Facial Surgery
          
To improve sagging skin of the face and obtain a more youthful appearance, more  and more people realize the facelift or rhytidectomy is the procedure for  them. According to plastic surgeon  David Passy, who serves the cities of Itaperuna, Muriaé and Ipanema, in Rio de Janeiro, facial plastic surgery is performed with minimal incisions, using a  micro-camera. The procedure repositions the muscles, removes excess fat  and redraws the facial contour.
The facelift or rhytidectomy can be combined with liposuction of the neck, which  removes fat from the jowls or the eyelid  surgery or blepharoplasty.
Recommended:
The facelift or rhytidectomy is recommended for patients who have a lot of sagging  skin and want to rejuvenate their face. Other indications for a facelift are made to correct deep  wrinkles on the forehead, fine wrinkles on the lips and chin, excess skin in or  around the eyes or even a reduction of the eyebrows and nose.
Duration:
According to the plastic surgeon Passy  David, the duration of the facelift or rhytidectomy is 2.5 to 3 hours, with  a hospital admission from 12 to 24 hours.
Anesthesia:
During facial rejuvenation, local anesthesia  with sedation is given.
Scar:
The scars are much smaller than they were several years ago. They reside around  the edge of the ear to the scalp.
Post-surgery:
The day after the facelift or rhytidectomy, the patient may return  home and be allowed to bathe and wash their hair. In one week, the patient  must return to the office for a follow up. The patient may return to work after  10 to 15 days. The final results of the rhytidectomy or facelift can be seen in six months.
Makeup should be avoided for at least ten  days. After this period, it must be light and carefully removed with a  moist towelette. You can wash your face gently with mild soap and water.
A bath may be taken as normal. The hair can be washed and combed carefully  between the 2nd and 7th day after the facelift. It is important to dry  well behind the ear, so that the hairs do not get stuck in this  region. Keep your scalp clean and try not to use the hair dryer. If  unavoidable, use cold air. Avoid sun exposure for 2 to 3 months after facelift surgery or rhytidectomy.
Recommendations:
Do not smoke for at least 14 days before the facelift surgery. Smoking is a serious enemy of a facelift operation due to the problems  caused by nicotine during the healing process. The substance decreases blood  flow to the skin, hindering healing. 
