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A facelift, technically known as a rhytidectomy (literally, surgical removal of wrinkles), is a procedure used in plastic surgery to give a more youthful appearance. It usually involves the removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping the skin on the patient's face and neck.
The facelift is the fifth most popular cosmetic surgery performed after liposuction, rhinoplasty, breast augmentation and blepharoplasty (eyelid surgery).
In the traditional facelift, an incision is made in front of the ear extending up into the hairline. The incision curves around the bottom of the ear and then behind it, usually ending near the hairline on the back of the neck.
The skin is then pulled upwards and backwards and the amount of excess skin to be removed is determined by feel. The excess skin is then removed and the skin incisions are closed with sutures and staples.
Facelifts work best in women with thin skin and good bone structure. They are best for eliminating loose skin folds in the neck and wrinkles in the cheeks. The areas not well corrected by a facelift include the nasolabial folds and marionette lines. A facelift leaves long scars. However, the portion of the scars in front of the ear are usually inconspicuous. The scar behind the ear is hidden from casual view. Hair loss in the portions of the incision within the hair-bearing scalp can occasionally occur.