A face lift (rhytidectomy) tightens lax facial tissues, restores jawline definition, and softens deep folds.
It doesn’t change who you are; it refreshes how you look, usually by 7–10 years, while keeping your features recognizable.
What a Face Lift Can (and Can’t) Do
What it improves
- Jawline definition: tightens the SMAS/platysma layer to reduce jowls and sharpen the mandibular border.
- Lower face folds: softens marionette lines and heaviness around the mouth.
- Neck laxity (when combined with neck work): reduces banding and “turkey neck.”
- Cheek descent: repositions descended tissue for a lifted midface contour (depending on technique).
What it doesn’t do
- Skin quality problems: fine lines, pores, sun damage still need resurfacing (peels, lasers, microneedling).
- Upper face aging: brows and lids need targeted procedures; see our eyelid surgery guide.
- Lip volume or shape: fillers or lip lift address that.
- Weight loss: a face lift sculpts; it doesn’t change metabolism.
Types at a Glance
- Mini facelift: shorter incisions; focuses on jowls and early laxity; faster recovery; smaller change.
- Standard (SMAS) facelift: deeper lift and redraping of SMAS with stronger jawline and neck improvement.
- Deep-plane facelift: releases deeper retaining ligaments to move the midface en bloc; powerful lower-face and cheek rejuvenation when done by high-volume surgeons.
- Add-ons: neck lift, submental fat removal, platysmaplasty, fat grafting, skin resurfacing.
Start with our mini vs full face lift guide to match approach with goals and downtime.
Benefits of Face Lift Surgery
Natural contour—without a “pulled” look
Modern techniques lift the support layer (SMAS/platysma) rather than stretching skin. That gives better shape and a softer, longer-lasting result.
Strong jawline and neckline
If jowls and neck bands bother you, a facelift with neck work can restore the angle between jaw and neck and remove the “wattle” that hides shirts and collars.
Longevity you can see
Results typically hold 7–10 years (varies by skin quality, weight stability, and sun care). You continue to age, but from a younger baseline.
High satisfaction—when goals are specific
Patients who target 2–3 concrete complaints (ex: “my jowls, heavy neck, deep marionettes”) report the most satisfaction. Photos and mirrors line up again.
Can bundle with complementary fixes
Fat grafting can refill deflated areas (temples, cheeks, marionettes). Light resurfacing can smooth crepey skin. Doing select items together condenses downtime.
The Real Risks (What Matters Most)
Every surgery carries risk. With facelifts, the most common major issue is hematoma (a blood collection under the skin) in the first 24 hours.
Here’s the risk landscape and how careful teams reduce it.
Hematoma
- What it is: rapid swelling, tightness, pain on one side; may need urgent drainage.
- Risk factors: high blood pressure, meds/supplements that thin blood, coughing/vomiting, early strain.
- Risk reduction: pre-op BP control, pausing blood thinners and supplements as directed, gentle blood-pressure management after surgery, head-elevated rest, no heavy bending.
Nerve injury (usually temporary)
- What it is: weakness in a facial branch (smile, brow, lower lip) or numbness around ears/cheek. Most cases resolve over weeks to months; permanent deficits are uncommon in experienced hands.
- Risk reduction: anatomical respect, limited traction, blunt dissection in danger zones, choosing a surgeon who performs many facelifts yearly.
Skin or incision healing problems
- What it is: delayed healing or edge loss (more common in smokers/nicotine users), visible scarring, hairline shift, small areas of hair thinning around incisions.
- Risk reduction: no nicotine for 4–6 weeks pre/post, tension-balanced closure, careful incision planning around hairline/tragus, nutrition support, early wound checks.
Infection, seroma, sialocele
- What it is: infection; fluid build-up; rare salivary leak (sialocele) near parotid.
- Risk reduction: sterile technique, judicious drains/quilting sutures when needed, compression, quick in-office aspiration if fluid collects, short course antibiotics when indicated.
Asymmetry or contour irregularity
- What it is: residual jowl puff, dimples, or side-to-side differences (we all start asymmetric).
- Risk reduction: even vector lifts, conservative fat removal, honest pre-op talk about natural asymmetries; minor touch-ups later if helpful.
Blood clots (DVT/PE)
- Lower risk than large body procedures, but not zero. Early walking, hydration, and screening reduce the odds.
Who’s a Good Candidate?
- Clear concerns in the lower face/neck (jowls, bands, lax skin).
- Healthy, no nicotine, blood pressure under control.
- Stable weight and realistic expectations.
- Time for recovery: 10–14 days for camera-friendly social time (makeup helps); residual swelling up to 4–6 weeks.
Consider alternatives first if your main issue is skin texture or volume loss without sagging.
Recovery—How It Actually Unfolds
Days 0–2: dressings/on-off drains; tight but not severe pain; head elevated; short, frequent walks.
Days 3–7: bruising shifts from violet to yellow-green; tightness eases; many remove sutures by day 5–7.
Week 2: light makeup, Zoom-ready; swelling hides well with hair and collar.
Weeks 3–6: back to workouts gradually (surgeon-specific); massage and scar care begin per plan.
Months 3–6: final settling and softening; scars fade from pink to skin-tone.
Scar care basics: silicone gel/sheets after closure, sun block daily, gentle taping if advised, and patience, remodeling takes 12–18 months.
How Surgeons Lower Complications
- Volume & outcomes: “How many facelifts do you perform each year?” “Revision rate?”
- Anesthesia & facility: accredited OR, board-certified anesthesia provider.
- Blood pressure protocol: intra- and post-op targets; anti-nausea plan to prevent strain.
- Hematoma prevention: BP control, drain use strategy, head elevation, clear activity rules.
- Nerve-sparing technique: approach to dangerous zones; deep vs SMAS vs hybrid strategy and why.
- Incision design: hairline preservation, tragus position in men vs women, sideburn planning.
- Follow-up cadence: early next-day check, frequent visits in week 1–2, direct line after hours.
For a full due-diligence checklist, read how to choose the right cosmetic surgeon.
Expected Results & Longevity
You should look refreshed, not different. Friends may say you look “rested” or ask if you changed your hair. With good skin care, sun habits, and weight stability, results stay strong for many years.
If gravity and time nudge changes again, small tweaks (neck touch-up, minor lipo or energy tightening, filler) can extend the arc.
Cost, Bundling & Financing
Price varies by technique, surgeon experience, and whether you add neck lift, fat grafting, or resurfacing. Many patients combine savings with monthly financing.
Read our guide to cosmetic surgery financing for a side-by-side comparison of loan options, promo APR traps, and sample payoff timelines.
When a Facelift Isn’t the Best First Move
- BMI in flux or recent major weight changes.
- Uncontrolled hypertension or medication conflicts that can’t be paused safely.
- Active smoking or nicotine use (including vapes, patches, gum).
- Only skin texture complaints without sagging, consider resurfacing first.
Ready for a plan that fits your face?
Tell us your top three concerns and the season you’re targeting. We’ll map a safe, personalized facelift or facelift-plus-neck plan, recovery timeline, and payment options, so you know exactly what to expect before you book.Call (562) 275-3843 or Book Your Consultation.
