Face lifting / minilifting

What is face lift surgery (rhytidectomy)?

What is face lift surgery (rhytidectomy)?

The verb 'to lift' in English means to lift, and this term is commonly used to identify facial rejuvenation surgery, which in Italian is called rhytidectomy.

Dr Romano and Dr Fuhr perform rhytidectomy to restore freshness and radiance to the face by removing excess skin and lifting skin and subcutaneous tissue.

In some special cases, the procedure is completed by re-tensioning the muscular components of the face and neck.

The procedure is commonly combined with other facial rejuvenation techniques such as blepharoplasty and cheek lipofilling (autotransplantation of adipose tissue).


Local with sedation


180/240 minutes


Day Surgery


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Patients interested in facial rejuvenation are generally women between the ages of 45 and 70 suffering from:

  • Excessive wrinkles and sagging skin on the face
  • Premature ageing of the face from congenital causes
  • Premature ageing of the face from heavy weight loss
  • Loss of jaw profile from prolapse of the overlying tissues
  • Appearance of unsightly wrinkles or platysmal bands in the neck

The purpose of the pre-operative examination is to assess the clinical situation and agree with the patient on the real improvements, discouraging false expectations of eternal youth at all costs. In order to rule out any pre-existing pathologies in the patient, routine examinations for all surgical procedures (blood count, coagulation balance and ECG) are recommended.

It is recommended that the patient be strictly forbidden to take any anticoagulant medication (aspirin, excessive vitamin C, contraceptives, etc.) for 10 days prior to surgery, as well as a complete ban on smoking for 1 month before and after surgery.

The rhytidectomy procedure involves extensive but well-hidden incisions in the scalp, in front of the ear and behind the ear.

These incisions allow the skin and subcutaneous tissue (SMAS) of the cheeks and neck to be detached and pulled upwards, allowing excess subcutaneous tissue to be removed.

Depending on the areas affected by dermatocalasis (tissue ptosis) the facelift can be defined as:

  • Forehead lifting
  • Eyebrow lifting
  • Face lifting
  • Neck lift

The duration of the operation varies from clinical case to clinical case and, in particular, to any related procedures (face lipofilling, blepharoplasty, etc.).

At the end of the procedure, the patient will be discharged with a modestly compressive bandage over the entire treated area.

This bandage will be removed approximately 7 days after the operation.

Admission is performed as an in-patient procedure with a hospital stay of about 24 hours.

The result of the facelift is not definitive and lasts about 5-7 years.

The postoperative course of the facelift is generally quick and painless, characterised by slight bruising and oedema of the face for the first 10-15 days after the operation.

Rest for 24-48 hours is recommended, with resumption of social life after about 2-3 weeks, depending on the type and duration of the operation.

It is recommended to refrain from smoking for at least 30 days after the operation.