A facelift (rhytidectomy) is a surgical procedure frequently sought by individuals looking to reduce signs of aging and achieve a more youthful appearance. However, like any surgical intervention, facelift surgery carries certain risks and potential complications. In this article, I aim to provide detailed information about facelift risks to educate my patients.
1. What Is a Facelift Surgery?
A facelift is a surgical procedure designed to create a younger, fresher appearance by tightening sagging facial and neck tissues, repositioning muscles, and removing excess skin. While effective, this procedure naturally involves some risks.
2. Potential Risks of Facelift Surgery
A. Anesthesia-Related Risks
Facelift surgery can be performed under general or local anesthesia, both of which carry potential risks, including:
- Allergic reactions
- Breathing difficulties
- Nausea and vomiting
- Rare but life-threatening complications
B. Infection
As with any surgical procedure, there is a risk of infection post-facelift. While proper antibiotic use and sterile conditions minimize this risk, patients must strictly follow postoperative care instructions.
C. Bleeding and Hematoma
Bleeding may occur during or after surgery. In particular, hematoma (blood accumulation under the skin) may require additional intervention. Smoking and blood-thinning medications can increase this risk.
D. Nerve Damage and Loss of Sensation
Facial nerves are highly sensitive. Temporary or permanent nerve damage may occur, leading to:
- Facial muscle weakness
- Asymmetry
- Numbness or tingling
E. Scarring
Incisions are typically made behind the ears and along the hairline to minimize visibility. However, some patients may develop noticeable scar tissue, especially those prone to keloid formation.
F. Asymmetry and Unnatural Appearance
Postoperative facial asymmetry may occur. Over-tightening can result in an unnatural, “windblown” look. An experienced surgeon can significantly reduce this risk.
G. Skin Necrosis (Tissue Death)
Though rare, skin necrosis (tissue death due to poor blood supply) may develop, particularly in smokers.
H. Prolonged Swelling and Bruising
Swelling and bruising are normal in the first few weeks after surgery. However, some patients may experience prolonged swelling due to lymphatic drainage issues.
3. How to Minimize Risks?
- Choose an experienced plastic surgeon.
- Avoid smoking and alcohol for at least 4 weeks before surgery.
- Discontinue blood thinners under medical supervision.
- Strictly follow postoperative care instructions.
- Attend all follow-up appointments.
When performed on the right patient by a skilled surgeon, a facelift can deliver highly satisfying results. However, as with any surgery, it carries inherent risks. Proper preoperative evaluation and patient compliance can minimize these risks.
If you are considering a facelift, schedule a consultation at our clinic for a detailed examination and personalized advice.
Stay healthy and beautiful…
Dr. Ahmet Kaplan
Specialist in Plastic, Reconstructive, and Aesthetic Surgery
