Facelift (Rhytidectomy)
Restore youthful contours with results that look naturally yours.
Overview
About Facelift (Rhytidectomy)
A facelift — formally known as a rhytidectomy — is one of the most comprehensive facial rejuvenation procedures available. It addresses the visible signs of aging in the mid-face, lower face, and neck by lifting and tightening the underlying facial muscles (SMAS layer), removing excess skin, and repositioning facial fat for a smoother, more youthful contour.
Unlike non-surgical treatments that address only the skin surface, a facelift works at the structural level — producing results that are both more dramatic and longer-lasting. The goal is never to make you look like a different person, but to restore the version of yourself from 10 to 15 years ago.
Our surgeons use the SMAS (superficial musculoaponeurotic system) technique, which is the gold standard endorsed by the American Society of Plastic Surgeons (ASPS). This approach repositions the deeper facial structures rather than simply pulling the skin, resulting in natural-looking results without the "pulled" appearance associated with older techniques.
At a Glance
Procedure Time
3–5 hours
Anesthesia
General or IV sedation
Facility
Accredited surgical suite
Recovery
2–3 weeks before returning to work
Results Duration
7–10 years on average
Often Combined With
Eyelid surgery, brow lift, neck lift
Candidacy
Am I a Good Candidate?
The best facelift candidates are in good overall health, do not smoke, and have realistic expectations about what surgery can achieve. A consultation with our surgeons will determine whether a facelift — or a combination of procedures — is the right approach for your goals.
You May Be a Good Candidate If You:
- Are in your 40s, 50s, 60s, or 70s with noticeable facial sagging
- Have deep nasolabial folds (smile lines) or marionette lines
- Experience jowling along the jawline
- Have loose or excess skin in the neck
- Are in good general health with no uncontrolled medical conditions
- Are a non-smoker or willing to stop smoking at least 4 weeks before surgery
- Have realistic expectations and a positive outlook
Surgery May Not Be Recommended If You:
- Currently smoke or use nicotine products and are unwilling to stop
- Have uncontrolled high blood pressure, diabetes, or bleeding disorders
- Have significant medical conditions that increase anesthesia risk
- Have very thin skin with minimal subcutaneous fat
- Are seeking perfection rather than natural improvement
The Procedure
How a Facelift Is Performed
Our surgeons perform facelifts using the SMAS technique, which addresses both the skin and the deeper muscular layer of the face. This produces more natural, longer-lasting results than skin-only approaches.
Incisions are carefully placed to be hidden within the hairline and the natural contours of the ear, minimizing visible scarring. The specific incision pattern is customized based on your anatomy and the degree of correction needed.
01
Anesthesia
General anesthesia or IV sedation is administered by a board-certified anesthesia provider for your comfort and safety throughout the procedure.
02
Incisions
Incisions are placed within the hairline at the temples, continuing around the ear and into the lower scalp. Placement is customized to your anatomy.
03
SMAS Lifting
The deeper SMAS layer of facial muscle and connective tissue is lifted and repositioned — the key step that produces natural, lasting results.
04
Skin Redraped
Excess skin is carefully trimmed and the remaining skin is redraped smoothly over the newly repositioned facial structures.
05
Closure
Incisions are closed with fine sutures. Drains may be placed temporarily to prevent fluid accumulation.
06
Recovery Begins
You are moved to our recovery area and monitored before being discharged to a responsible adult caregiver.
What to Expect
Recovery Timeline
Days 1–7
Week 1
Swelling and bruising peak. Rest at home. Head elevation recommended. Drains removed within 1–2 days.
Days 7–14
Week 2
Sutures removed. Bruising fades. Most patients feel comfortable in private settings.
Weeks 2–4
Weeks 2–4
Return to work and light social activity. Avoid strenuous exercise.
Months 1–6
Full Healing
Residual swelling resolves. Final results become fully visible at 3–6 months.
Recovery timelines are estimates. Your surgeon will provide a personalized recovery plan during your consultation.
Outcomes
Your Results
A well-performed facelift produces results that look natural — not "done." Patients typically appear 10 to 15 years younger, with a smoother jawline, reduced jowling, and a more defined neck contour.
Results from a SMAS facelift typically last 7 to 10 years. While aging continues after surgery, patients consistently look younger than they would have without the procedure. Maintaining a healthy lifestyle, sun protection, and a good skincare regimen helps preserve results.
Our surgeons will show you before-and-after photographs of actual patients during your consultation so you can develop realistic expectations for your own outcome.
Informed Consent
Risks & Safety
All surgical procedures carry risk. The American Society of Plastic Surgeons (ASPS) requires that patients receive a thorough discussion of potential risks before consenting to surgery. Your surgeon will review all of the following — and any risks specific to your health history — during your consultation.
Hematoma
Collection of blood under the skin — the most common complication, occurring in 1–2% of cases. Treated with drainage if significant.
Infection
Rare with proper sterile technique. Treated with antibiotics if it occurs.
Nerve Injury
Temporary numbness is common. Permanent motor nerve injury is rare but possible.
Scarring
Incisions are placed to minimize visibility. Abnormal scarring (hypertrophic or keloid) is possible in predisposed individuals.
Hair Loss
Temporary hair thinning near incisions may occur. Permanent hair loss is uncommon.
Asymmetry
Some degree of facial asymmetry is normal. Significant asymmetry may require revision.
Skin Changes
Changes in skin sensation, texture, or color may occur temporarily.
Anesthesia Risks
Reactions to anesthesia are rare but possible. A board-certified anesthesia provider minimizes this risk.
Our commitment to your safety: Our surgeons perform procedures only in our accredited surgical facility, with board-certified anesthesia providers and a trained nursing team. Thorough pre-operative screening and patient selection are the most effective tools for minimizing surgical risk.
Explore More
Related Procedures
Blepharoplasty
Eyelid surgery to address drooping lids and under-eye bags — frequently combined with facelift.
Learn MoreBrow Lift
Elevates a heavy or sagging brow for a more refreshed, open appearance.
Learn MoreRhinoplasty
Nose reshaping to improve proportion and harmony with your other facial features.
Learn MoreReady to Learn More?
Schedule a private, no-obligation consultation with one of our board-certified surgeons. We will answer every question and create a personalized plan for you.