March 13, 2025
A facelift , also known as a rhytidectomy , is a cosmetic surgical procedure designed to reduce the visible signs of aging on the face and neck. It focuses on tightening the skin and underlying tissues, removing excess fat, and smoothing wrinkles to create a more youthful appearance. What a Facelift Consists Of: Incision Placement : The procedure usually begins with the surgeon making incisions along the hairline, around the ears, and possibly under the chin. The exact placement of the incisions depends on the type of facelift and the extent of correction needed. Lifting and Tightening : The surgeon then lifts the skin and underlying facial tissues (muscle and fat) to reposition them and remove excess skin. This helps smooth out wrinkles and tighten loose skin, restoring a more youthful, refreshed appearance. Fat Removal or Redistribution : In some cases, excess fat may be removed from areas like the cheeks or neck, or fat may be redistributed to restore volume in areas that have hollowed out with age (like the cheeks). Suture and Dressing : After repositioning the skin and tissue, the incisions are closed with stitches, and dressings are applied to the face. Sometimes, a drainage tube may be used temporarily to remove any excess fluid or blood that could accumulate. Types of Facelifts: Traditional Facelift : Targets the lower two-thirds of the face, addressing sagging skin, deep folds, and jowls. Mini Facelift : A less invasive option with smaller incisions that focuses mainly on the lower face and jawline, offering a more subtle rejuvenation. Mid-Facelift : Targets the middle part of the face, including the cheeks, to lift and tighten the area without addressing the neck or lower face. Neck Lift : Often combined with a facelift to tighten sagging skin and muscles around the neck. Recovery After a Facelift: Recovery time varies depending on the extent of the surgery, the individual's health, and how well they follow post-operative care instructions, but here's a general timeline: Immediately After Surgery : You may experience some swelling, bruising, and discomfort, which is normal. Pain is usually manageable with prescribed medications. A compression garment or bandage may be applied to reduce swelling. First Week : Swelling and Bruising : Swelling and bruising are usually most noticeable during the first 3-5 days. Most of this will start to subside by the end of the first week. Post-Operative Care : You’ll need to follow strict post-operative instructions, which may include limiting physical activity, keeping your head elevated while resting, and taking prescribed medications. Stitches Removal : If non-absorbable stitches were used, your surgeon will typically remove them within 5-10 days. 1-3 Months : Swelling and bruising continue to fade, and by this time, the majority of the swelling should have resolved. You'll start to see the final results, though the full outcome may take several months to fully settle as the skin and tissues adjust. 6 Months to 1 Year : Most of the visible signs of recovery will be gone, and the results will become more apparent and permanent. Final results, such as improved facial contour and smoother skin, will be fully visible by the 6-month mark. Risks and Considerations: As with any surgery, there are risks, including infection, scarring, poor wound healing, asymmetry, or nerve damage. It’s important to discuss these risks with your surgeon beforehand. How Long Do Facelift Results Last? A facelift typically provides long-lasting results, but it doesn’t stop the aging process. The results can last 10 years or more , depending on genetics, lifestyle factors (like sun exposure, smoking, etc.), and how well you care for your skin after the procedure. Over time, the skin will continue to age, but the results of the facelift will still appear more youthful compared to how you would have looked without the procedure. If you’re considering a facelift, it’s crucial to have a consultation with a board-certified plastic surgeon to discuss your goals, expectations, and any risks. Dr. Richard Arabitg with Plastic Surgery Central Florida is a double board certified plastic surgeon in Orlando, Fl.. His talent and keen aesthetic eye allow him to easily identify the best course of action when it comes to facelifts. If you would like more information or want to schedule a consultation call us at 407-674-1396 today!