Yuz Germe

Face Lift

A facelift (rhytidectomy) is an aesthetic surgical procedure to give a younger appearance to the face. The procedure can reduce sagging or folds of skin on the cheekbones and jaw line, and other changes in the shape of the face that occur with age.

During a facelift, a flap of skin is stretched on each side of the face, and surgical changes are made in the tissues under the skin to give a younger shape to the contour of the face. Before suturing the flap, the excess skin is removed.

Neck stretching (platysmaplasty) is often performed as part of a facelift to reduce fat deposits and sagging neck skin.

A facelift will not diminish wrinkles or wrinkles of the skin or damage caused by the sun. Other aesthetic procedures can treat the appearance or quality of the skin.


A facelift can cause complications. Some can be controlled with adequate medical attention, medications or surgical correction. Although permanent or long-term complications are rare, they can cause significant changes in appearance. The risks include the following:

  • Hematoma. The accumulation of blood (hematoma) under the skin that causes swelling and pressure is the most frequent complication of facelift. The formation of the hematoma, which usually occurs within 24 hours after surgery, is treated immediately with surgery to prevent damage to the skin and other tissues.
  • Cicatrization. The scars from the incision of a facelift are permanent, although they are usually hidden by the hairline and the natural contours of the face and ears. Rarely, incisions can cause red and raised scars. Injections of corticosteroids or other treatments may be used to improve the appearance of the scars.
  • Nervous injury Although rare, nerve damage can temporarily or permanently affect the nerves that control sensation or muscles. The temporary paralysis of a select muscle, which causes an unequal facial appearance or expression, or temporary loss of sensation, may last from a few months to a year. Surgical interventions can offer some improvements.
    Hair loss. You may experience temporary or permanent hair loss near the incision sites. Permanent hair loss can be treated with surgery to transplant skin with hair follicles.
  • Skin loss Rarely, a facelift can interrupt the blood supply to facial tissues. This can lead to skin loss (desquamation). Peeling is treated with medication, proper wound care and, if necessary, a procedure to minimize scarring.
  • As with any other type of major surgery, a facelift has the risk of bleeding, infection, and adverse reactions to anesthesia. Certain diseases or lifestyle habits can also increase the risk of complications. The following factors may present a significant risk or cause unfavorable results, so the doctor may discourage you from a facelift.
  • Supplements or anticoagulant medications. Medications or supplements that thin the blood can affect the ability of blood to clot and increase the risk of bruising after surgery. These medications include anticoagulants (Coumadin, Plavix or others), aspirin, non-steroidal anti-inflammatory drugs, ginseng, Ginkgo biloba, fish oil and others.
    Diseases. If you have a disease that prevents the blood from clotting, you will not be able to undergo a facelift. Other disorders, such as poorly controlled diabetes or high blood pressure, increase the risk of poor wound healing, bruising and cardiac complications.
  • Smoking. Smoking considerably increases the risk of poor wound healing, bruising and skin loss after a facelift.
    Weight fluctuation. If you have a history of repeated cycles of weight gain and loss (factors that affect the shape of the face and the condition of the skin), the result of the surgery may not be satisfactory or may be satisfactory only for a short time.

How to prepare?

Initially, you will talk to a plastic surgeon about facial rhytidectomy. The query will probably include:

  • Clinical history and physical examination. Be prepared to answer questions about past and current medical conditions, previous surgeries, previous plastic surgeries, complications caused by previous surgeries, smoking history, and drug or alcohol use. The surgeon will perform a physical examination, ask for recent records from your doctor or ask for a consultation with a specialist if there is any concern about your conditions to undergo surgery.
  • Review of medication Provide the name and dosage of all medications you regularly take, including prescription medications, over-the-counter medications, herbal medications, vitamins, and other food supplements.
  • Facial exam The plastic surgeon will take pictures of your face from different angles and close-up pictures of some features. The surgeon will also examine the bone structure, the shape of your face, the distribution of fat and the quality of the skin, to determine the best options for a facelift surgery.
  • Expectations. The surgeon will ask you questions about your expectations about the results of the face lift. It will help you understand how a facelift will change your appearance and what does not include a facelift, such as fine wrinkles or a natural asymmetry of your face.

Why is it done?

As you get older, the appearance and shape of the face are altered due to normal changes related to age. The skin becomes flaccid and less elastic, and deposits of fat decrease in some parts of the face and increase in others. Age-related changes in the face that can be reduced with a face lift include the following:

  • Appearance of the cheekbones.
  • Excess skin on the lower jaw line (cheeks).
  • Deepening of the skin fold from the side of the nose towards the corner of the mouth.
  • Flaccid skin and excess fat in the neck (if the procedure includes a neck stretch).
  • A facelift is not a treatment for superficial wrinkles, damage from sun exposure, folds around the nose and upper lip or irregularities in skin color.

Before a facelift:

  • Follow the instructions on medication. You will receive instructions on what medications you should stop taking and when you should do so. For example, you may be asked to stop any anticoagulant medication or supplement two weeks before surgery at least. Talk to your doctor about which medication is safe to take and if you should adjust the dose.
    Wash your face and hair. You will probably be asked to wash your face and hair with a disinfectant soap the morning of the surgery.
  • Do not eat. They will ask you not to eat anything after midnight before surgery. You can drink water and take medications that have been approved by the surgeon.
  • Get organized to have help during recovery. If the facial rhytide is performed as an outpatient procedure, plan for someone to take you to your home and stay with you the first night after surgery.

Before the procedure

Sometimes, the procedure is performed with sedatives and local anesthesia, which numbs only part of your body. In other cases, general anesthesia is recommended, which leaves you unconscious.

After the procedure

After a facelift, you can manifest the following:

  • Mild to moderate pain
  • Secretion of the incisions
  • Swelling
  • Bruises
  • Numbness

Contact your doctor immediately if you present the following:

  • Severe pain on one side of the face or neck within 24 hours after surgery
  • Short of breath
  • Chest pain
  • Irregular heartbeats
  • Probably, the incisions are covered with bandages that apply gentle pressure to minimize swelling and bruising. A small tube may be placed under the skin behind an ear or both to drain excess blood or fluid.

During the procedure

In general, in the facial skin rhytide the skin is elevated and the underlying tissues and muscles are tightened. It is possible that the fat of the face and neck is sculpted, eliminated or redistributed. Then, the skin of the face is put back on the recently repositioned contours of the face, the excess skin is removed and the wound is sewn or closed with tape.

The incisions made in the procedure depend on the techniques used and the patient’s preferences. Some options are:

  • A traditional incision in the facial rhytidectomy begins at the temples, in the hairline, continues down and around the front of the ears and ends behind the ears, at the bottom of the scalp. An incision could be made under the chin to improve the appearance of the neck.
  • A limited incision, which is shorter and begins at the hairline, just above the ear, continues around the front of the ear but does not extend to the underside of the scalp.
  • The incision for the neck lift begins in front of the earlobe and continues around the ear to the lower part of the scalp. A small incision is also made under the chin.
  • Performing the facial rhytidectomy usually takes between two and four hours, but may take longer if other aesthetic procedures are performed at the same time.

The first days after surgery:

  • Rest with your head elevated.
  • Take the analgesics according to the doctor’s recommendation.
  • Put cold compresses on your face to relieve pain and reduce swelling.

Follow up consultations

You will schedule several follow-up visits during the two months after surgery. In these consultations, the following will be done:

  • The day after the surgery, the surgeon will probably remove the drainage tube, apply an antibiotic ointment on the incisions and put new bandages on your face.
  • Two or three after the facelift, you can stop using bandages and start using a stretchy facial sling.
  • About a week after the surgery, the doctor will remove the stitches and evaluate the wound.
  • Later visits will be scheduled to control your evolution.

Personal care

Personal care at home during the first three weeks will help you recover and reduce the risk of complications:

  • Follow the wound care instructions as directed by the surgeon.
  • Do not remove the crusts that form on the wound.
  • Follow the instructions on when you can start using shampoo and soaps, and what classes to use.
  • Wear garments that fasten at the front (instead of garments that are placed over the head).
  • Avoid pressure or excessive movements on the incisions, or around them.
  • Avoid using makeup.
  • Avoid performing vigorous aerobic activity or sports.
  • Avoid direct exposure to the sun for three weeks and then use sunscreen with a sun protection factor of 30 or higher.
  • Avoid permanent hair and dye or discolor hair.
  • Six weeks after the facelift, you can fix your hair to hide any signs of the incision. You can also choose to postpone attendance at important social events for a couple of months, when you will probably feel that you are returning to normal.


A facelift can give a younger appearance to the face and neck. The results of a facelift are not permanent. With age, the facial skin may begin to fall again. In general, a face lift can last 10 years.

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    Our expert team will answer all your questions in the field of aesthetic surgery and hair transplantation. Information about the operation of the hotel and transfer your reservations will be done quickly without tiring.

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    You can give us your number. Our team will give you a quick return.

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