As people age, the effects of gravity, exposure to the sun, and the facesurgerystresses of daily life can be seen in their faces. Deep creases form between the nose and mouth (nasolabial fold). The jawline grows slack and jowls emerge. Folds and fat deposits appear around the neck. A facelift (rhytidectomy) is the name for a group of operations that address these issues. Surgery cannot stop the aging process. What it can do is “set back the clock,” improving the most visible signs of aging by removing excess fat, tighteningunderlying muscles, and redraping the skin of your face and neck.

The ideal candidates for facelifts are men and women who have some excess and sagging skin on their face and neck. Sun exposure, stress, and even gravity contribute to the aging process in the face. Typically, people are between the ages of forty and sixty, but facelifts can be performed on patients much older with very successful results.

Facelift surgery generally takes between two and four hours, though it may take longer when combined with other procedures. More extensive procedures may require two separate sessions. The surgery is performed in above mentioned clinic, and is most typically done on an outpatient basis while the patient is under some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia.

The surgeon will begin by making the incisions. While the exact placement of incisions may vary, they are typically hidden behind the hairline or within the scalp, inside of the ear, and/or behind the ear, thus allowing for minimal visible scarring. The incision line typically begins in the area of the temples about the hairline and just above the ear, extending downward in a natural line either in front of the ear or just inside of the cartilage at the front of ear, then continuing around and behind the earlobe and ending at the lower scalp. If the neck needs additional work, small incisions may also be made beneath the chin.

Once the incision is made, the skin is raised outward and separated from the fat and muscle below. Fat may be trimmed from or suctioned out of the areas around the neck and chin, while underlying muscle and connective tissue may be tightened or repositioned. The surgeon will then pull the skin back, lifting it and bringing it tighter, then trim any excess skin before closing the incisions. Stitches will secure the layers of tissue and hold the incisions closed. Metal clips may be used on the scalp, reducing the need to shave any hair from the incision sites. For men, incisions are typically placed in such a way as to accommodate the natural beard lines.

Following surgery, a dressing is typically applied to protect the entire area where the incisions have been made. This may include wrapping the head loosely in bandages, which helps to minimize bruising and swelling. A small tube may be temporarily placed underneath the skin behind the ear in order to drain any blood that can collect there. Patient is discharge 4-6 hours after surgery. Patient needs to be in Pune for 4 days. After 48 hours dressing is removed & if necessary reapplied.