Facelift (Rhytidectomy)
A facelift is a cosmetic surgical procedure that aims to reduce signs of aging by tightening and lifting the skin and tissues of the face and neck. It addresses issues like sagging skin, deep wrinkles, and loss of facial contour.
What Does a Facelift Improve?
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Sagging cheeks or jawline (jowls)
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Loose skin or excess fat in the neck
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Deep folds around the nose and mouth (nasolabial folds)
A facelift does not significantly improve fine wrinkles, sun damage, or skin texture; these may require additional treatments like laser resurfacing or chemical peels.
How Is the Procedure Done?
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Anesthesia: The procedure is done under general anesthesia or sedation.
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Incisions:
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Typically made along the hairline and around the ears, extending into the scalp.
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For neck concerns, an additional small incision may be made under the chin.
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Tightening and Sculpting:
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The surgeon lifts and repositions deeper layers of the face.
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Excess skin is trimmed, and the remaining skin is repositioned.
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Closing the Incisions: The surgeon uses sutures or staples, which may be removed after about a week.
What to Expect After Surgery
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Recovery Time:
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Swelling and bruising are normal and may last 2–4 weeks.
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Most people can return to work and light activities in about 2 weeks.
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Results: Full results can take several months to appear as swelling subsides, and scars fade over time.
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Longevity: Results can last 10 years or more, depending on lifestyle and aging.
Potential Risks and Complications
As with any surgery, facelifts have potential risks, including:
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Infection or poor healing of the incision
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Bleeding or hematoma
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Facial nerve injury (rare)
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Asymmetry or unfavorable scarring
Preparing for a Facelift
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Before Surgery:
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Stop smoking at least 4–6 weeks prior to surgery.
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Avoid blood-thinning medications (aspirin, ibuprofen) as directed by your surgeon.
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On the Day of Surgery:
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Arrange for someone to drive you home and stay with you for the first 24 hours.
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Aftercare Instructions
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Keep your head elevated to reduce swelling.
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Follow your surgeon’s wound care instructions.
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Avoid strenuous activity or heavy lifting for at least 4–6 weeks.
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Contact your surgeon immediately if you notice severe pain, unusual swelling, or signs of infection.
Is a Facelift Right for You?
A facelift is most beneficial for healthy individuals who:
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Have realistic expectations
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Are non-smokers or willing to quit smoking before and after surgery
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Wish to enhance their appearance, not achieve perfection
Disclaimer: This is general information. Speak with your surgeon for personalized advice tailored to your medical history and goals.