
Facelift
A rhytidectomy or facelift is designed to restore a more youthful appearance to the neck and jowl region by removing major wrinkles and sagging skin. If there is excess fat in the neck or chin region, this can simultaneously be addressed with liposuction or direct excision. A facelift can improve a tired facial appearance by smoothing the skin and reestablishing defined contours along the neck and jawline. It is often done in combination with other procedures including a browlift and eyelid surgery to create an overall harmonious, youthful result.
The surgery is done under general anesthesia and typically takes 4-6 hours. Incisions are made in the natural crease in front of the ear, around the earlobe, and behind the ear extending into the hairline. It involves elevation of the skin, tightening of the facial and neck muscles and redraping and removal of any excess skin. Postoperatively patients may have a drain in overnight as well as head and neck wrappings. After these are removed, patients are often required to wear a removable chin strap for several weeks. Sutures are usually removed 7-14 days after surgery but it is usually 2 to 3 weeks before most patients feel socially presentable.
Midfacelift
This procedure is designed to correct hollowing beneath the lower eyelids and deep nasolabial folds which run from the base of the nose to the outer corners of the mouth. It creates a more youthful appearance by smoothing the transition between the lower eyelids and upper cheek region. If improvement in the neck or jowl region is desired, a Midface Lift can be combined with a more standard facelift.
The procedure is done under general anesthesia. The incision is made underneath the lower lid lash margin and usually extended out to the lateral eye region. A fair amount of bruising and swelling are normal for 1-2 weeks after surgery. Ice and ocular lubricants can be helpful early on. Stitches are usually removed 7-10 days post op. There can be a period lasting several weeks of an overcorrected or “Asian” appearance to the eyes which relaxes over the first 4-6 weeks.
Questions about Facelifts
What is a facelift?
A facelift (medically known as rhytidectomy) is a surgical procedure that smoothes loose skin on the face and neck, tightens underlying tissues and muscles, and removes excess fat. It is one of the most popular cosmetic procedures performed in the United States today.
What are the benefits?
A facelift can help minimize the signs of aging and enhance self-confidence by making the patient look younger, fresher, and more vibrant.
What’s involved?
There are many possibilities involved in a facelift. Loss of elasticity in the skin along with deflation needs to be addressed. Some patients will need volume replacement which can be achieved with facial fillers and/or fat grafting, to fully restore their youthful look. Others will only have their muscles, tissues, and skin tightened. A specialist in facial cosmetic surgery, like Dr. Yugueros have the experience and knowledge to make decisions for every facelift patient that results in a greatly improved appearance.
Aesthetics will be a top concern for your surgeon, and he or she will make sure that your restored, vibrant face fits naturally with your body and your original appearance. Their experience allows them to properly assess which procedures are necessary for each patient. A good cosmetic surgeon will listen carefully to your wishes and expectations before deciding how to go about your facelift with you.
What about recovery and scarring?
A moderate recovery time can be expected following your facelift. You will need to take it easy and follow our orders to the letter following this procedure. Typically, patients are back to their regular routine after only a few weeks. Scarring is minimal with a facelift.

