facelifts

Facelift, or rhytidectomy, is a cosmetic surgical procedure intended to improve visible signs of aging in the face and neck. It aims to tighten sagging facial skin, restore contour to the jowls, and soften creases along the nose and mouth. Procedures vary in scope and may include a full facelift, a limited or mini-facelift, a midface lift, or a neck lift, sometimes performed in combination with eyelid surgery or skin resurfacing.

Surgical technique involves making incisions around the ears and sometimes beneath the chin. Through these incisions, underlying skin and facial supporting tissues are gently elevated. The deeper layer (SMAS) may be lifted and repositioned to support the overlying skin. Excess skin is removed and the incisions are closed to create a smoother, more youthful contour. In some cases, fat may be redistributed or grafted, and adjuncts such as laser resurfacing or chemical peels may reduce surface wrinkling.

Anesthesia and duration: The operation is usually performed under general anesthesia or deep sedation and lasts several hours depending on extent.

Recovery and risks: Recovery includes swelling and bruising; temporary nerve effects may affect facial movement or sensation; hematoma; infection; scarring; hair loss near incisions; most patients resume normal activities after 2-3 weeks.

Outcomes: Results become evident once swelling subsides and can last several years, typically five to ten years, though aging continues. Longevity depends on skin quality, smoking, sun exposure, and genetics.

Alternatives: Non-surgical options include fillers, neuromodulators, and energy-based skin tightening devices; these are less invasive but provide more modest and shorter-lasting results.