Facelift A facelift is a surgical procedure that tightens the skin and deeper layers of the face, jaw line and neck. Sometimes excess fat is also removed from under the chin to provide better definition. This procedure can help restore a more youthful appearance to the face and neck. Most patients who have this procedure are middle aged and older although sometimes younger patients who have inherited lax skin or have lost a lot of weight can benefit from the procedure. Facelifts can be done several ways and the surgery is always customized to the patient. Sometimes additional procedures such as a forehead lift or eyelid surgery is combined with a facelift to obtain the optimal result. At the initial consultation, I will examine you and decide which type of procedure or combination of procedures is best suited for you. Facial surgery is done either in my AAAASF certified office operating room or Seattle Surgery Center, an outpatient surgical center located next door to my building. Usually the procedure is done with intravenous sedation combined with a local anesthetic although some patients elect to have a general anesthetic, especially if multiple procedures are being performed. Patients usually go home the day of surgery and are seen in the office the next day. Patients who are undergoing multiple facial procedures may elect to say overnight at Seattle Surgery Center. Recovery from this procedure is usually quite rapid. The face and neck are bruised and swollen noticeably for about one week. After a week, most residual bruising and swelling can be concealed with make up. The area under the chin takes the longest to heal. This area can feel firm and stiff for several months after surgery. This is usually noticeable only to the patient and doctor and not to the casual observer. The scars are usually well hidden around and behind the ear and under the chin. Although they are initially red, they usually fade within a few months. Facelifts usually "last" for 5 to 10 years. This type of procedure turns the clock back but does not stop the ticking. How long a facelift lasts depends a lot on how the patient ages in general. A good skin care program combined with sun protection can go a long way in protecting your investment.