A facelift (rhytidectomy) is cosmetic surgery to lift up and pull back the skin to make the face tighter and smoother.
The procedure is designed to reduce flabby or sagging skin around the lower half of the face (mainly the jowls) and neck.
If you're thinking of going ahead, be absolutely sure about your reasons for wanting a facelift and don't rush into it. The procedure can be expensive, the results can't be guaranteed, and there are risks to consider.
It's a good idea to discuss your plans with your GP first. You can also read Is cosmetic surgery right for me?.
In the UK, the cost of a facelift can vary greatly from clinic to clinic and depending on the extent of the procedure.
Expect to pay anything from a few thousand pounds for a mini facelift to £10,000 for a face and neck lift.
You should also take into account the cost of any consultations or follow-up care that may be needed.
If you're looking in England, check the Care Quality Commission (CQC) website for treatment centres that can perform facelifts.
Also, research the surgeon who is going to carry out the facelift. All doctors must, as a minimum, be registered with the General Medical Council (GMC). Check the register to see the doctor's fitness to practise history.
A facelift is usually carried out under general anaesthetic. It may sometimes be performed using a local anaesthetic and sedation.
It usually takes two to three hours, and most people need to stay in hospital overnight.
It takes about two to four weeks to fully recover from a facelift. You need to take this time off work.
Bruising is visible for at least two weeks. It could take up to six to nine months to see the full effect of the facelift.
You won't be able to drive for a number of days after the operation – your surgeon would advise about this.
You will have to avoid showering and getting the bandages wet for the first two days, and avoid strenuous activity, saunas and massages for at least two weeks.
You also need to keep your head propped up with pillows for a couple of days while resting to reduce the swelling.
After about a week: Stitches are removed (unless you had dissolvable stitches).
After several weeks: Bruises, scars and redness should have faded.
After six to nine months: The full effect of the facelift should be seen.
Occasionally, patients find the desired effect wasn't achieved and feel they need another operation. You should check how this would be funded with your surgeon.
If you are not happy with the results of your facelift, or you think the procedure wasn't carried out properly, you should take up the matter with your surgeon through the hospital or clinic where you were treated.