Rhytidectomy, a surgical procedure commonly known as a facelift, involves the removal of excess facial fat, the tightening of facial muscles, and the stretching of facial skin to approximate a smoother, firmer facial appearance. The procedure takes place on either the face, neck, or both.
Depending on the area of the face or neck where the "lift" is to take place, the surgeon will separate the skin from the fat and muscle. The fat is then removed and the skin is pulled back into place with any excess removed.
Possible complications associated with facelifts may include, but are not limited to, the following:
- nerve injury
Nerves that control the facial muscles could be damaged. This is usually a temporary post-operative condition.
- infection and anesthesia reaction
As with any type of surgery, there is a risk of infection and a reaction to the anesthesia.
A hematoma, blood that collects under the skin, could occur. They are generally removed by the physician.
- slower healing process (for some people)
Smokers, in particular, may find that the healing process following a facelift is slower than normal.
The best candidates for a facelift are those whose face and/or neck have begun to sag, but whose skin still has some elasticity. The procedure also works best on persons whose bone structure is strong and well-defined.
Although each procedure varies, generally, facelift surgeries follow this process:
- Location options may include:
- surgeon's office-based surgical facility
- outpatient surgery center
- hospital outpatient
- hospital inpatient
- Anesthetic options may include:
- general anesthesia
- local anesthesia, combined with a sedative (allows the patient to remain awake but relaxed) for adults
- Average length of procedure:
several hours or longer, if more than one procedure is being performed
- Some possible short-term side effects of surgery:
- significant discomfort after surgery is not unusual
- temporary numbness of the skin
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