FaceLifts | Rhytidectomy


A facelift, also known as a Rhytidectomy, revitalizes your appearance by removing baggy skin and tightening the muscles of your face and neck. Skin can begin to wrinkle and sag as a result of age, sun exposure and genetics. Children and young adults have smooth, round faces due to evenly distributed fatty tissues in facial contours. Over time, the skin sags and folds around the chin, jawline and neck. Face lift surgery diminishes wrinkles and eliminates sagging caused by age, sun exposure, and simple genetics. With a facelift, many patients feel like they look 5 to 10 years younger.

To begin, we conduct a complete evaluation of your medical history in order to determine overall health. We will discuss with you how your face can look and what you can expect from surgery. Our objective is to create a natural appearance that is pleasing to you. Dr. Singh strives for a more natural, rested and rejuvenated look without being overdone.   Before and after photographs will reveal what the surgery has accomplished.


A Rhytidectomy or facelift can be performed under IV Sedation or general anesthesia. These options are discussed in detail prior to the procedure. Pre-medication may be administered for relaxation. Incisions are made inside the hairline at the temple, running partly in front of the ear and then around the earlobe and behind the ear, ending in the hair of the scalp. Dr. Singh will tailor the incisions to the patient’s hairline as well.  The loose skin is separated from underlying tissue and is pulled up, back and excess skin is removed. In addition, sagging muscles and connective tissues are tightened. In some cases, fatty deposits are removed from beneath the chin and neck utilizing small sutures to close the incisions.


Bandages are applied to the area of surgery and are removed within a few days. Pain is moderate and controlled with oral medications. Sutures are removed within the first 7 to 10 days and sometimes removed in stages. Swelling and discoloration decreases within two weeks. Tightness (the goal of a facelift) will be present for several weeks and there may be slight changes in your hair pattern around the incision.  The incisions may be red and discolored for a few weeks or months. You will get instructions on how to take care of incision. It is recommended that you limit physical activity for 10 days and avoid the sun for several weeks after facelift surgery. The healing process is gradual and you will not notice final results for up to 6 months. Improvement will vary depending on your initial condition. In most cases, a single procedure achieves the desired results.

Many patients often ask how long the facelift will last. You need to realize that there will be some relaxation of the skin and facial muscles within the first year, however, you will continue to age and the procedure does not prevent generalized facial aging. You should still see a noticeable difference years after the operation. Some patients choose to do a mini-tuck under local anesthesia or sedation in a couple of years to maintain their results.

Risk and Complication of the Facelift Procedure

Complications following facelift are rare, but include bleeding, infection, loss of skin behind the ears, facial nerve injury, discoloration of the skin, numbness, asymmetry, and scarring. Infection is rare due to the large blood supply to the face. The risk of bleeding is greater if you take aspirin or blood thinners within 2 weeks of the surgery. The risk of wound complications increases in smokers, diabetics, people with a history of radiation therapy, autoimmune and collagen disease. In the weeks after surgery, the facial skin and area around the ear may be numb. There may also be some temporary discoloration as healing begins, which may take a few months to disappear. Occasionally, the facial nerves may be bruised during surgery, resulting in temporary loss of function or sensation. However, actual permanent damage to the facial nerve with the technique Dr. Singh uses is rare.