A facelift is commonly performed under general anesthesia or local anesthesia with sedation. Incisions are made above the hairline in the temple and extend down in front of the ear and around the ear to the lower scalp. The scars, once healed are well hidden in natural creases. The skin and other tissues of the face and neck are separated, tightened, and re-sutured to achieve the desired result. The muscle in the neck may also be tightened. A soft bandage is placed around the face after the procedure.
Postoperative Course: Patients are advised to rest at home with their head elevated for the first 24 hours after surgery. Pain is usually well controlled with prescribed medications. The swelling in the face usually peaks within the first several days and then gradually subsides over one to two weeks. The bandage will be changed within the first week and any external sutures will be removed. Makeup can be worn to conceal any discoloration. Patients usually return to light activity within a few days. Patients can begin strenous exercise after 4-6 weeks.
It is difficult to predict exactly how long the results of a facelift will last, although patients are usually pleased with their appearance for many years after surgery.