Facelift and Neck Lift (Rhytidectomy)

What is a Facelift or Neck lift (Rhytidectomy)?

A facelift or neck lift is also called a rhytidectomy. This surgery is for tightening and smoothing the skin of the lower third of the face and neck.

The Facelift Procedure

Signs of aging of the face are inevitable and as years go by the skin begins to loosen on the face and neck. Changes related to aging are due to a loss of collagen that causes thinning of the skin. There is also a decrease in facial volume due to a decrease of fat under the skin and there are changes in the facial skeleton as well. In some people, the jawline sags and jowls and marionette lines appear. The skin under the chin can also lose elasticity and start to droop down.

Can a Facelift Be Combined With Other Procedures?

A rhytidectomy will address the loose and sagging skin of the lower face, jawline, and neck. This will tighten the skin and remove the excess. But will not make the face look fuller or add volume to the cheeks and midface. In order to accomplish this, fat grafting is often performed at the same time and adds volume to the face. Normally the fat is taken by liposuction from the abdomen and is injected into specific areas of the face.

What should I know about a Rhytidectomy?

There are multiple rhytidectomy techniques, and which technique is utilized depends on the particular person. The surgery has to be customized to the individual’s face and neck type. A facelift improves appearance significantly in the lower third of the face. But, facelifts cannot improve wrinkles or sagging around the forehead, brows, eyes, nasolabial folds, chin, or mouth. In order to address these areas, other procedures can be performed such as brow lift, eye lift, fat grafting, facial fillers, and laser resurfacing. A rhytidectomy also does not alter facial asymmetry. If you are asymmetric before surgery, you will be asymmetric after surgery.

Smoking and Surgery

Dr. Fisher does not perform facelifts on active smokers. This is because smoking impairs and slows the healing process and increases the risk of skin loss. In order to not be considered an active smoker, you must not smoke for four weeks before surgery. You must also commit to not smoking for four weeks after surgery. Hopefully, by this point, you will be able to quit smoking altogether! The health benefits of this cannot be overemphasized.

Facelift Before and After

Facelift BeforeFacelift After

Recovery after Facelift Surgery

A facelift will always leave a scar in front of and behind the ear. The extent of the scar behind the ear will depend on the extent of skin laxity. Good skin care is very important for maintaining the results of your facelift. Just because you had a facelift does not mean that you will stop aging. You will continue to age, but with a reset starting point that is more youthful. The result of your facelift will last about 10 years. Using good skin care products including sunscreen everyday is essential. It is crucial to avoid smoking and overexposure to the sun.

Why Choose Dr. Orna Fisher

Your safety is extremely important to Dr. Fisher. She performs facelift procedures at an accredited outpatient surgery center under general anesthesia along with a highly qualified anesthesiologist.


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Facelift & Neck Lift in San Francisco & Palo Alto CA

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If you are interested in learning more about the Facelift and Neck Lift procedures, contact our Palo Alto, CA office today at ‭650.321.2629‬. Our practice, Elite Transformations, is located in the San Francisco Bay Area.

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