Before and after pictures of a woman with a facelift

How Does a Facelift Procedure Work?

Back to all posts June 14, 2022
Before and after pictures of a woman with a facelift

A facelift, or rhytidectomy, restores the youthful appearance of the face. It reduces the sagging and folds in the skin around the cheeks and jawline, and can do other things to change the shape of your face. 

It is called a facelift because a flap of skin on each side of the face is pulled back, lifting the face. But this is not merely stretching the skin back–there is also reshaping of the tissues that are underlying the skin to contour the face into a more youthful look. During this procedure, excess skin is removed as well as fat deposits that are not rearranged.

A facelift is not designed to remove fine lines and wrinkles–there are other procedures for that–but they will reshape the face to take decades off your look. 

How Is A Facelift Performed

Before the Facelift

There are several different kinds of facelifts. You’ll be working with a board-certified facial plastic surgeon to ensure that you get the results you want. Make sure to ask your plastic surgeon questions including “how do they do facelifts?” You’ll peruse pictures, identify things you like and things you don’t, and your doctor should come up with a plan for the facelift surgery.

There are several different types of facelifts, and they all begin with anesthesia. Some facelifts only require sedation and local anesthesia to numb certain portions of the face and neck. But others involve the use of general anesthesia, leaving you unconscious and pain-free during the procedure. Talk to your plastic surgeon about any concerns you may have about this step, and explain what your preferences are.

During the Facelift

Facelifts elevate the skin and tighten the tissues and muscles underneath. The natural fat in the face may be sculpted, trimmed, rearranged, or taken out completely. The facial skin is then laid back over the face, excess skin is removed, and the incisions are stitched closed. 

What are some of the most common facelifts?

Traditional Facelifts

Traditional facelifts have been the most used procedure. With this procedure, the incisions are made at your temples in the hairline, going down around your ears. Another incision can be made below your chin to tighten your neck. There are pros and cons to this procedure, which you can discuss with your plastic surgeon, but it generally provides significant results.

Mini Facelifts

A mini facelift is a cosmetic surgery that uses fewer incisions compared to a traditional facelift. The purpose of a mini facelift is to get rid of sagging skin and mostly target the lower parts of the face, such as the neck and jawline. 

Neck Lift

A neck lift incision begins at your ear and runs into your lower scalp, with another incision under your chin. This procedure works best for tightening the skin around your neck.

After Your Facelift

Some symptoms following a facelift, such as bruising, swelling, numbness, and some pain, are normal. Some drainage may also occur. You’ll need to wear a bandage around your face for a few days. After that, you’ll receive a small elastic sling to replace it. A week after surgery, the doctor will remove the sutures and examine the effects of the facelift. 

Doctor Jacono has pioneered a type of Mini Face Lift surgery that minimizes downtime. Contact us today!

Dr. Andrew Jacono

Dr. Andrew Jacono, M.D., F.A.C.S., is a Dual Board Certified, Facial Plastic and Reconstructive Surgeon with a thriving practice on Long Island’s Gold Coast and in Manhattan on Park Avenue.

Dr. Jacono specializes in reconstructive surgery, specifically facelifts, rhinoplasties and eyelid lifts with flawless, yet natural results. He’s internationally recognized for his innovative non-surgical and minimally invasive facial rejuvenation techniques. As Director of the New York Center for Facial Plastic & Laser Surgery, Dr. Jacono's expertise attracts a wide range of clientele, from prominent celebrities to everyday individuals seeking various enhancements. He is also sought-after for his expert opinion as a lecturer and presenter. Dr. Jacono has presented his innovative techniques at leading universities in the US, and has conducted live surgery at over 100 global plastic surgery meetings and symposiums across multiple countries and organizations.

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