A facelift is a surgical procedure to repair
sagging, drooping, and wrinkled skin of the face and neck.
It is performed to improve visible signs of aging, poor
diet, or heredity; it is performed by removing excess fat,
tightening underlying muscles, and redraping facial and
Sagging or wrinkled skin occurs naturally
with increasing age. Folds and fat deposits appear around
the neck, and deep flexion creases form between the nose
and mouth. The jawline grows "jowly" and slack.
Heredity, poor diet, smoking, or obesity may contribute
to early or severe skin problems.
A facelift can help repair some of the visible
damage to skin, fat, and muscles and can restore a "younger"
look. A facelift can be done alone or with nose reshaping,
a forehead lift, or eyelid surgery.
While the patient is sleepy (sedated) and
pain-free (local anesthesia) or deep asleep and pain-free
(general anesthesia), the plastic surgeon makes incisions
above the hairline at the temples, behind the earlobe, to
the lower scalp.
The surgeon removes some of the fat tissue
and loose skin, then stitches (sutures) the incisions closed.
The fat tissue is called the SMAS layer and is the primary
lifting portion of the facelift.