Frequently Asked Questions about Facelift Surgery

By Alton Ingram, MD

Dr. Alton Ingram, a Top-Rated Cosmetic Surgeon in Nashville, TN answers the most commonly asked questions about a facelift surgery.

1. What is a facelift surgery?

A facelift, also known as rhytidectomy, is a surgical procedure aimed at rejuvenating the face by removing excess skin and tightening underlying tissues. This surgery typically addresses the lower two-thirds of the face mainly the cheeks and jawline.

2. Who are ideal candidates for facelift surgery?

Ideal candidates are individuals with signs of aging such as sagging facial skin and fat, a jowly appearance in the cheeks and jaw, or a double chin caused by excess fat or loose skin. A consultation with a cosmetic surgeon is recommended to discuss individual goals and health conditions.

3. How is the procedure performed?

During a facelift, Dr. Ingram makes incisions in the hairline and around the ear. Dr. Ingram then tightens the surface skin and underlying soft tissues of the face. In some cases, an additional incision under the chin may be necessary to tighten the neck. The skin is then gently re-draped and any excess skin is removed.

4. Does facelift surgery address the neck area?

A standard facelift mainly addresses the lower two-thirds of the face. However, it can be combined with a neck lift to address sagging skin below the jaw, often leading to a more comprehensive rejuvenation effect.

5. What is a short-scar facelift?

A short-scar facelift is a variation of the traditional facelift. It primarily improves the appearance of the face and jawline but doesn’t involve the neck.

6. What are the common side effects post-surgery?

Common side effects include bruising, mild swelling or redness, and some social downtime. These symptoms are usually most pronounced in the first two to three weeks after surgery.

7. What is the recovery process like after a facelift?

Recovery varies among individuals. Generally, most people can return to work within one to two weeks. Swelling continues to diminish during the first year post-surgery. Heavy lifting and rigorous workout routines should be avoided for four to six weeks after surgery.

8. Will my face look “tight” or unnatural after a facelift?

A properly performed facelift aims to yield a natural, refreshed, and more youthful appearance, not a tight or mask-like effect. The goal is to enhance your look without giving an obvious impression of surgery.

9. Will a facelift eliminate my wrinkles?

A facelift smooths out pronounced wrinkles and sagging skin, but it won’t entirely eliminate fine wrinkles or sun damage. For wrinkles on the upper third of the face or to address sun damage, other procedures such as a brow lift, Botox, dermal fillers, or skin resurfacing might be considered.

10. Where will the scars be after a facelift?

The scars resulting from a facelift are typically hidden in the hairline and around the ear, so they are not easily noticeable once healed. If the neck skin is also tightened, there might be a very subtle scar hidden under the chin.