A facelift (rhytidectomy) is a plastic surgery procedure that rejuvenates the appearance of the face, reducing signs of aging such as deep wrinkles, skin laxity, and loss of tissue tone. Over the years, gravity, sun exposure, and loss of collagen elasticity cause facial tissues to sag, forming pronounced nasolabial folds, sagging cheeks, and loss of jawline definition. The facelift addresses these concerns, restoring a younger and more rested appearance to the face while maintaining a natural result.
A facelift is recommended for patients who present moderate to advanced signs of facial aging: • Facial skin laxity with loss of tissue tone and firmness • Deep wrinkles, particularly nasolabial folds (from the base of the nose to the corners of the mouth) • Loss of jawline definition with formation of jowls along the mandible • Sagging cheeks and flattening of the cheekbones • Excess skin in the pre-auricular and temporal regions Ideal candidates are individuals in good health with realistic expectations and good residual skin elasticity.
The procedure is not recommended in the following cases: • Active smokers, as smoking significantly reduces blood supply to the tissues, increasing the risk of skin necrosis and compromising healing (quitting at least 4 weeks before surgery is required) • Uncontrolled cardiovascular conditions, such as hypertension or coagulation disorders • Unrealistic expectations: a facelift rejuvenates but does not transform the face • Very young patients with minimal signs of aging, for whom less invasive treatments may suffice • Uncontrolled diabetes or autoimmune conditions that compromise healing
The procedure takes 3-5 hours depending on the extent of the areas being treated. It is generally performed with an overnight stay to monitor recovery during the first post-operative hours. Recovery requires 2-3 weeks: during the first days, a compressive bandage is worn to reduce swelling and promote tissue adherence. Sutures are progressively removed between the seventh and fourteenth day. Bruising and swelling are normal in the first 2 weeks and gradually resolve. Results are long-lasting, maintaining their effect for an average of 8-10 years, depending on lifestyle and individual skin characteristics.
Yes, a facelift is performed under general anesthesia or local anesthesia with deep sedation, depending on the extent of the procedure and the patient's condition. General anesthesia is preferred for complete facelifts involving large areas of the face, while deep sedation may be adequate for more limited procedures. Incisions are strategically placed along the hairline, in front of and behind the ear, where scars become virtually invisible once healed.
Initial results are visible after the compressive bandage is removed, despite the presence of swelling and bruising. Improvement becomes progressively more apparent in the following weeks. Final results are appreciated after 3-6 months, when residual swelling has completely resolved, tissues have settled into their new position, and scars have matured. The face appears rejuvenated and rested, with a natural look that continues to improve over time.
There is no specific age for undergoing a facelift: the decision depends on individual skin conditions, the degree of aging, and the patient's needs. Generally, the procedure is sought from the age of 45-50, when signs of aging become more pronounced and are no longer adequately correctable with aesthetic medicine treatments. In some cases, a mini-facelift may be indicated from age 40 for patients with premature aging. There is no maximum age limit, as long as general health conditions allow it.
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