Cosmetic surgery: facelift for a younger appearance

A facelift is performed to look younger and fresher. Older women in particular are interested in this operation, but nowadays more and more men are also having this procedure performed. During a facelift, the sagging skin and skin muscles of the face are treated in such a way that the skin becomes tighter. This is done through cosmetic skin surgery. How does a facelift work?


The medical term is “rhytidectomy ,” which literally means “the removal of wrinkles.” Most people think of this cosmetic surgical procedure as tightening stretched skin that is usually done for elderly women. It is true that women from their late forties to late sixties usually belong to this group of patients, but nowadays there are also women who want to perform such an operation at the age of thirty. There are also more and more men who want to undergo a facelift.

What is a facelift?

In plastic surgery, a facelift is a cosmetic skin operation in which the sagging skin and skin muscles of the face are treated so that the skin becomes tighter. The skin is loosened in a number of places, of which little or nothing can be seen after recovery. The excess skin left after tightening is removed. The neck is usually included in this. Under the skin, the subcutaneous fat and connective tissue are also addressed.

Different forms of a facelift

There are several types of procedures for a facelift. Make sure you are aware of the different types and if the surgeon only offers one type of surgery, consult another surgeon as well. This procedure is not nothing and you want the best results. Every person is different, so there are also big differences in the aging process in every face. A good surgeon is able to determine which shape best suits the face. There are not really standard versions of a facelift. The most common examples are listed below:

SMAS facelift

This is the most popular form of a facelift. With an SMAS facelift (submuscular aponeurotic system), the thin muscle layer under the skin is treated. The excess skin is removed and the remaining skin is distributed as best as possible. The underlying muscle layer, called SMAS, is tightened and the excess fat under the chin is removed using liposuction. In some cases, a SMAS facelift will focus mainly on the muscles and less on the skin, but that of course depends on the type of face to be treated.

Subperiosteal facelift

This facelift can be performed with an endoscope. An endoscope is a medical instrument in which a flexible tube is inserted into the body. This means there is less scar tissue afterwards. The muscles are released from the bone and tightened. The skin is also pulled tight and any excess will be removed.

Combined facelift

The most extensive procedure is the combined facelift including neck lift. This procedure also removes excess skin from the upper and lower eyelids and lifts the eyebrows. The muscles in the face and neck are also tightened. This complicated procedure can only be performed by experienced surgeons.


After the operation, the patient usually remains in the clinic for observation for a day. Make sure you are well informed in advance about what to expect. When you get home, you will have to take it easy so that the wounds can heal properly. It can take up to a year and a half before the feeling in the skin is fully restored.

Be well informed

You don’t need to know in detail what will happen during the facelift, but it is good to prepare. Write down in advance what you want to ask the surgeon. With each facelift, an incision will be made in the hairline at the temple. It depends on the type of facelift, but incisions can also be made around the ears or other places. Scars can develop in those places. The procedure takes at least three hours and will be performed under general anesthesia. Please note that a minimum of two weeks recovery time is required. Until then, most people are not comfortable appearing in public. It may even take up to a number of months before the end result is clear because only then will all swelling have disappeared.


A facelift is quite expensive. Make sure you are well informed in advance about the costs and all additional costs. For example, an extensive treatment of the face and neck can easily cost 10,000 euros. Less extensive operations such as only the forehead, chin or eyelids cost approximately 1,000 to 5,000 euros. If a facelift is too expensive, you can consider having it carried out in steps, for example only an eyelid correction first and the rest later.

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