthful contours in the face can be due to variety of factors, including thinning of the skin, loss of facial fat, gravity, sun damage, smoking, as well as heredity and stress.

Other procedures that might be performed in conjunction with a facelift are brow lift and eyelid surgery to rejuvenate aging eyes. Fat transfer or fillers may be suggested to replace the lost fatty volume. Skin treatments such as IPL, dermabrasion, peels or laser may be offered to improve the quality and texture of the skin.

As a restorative surgery, a facelift does not change the fundamental appearance and cannot stop the aging process.

A facelift can only be performed surgically; minimally invasive rejuvenation treatments cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate and complement the results of surgery.

The procedure

Face lift may be done under intravenous sedation or general anesthesia. Depending on the degree of change facelift choices include a traditional facelift, mini lift or a neck lift.

A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted. Skin is redraped over the uplifted contours and excess skin is trimmed away.

A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.

An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear. "Mini-lifts" are usually reserved for patients with less skin relaxation, as the results are less rejuvenating than a full facelift. A necklift addresses the sagging jowls, loose neck skin and fat accumulation under the chin. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear, and ends in the posterior hair behind the ear. The incisions will be closed with sutures that may dissolve or may need to be removed after a few days. Sometime surgeon use skin glues to seal the incisions. Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.

The visible improvements of a facelift appear once swelling and bruising subside. Final result should not only restore a more youthful and rested appearance, but also help to feel more confident about yourself.

Recovery

Following completion of a facelift, a bandage might be placed around the face to minimize swelling and bruising. Small tubes may be present to draw off any excess blood or fluid.
While most people are presentable to the public within 10-14 days, it will take 2-3 months for the face to feel "back to normal" in terms of texture, sensibility and loss of tightness.
Continuing daily sun protection and a healthy lifestyle will help extend the results of facelift.

Additional procedures

A variety of other procedures can further enhance the outcome of a facelift. They include:

  • Facial implants or fat transfer to improve contour
  • Resurfacing techniques to improve the tone and texture of facial skin
  • Wrinkle reduction by injection of fat or fillers