Facelift Surgery How Is It Performed?

Facelift Surgery (Rhytidectomy)

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Facelift surgery, medically known as face lift or rhytidectomy, is a cosmetic surgical procedure performed to tighten sagging facial and neck tissues caused by aging, gravity, sun exposure, and the natural loss of skin elasticity over time. This procedure reshapes the skin, muscles, and connective tissues in the lower and mid-face, resulting in a younger, firmer, and more dynamic facial contour.

Facelift surgery not only tightens the skin but also lifts the underlying layer known as the SMAS (Superficial Musculo-Aponeurotic System), providing a long-lasting and natural rejuvenation. As a result, the patient does not appear “overly stretched” but rather naturally refreshed and well-rested.

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As collagen and elastin production in the skin decreases with age, the soft tissues of the face begin to sag under the influence of gravity. The cheeks lose their fullness, the jawline becomes less defined, and nasolabial folds around the mouth deepen, while the neck area shows visible laxity.

Facelift surgery is performed to reverse all of these changes. The procedure redefines facial contours, lifts sagging tissues, and removes excess skin. Additionally, during the operation, excess fat can be removed or areas lacking volume can be filled with the patient’s own fat tissue, restoring the natural three-dimensional balance of the face.

As a result, a rejuvenation effect lasting up to 10–15 years is typically achieved in the face and neck region.

Facelift (Rhytidectomy) — How Is the Surgery Performed?

Facelift surgery is typically performed under general anesthesia and lasts about 3–5 hours. The incision lines usually begin in front of the ear, extend around the earlobe, and continue behind the ear into the hairline. The surgeon lifts the skin and tightens the underlying muscles and connective tissues (SMAS layer) upward, removing excess skin and fat to create a smoother and firmer facial contour.

In some cases, neck lift surgery is performed in the same session. This approach redefines the jawline and neck area. At the end of the procedure, the skin is closed with fine aesthetic sutures to preserve its natural tension and minimize scarring. This process rejuvenates the face while maintaining its natural expression.

Depending on the patient’s needs, additional procedures such as fat injections, brow lift, eyelid surgery (blepharoplasty), or neck liposuction may be performed in the same session for a more comprehensive rejuvenation effect.

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Types of Facelift Surgery

Mini Facelift:

Performed on patients, usually in their 40s, who have mild sagging problems. The incisions are smaller, healing is faster, and minor sagging along the cheeks and jawline is corrected.

Mid-Facelift:

Ideal for patients who experience volume loss and sagging in the cheeks and midface area. The muscle and tissue layers are lifted upward, restoring cheek fullness and facial contour.

Classic (Full) Facelift:

Recommended for individuals over 50 who have extensive sagging. It provides comprehensive lifting of both the face and neck regions, resulting in long-lasting rejuvenation.

Neck Lift:

Targets fat accumulation under the chin, skin laxity, and the formation of a “double chin.” When performed together with a facelift, it provides a balanced rejuvenation of the lower face and neck area.

Postoperative Care — What Should Be Considered After Surgery?

During the first week after surgery, no pressure should be applied to the face, and excessive facial expressions should be avoided. The head should be kept elevated, and patients should lie on their backs to prevent the face from coming into contact with the pillow. Cold compresses can be applied to reduce swelling, and a compression bandage recommended by the surgeon should be used regularly for the first few days.

During recovery, alcohol, smoking, sauna, and hot environments should be avoided. Drinking plenty of water, maintaining a balanced diet, and getting proper rest all help accelerate tissue healing. Hair dyeing, salon treatments, and heavy makeup are not recommended for the first two weeks.

These precautions ensure faster reduction of postoperative swelling and help the facial contours settle naturally and symmetrically.

Will There Be Scars After Surgery? Are They Noticeable?

In facelift surgery, incisions are made along natural lines — in front of the ear, behind the ear, and along the hairline. As a result, scars remain well-hidden within natural folds. In the first few months, the scars may appear slightly pink but gradually blend into the skin tone, becoming almost invisible.

The quality of the scar depends on both the surgeon’s technique and the patient’s wound care. Regular moisturizing, sun protection, and, if necessary, laser or PRP treatments can help minimize scars even further.

Ultimately, facelift scars are barely noticeable, as they are concealed within the hairline or natural contours. Patients can freely style or tie their hair without concern for visible marks.

Facelift Surgery Results, Aesthetic Outcomes and Pricing

Facelift surgery is a comprehensive aesthetic procedure that effectively reverses the visible effects of aging on the face. As a result, facial contours are redefined, the skin becomes smoother, and the person feels refreshed, energetic, and confident.

The greatest advantage of the operation is that it provides a natural rejuvenation — facial expressions are preserved, and the face maintains its natural harmony. The patient achieves a rested and refreshed appearance rather than an “operated” look. The results of facelift surgery typically last 8–12 years, depending on skin type, lifestyle, sun exposure, and skincare habits.

As of 2025, facelift surgery prices vary based on:

  • The scope of the procedure (mini, full, or including neck lift),

  • Additional combined operations (such as blepharoplasty or fat injection),

  • The surgeon’s experience and hospital conditions.

This procedure not only rejuvenates facial appearance but also restores facial balance, posture, and emotional vitality. Facelift remains one of the most effective and long-lasting anti-aging solutions in modern aesthetic surgery.

💬 Frequently Asked Questions

Who Is Suitable for a Facelift?

Generally, individuals over the age of 40 with reduced skin elasticity and noticeable facial sagging are ideal candidates. Anyone in good overall health can safely undergo this procedure.

Is There Pain After Surgery?

A mild feeling of tightness or pressure may occur; however, discomfort is typically minimal and easily managed with prescribed pain relievers.

Is a Facelift Permanent?

Results typically last 8–12 years. Although the natural aging process continues, the face maintains a younger and more refreshed appearance.

What Is the Difference Between a Mini Facelift and a Full Facelift?

A mini facelift is a less invasive and more surface-level procedure, often preferred by younger patients. The classic facelift, on the other hand, is a more comprehensive operation suitable for older patients with more advanced skin laxity.