Traditional Face Lift Step-by-Step

The first step in facelift surgery is the administering of anesthesia. Some surgeons prefer the use of general anesthesia, while others believe that a combination of local anesthetic, mild sedatives, and a light intravenous sedation is sufficient for patient comfort. Be sure to discuss your anesthesia options and concerns with your surgeon.

The surgeon makes the incision up behind d the earth near the top of the ear, then back into the hair for variable distances. Most often the incision goes over the edge of the tarsus, the fly of skin and cartilage in front of the ear canal rather than entirely in front of the ear. Care is taken to position the incision in a natural skin crease so it is camouflaged from view.

Very frequently a small incision is made on the crease beneath the chin to do liposuction and tighten the muscle bands there.

The surgeon pulls the skin outward to gain access to the underlying muscle and connective tissue. He or she then repositions and tightens the tissue, securing it in its new position with sutures and/or tissue glue. Some fat may also be removed or repositioned at this point.

After the tightening of underlying tissues, the excess skin is trimmed away. Care must be taken to cut precisely so as not to ultimately alter the patient's features or facial proportions, or to leave the patient with the dreaded "wind-blown" look.

The surgeon will use fine sutures, staples, and possibly more tissue glue to close the incisions and promote healing.

The patient's face will be wrapped in sterile surgical gauze, completely covering the incision sites. These bandages will remain in place for at least 1-2 days. In some cases, a drainage tube may have been inserted during surgery as well. In these instances, the drains will usually be removed along with the bandages, 1-2 days following the surgery. Sutures are generally removed after one week, and healing of the incisions is usually visibly complete in 2-3 weeks.

Your surgeon will prescribe pain medication for you and instruct you to keep your head elevated when lying down and to avoid strenuous activity. You should expect some bruising and swelling, though some patients find that cold compresses help to minimize swelling. Recovery from face lift surgery usually takes about one to three weeks.