Face Wrinkles Treatment -Face Lift / Rhytidectomy

What is  Face Lift / Facelifting Treatment /Rhyidectomy Surgery for Face Wrinkle Removal? How does Facelift work?

A face Lift is a surgical procedure that is typically used to give a more youthful appearance to the face. Technically, it is also called a rhytidectomy by cosmetic surgeons / plastic surgeons. This type of cosmetic surgery reshapes the lower one-third of the face by removing excess facial skin. Some facelift procedures also include the tightening of underlying tissues. To achieve the best result, it is often combined with other additional procedures addressing the forehead, cheeks, brows and eyes. According to statistics, facelifts are increasingly popular amongst both men and women.

How does Aging of the Face Occur? How do Facial Wrinkles & Face Lines Develop, as we age?

Age affects every nook and cranny of the body. Along with the wisdom, experience, and accomplishments that come with getting older, there are changes that occur in our outward appearance. Changes in our faces are most at the forefront. Dozens of changes take place as the years add up, some of them obvious and familiar:

  • Foreheads expand as hairlines retreat
  • Ears often get a bit longer because the cartilage in them grows
  • Tips of noses may droop because connective tissue supporting nasal cartilage weakens.

There are also structural rearrangements going on behind the scenes. Mother Nature and Gravity pull all facial tissues DOWN, as we age. When we’re young, fat in the face is evenly distributed, with some pockets here and there that plump up the forehead, temples, cheeks, and areas around the eyes and mouth. With age, that fat loses volume, clumps up, and shifts downward, so features that were formerly round may sink, and skin that was smooth and tight gets loose and sags. Meanwhile other parts of the face gain fat, particularly the lower half, so we tend to get baggy around the chin and jowly in the neck.

And, of course, there are the wrinkles. Those deep ones in the forehead and between the eyebrows are called expression, or animation, lines. They’re the result of facial muscles continually tugging on, and eventually creasing, the skin. Other folds may get deeper because of the way fat decreases and moves around. Finer wrinkles are due to sun damage, smoking, and natural degeneration of elements of the skin that keep it thick and supple.


How the Face Ages over Time                   (Gravity Pulls all Facial Tissues down over time)       

The facelift procedure

The first facelift was performed in Berlin in 1901 by surgeon Eugen Holländer.

The traditional face lift. An incision is made in front of the ear extending up into the hair or hairline. The incision stretches downward in front of the ear, comes under the ear and then upward behind the ear. It then ends in the hair or hairline behind the ear. If necessary, the deeper tissues of the face can be tightened. The excess skin is removed.

Face Lift

Face Lift & Neck Lift Incisions & Procedure

The face lift incisions are then closed with sutures and staples. In some cases a drain is placed under the skin behind the ear to drain off any excess blood and fluids. This drainage tube is removed a day or two after the procedure. Then bandages are applied.

Neck Lift Surgery Procedure: Cervicoplasty & Platysmaplasty

A neck lift is often combined with a face lift or can be done in isolation. The neck lift surgery incision is a submental (below the chin) incision.

Face Lift Results

Face Lift & Neck Lift Results

Face lift surgery can last from two to five hours. It can be performed in an outpatient facility with local anesthetics and sedatives to relax the patient. However, in some cases surgery can be performed under general anesthesia and the patient may stay in the hospital overnight.

Facelifts are effectively combined with eyelid surgery and other facial procedures. The result of a facelift is a smoother, more youthful appearance. The procedure removes and tightens sagging skin. The droop of the cheeks around the jaw line is reduced. The corners of the mouth are lifted and the creases between the cheeks and lips are diminished. The results usually last between five to ten years.

New techniques & advances in facelifting treatment:

There are new methods for performing facelifts. These advances aim at improving cosmetic results, with minimal downtime & greatly reduced surgical risks:

    • Lasers: A face-lift procedure called laser neck and jaw liposculpture and resurfacing, uses lasers. This can be done through a one-inch incision under the chin using only a local anesthetic.
    • Endoscopic FaceLift: Endoscopic techniques are now used to do face lifts and brow lifts. This method allows for smaller incisions. As a result, there are fewer traumas to tissues, and a faster recovery time. Facial structures are raised, and there is no need to cut away folds of skin. However, this type of procedure also depends on the patient.
    • Mid-Face Lift: Surgical Incisions in the mid-face lift are hidden in the eyelid area and the mid-face (malar area/ cheeks) is raised.
    • Face LiposuctionThis method of facial liposuction is used to remove focal deposits of fat in the face. It is usually used in the area between the chin and neck. Liposuction can be combined with a face lift or performed separately.
    • Vampire Facelift: Vampire Face Lift is a name for a non-surgical cosmetic procedure involving the injection of a gel-like substance—platelet rich plasma (PRP)—derived from a patient’s own blood, back into multiple areas of the skin of their face in an effort to treat wrinkles and “rejuvenate” the face. Platelet-rich plasma (PRP) is blood plasma that has been enriched with platelets. The stem cells associated with PRP rejuvenate the face.
    • Liquid Facelift: A Liquid Facelift is a technique for injecting advanced dermal fillers, such as JUVEDERM, Radiesse and Restylane & BOTOX Injections to lift and contour facial features. It is sometimes difficult to imagine what a liquid facelift, which is completely non-surgical can achieve.
Liquid Facelift

Liquid Facelift with Botox & Dermal Filler Injections

See the video to see the results of a Liquid Facelift performed by Dr. Debraj Shome & What can it achieve:


In summary, as we age, the facial tissues tend to droop, due to the action of gravity. Facelifting treatment elevates the facial tissues, restoring the youthful facial contours. Surgical face lift can be performed through the classical facelifting incision. Modifications like the mid-face lift, mini face lift, etc, can achieve the same results, but with greatly reduced surgical downtime and much reduced surgical risk. Advances like the vampire Lift, the liquid facelifting treatment (with Botox & Fillers), can achieve the same results, and are non-surgical, with zero risk and downtime.


Dr. Debraj Shome is one of the top/ best facial plastic surgeons, oculoplastic surgeon & cosmetic surgeons in the world and is currently based in Mumbai, India. He is trained from the top institutes in India , the UK, Singapore and the USA and is one of very few Indian surgeons, listed on Wikipedia.

For more details on Dr. Debraj Shome, click on:



4 thoughts on “Face Wrinkles Treatment -Face Lift / Rhytidectomy

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