A facelift, medically known as rhytidectomy, is a cosmetic surgical procedure designed to reduce visible signs of aging in the face and neck. As we age, skin loses elasticity, fat deposits diminish, and gravity causes sagging—leading to wrinkles, jowls, and a tired appearance. A facelift addresses these concerns by tightening underlying tissues, removing excess skin, and repositioning facial structures for a smoother, more youthful look.
Modern facelift techniques focus on natural-looking results, avoiding the "pulled" or "overdone" appearance of older methods. Whether you're considering a mini facelift for mild sagging or a full facelift for more significant aging signs, this guide will help you understand the procedure, recovery, and expected outcomes.
Facelifts are often combined with complementary procedures like eyelid surgery (blepharoplasty), neck lift, or dermal fillers for a comprehensive facial rejuvenation. If you're exploring ways to restore a fresher, more rested version of yourself, a facelift could be the solution.
Not all facelifts are the same—the right technique depends on your age, skin condition, and aesthetic goals. Here are the most common types:
Your surgeon will recommend the best approach based on your anatomy and desired outcome. Advances like the deep plane facelift and SMAS (Superficial Musculoaponeurotic System) lift offer longer-lasting, natural results by working on deeper tissue layers.
A facelift isn’t for everyone—the best candidates share certain characteristics:
If you have deep nasolabial folds, jowls, or a "turkey neck," a facelift can help. However, if you seek minor adjustments, non-surgical options like fillers, lasers, or Ultherapy might be preferable. A consultation with a board-certified plastic surgeon is essential to determine candidacy.
Proper preparation ensures a smoother surgery and recovery. Here’s what to expect:
1-2 Months Before:
1-2 Weeks Before:
Day Before: Follow fasting instructions (no food/water after midnight) and wash your face/neck with antibacterial soap. Avoid makeup or jewelry.
A facelift typically takes 3–5 hours, performed under general anesthesia or IV sedation. Here’s what happens:
Most patients go home the same day. The goal is a natural rejuvenation—not an overly tight or "windblown" look. Combining a facelift with fat grafting (to restore lost volume) or laser resurfacing (for skin texture) enhances results.
Recovery varies by technique, but here’s a general timeline:
First 48 Hours: Rest with your head elevated (30–45 degrees) to reduce swelling. Use cold compresses intermittently. Expect mild pain (managed with meds), bruising, and tightness.
1 Week: Swelling peaks by day 3–4. Stitches are removed around day 5–7. Avoid bending, lifting, or strenuous activity.
2–4 Weeks: Most bruising fades. You may resume light work (if non-physical) after 10–14 days. Sleep on your back to avoid pressure on incisions.
6+ Weeks: Gradual return to exercise. Scars begin to fade but may take up to a year to mature fully.
Aftercare Tips:
Most patients feel presentable by week 3, though subtle swelling can linger for months.
While facelifts are generally safe, all surgeries carry risks. Choosing a board-certified surgeon minimizes complications. Possible issues include:
To reduce risks, disclose all medical conditions, follow pre/post-op instructions meticulously, and avoid nicotine. Emergency symptoms (e.g., severe pain, breathing issues) warrant immediate medical attention.
A successful facelift delivers a refreshed, natural appearance—not a "different" face. Initial swelling obscures results, but by month 3, the final outcome emerges. Benefits include:
How long does it last? While genetics and lifestyle play a role, most patients enjoy results for 7–10 years. Non-surgical maintenance (e.g., Botox, fillers, skin treatments) can prolong effects. Aging continues, but you’ll always look younger than if you’d never had the procedure.
Patient satisfaction is high (over 90% in studies), especially when combined with a healthy skincare routine and sun protection.
Q: How painful is a facelift?
A: Discomfort is moderate (like a bad sunburn) for the first 2–3 days, managed with prescribed painkillers. Most switch to Tylenol by day 4.
Q: When can I wear makeup after a facelift?
A: After stitches are removed (5–7 days), use mineral-based makeup. Avoid harsh products until incisions fully close.
Q: Can I have a facelift if I’ve had fillers/Botox?
A: Yes, but disclose all treatments. Fillers may need dissolving pre-surgery for optimal results.
Q: Are there non-surgical alternatives?
A: Thread lifts, Ultherapy, and fillers offer mild improvements but can’t match a surgical facelift’s longevity or dramatic change.
Q: Will I look "overdone"?
A: Not with a skilled surgeon. Modern techniques prioritize subtle, natural lifts—not the "wind tunnel" look of the past.
Ready to explore a facelift? Schedule a consultation with our board-certified surgeons to discuss your personalized plan.