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FACELIFT
Facelift or rhytidectomy is an attempt to use surgical means to correct the changes which occur in the natural process of aging. Facial skin can sag because of weight loss, the lifelong effects of gravity, the effects of smoking, or other reasons. With a successful facelift, the tightening of the facial skin and supporting tissues can “turn back the clock” from 5-10 years. 

 
The ideal candidate for facelift is at a body weight that is normal or slightly under that which is normal for their height. They also have strong bony facial features (chin, cheekbones, etc.).. The best patients are non-smokers and they do not have a long history of sun exposure or skin cancers.

Patients who smoke, are obese, and who do not have prominent facial bones may receive some benefit from facelift procedures but they will not have the quality of outcome seen in the ideal patient. The Plastic Surgeon should discuss the expectations with regard to possible outcome in some detail. Patients with unrealistic expectations are not good candidates for cosmetic surgery, including facelift. Although a successful facelift can temporarily set the clock back, not cosmetic procedure can permanently Forested all the effects of aging. Some patients will require other procedures such as chemical peel to achieve the results they want.

Anesthesia
A facelift is almost always done as an outpatient surgical procedure. Although some patients prefer to have a general anesthetic, most rhytidectomies are carried out under local anesthesia with sedatives providing a “twilight sleep”. This allows the patient to recover quickly and post-op to go home the evening of surgery. They must have a friend or spouse to drive them home and to stay with them the first night.

OPERATION
In general terms, a facelift requires an incision which curves from within the hair of the forehead down in front of each ear and back into the hairline on the back of the head. If a browlift is being performed as well, the incision may continue over the top of the head (in the hair) to allow lifting of the forehead and eyebrows. The skin is undermined and tightened and some of the supporting tissues deep to the skin may also be tightened. Liposuction is sometimes done if there is excess fatty tissue under the skin. Occasionally, if there are visible cords in the neck, another small incision may be necessary under the point of the chin so the surgeon can repair the neck muscles and restore a youthful look to the neck and jawline. There are a number of variations on this general theme. Your surgeon should discuss the procedure he proposes in detail. Ask questions if you feel you do not understand what he or she intends to do.

Postoperative course
Bruising and swelling is common after a facelift and the time it takes for this to resolve is different for each patient. Sutures are removed at 5 or 6 days after surgery and supporting dressings may be worn for several days after the sutures are removed. It is extremely important that the newly rejuvenated skin be protected from sun damage after surgery. A broad-brimmed hat and SPF 15 or stronger sunscreen is essential.

COMPLICATIONS
All surgical procedures can have complications. Infection, bleeding, and damage to important structures such as nerves in the operating area may occur. Each patient assumes a different degree of risk with every surgical procedure and these should be explained by your surgeon and understood by you before you proceed with any procedure. No surgeon can guarantee a complication-free outcome for any procedure. Your best solution to this is to find a surgeon with experience in the procedure you want and who is able to handle complications if they arise.