29/04/2026
How is a Facelift Performed?
A facelift (rhytidectomy) is a surgical procedure that requires meticulous planning to eliminate signs of aging and restructure facial features. How the procedure is performed is personalized according to the patient's facial structure, the amount of sagging, and the targeted outcome.
Here is the general step-by-step process of a facelift operation:
1. Preparation and Planning
Before the surgery, the surgeon analyzes the areas of sagging, bone structure, and skin elasticity. The incision points and the scope of the operation (full lift, mid-face lift, or mini-lift) are determined at this stage.
2. Anesthesia
Facelift operations are generally performed under general anesthesia or local anesthesia with sedation, depending on the patient's comfort and the scope of the procedure.
3. Making the Incisions
Depending on the facelift technique, incisions are usually hidden in the following locations:
Starting at the hairline in the temple area.
Following the natural crease in front of the ear and wrapping behind the earlobe.
Ending within the scalp.
If a neck lift is also to be performed, a small additional incision may be made under the chin.
4. Repositioning the SMAS Layer and Muscles
In modern facelift techniques, more than just the skin is stretched. The SMAS (Superficial Muscular Aponeurotic System) tissue—the actual supporting layer beneath the skin—and the muscles are pulled upward and secured. This step ensures that the results look more natural and last much longer.
5. Redraping and Closing the Skin
Once the internal tissues are repaired, the skin is gently redraped over the new contours. Excess skin is carefully trimmed, and the incisions are closed with aesthetic sutures. The goal is to achieve a refreshed look without creating an overly tight appearance.
ℹ️ Results of surgical and interventional procedures may vary for each individual. A detailed consultation with your physician is recommended before any procedure.