If the neck needs work, a small incision may be made under the chin. The skin is separated from the fat and muscle below. Fat may be trimmed or suctioned to improve the shape. The surgeon then tightens the facial muscles and membranes, replaces the skin and trims the excess. This surgery can take several hours, depending on the amount of work done.
Some surgeons do extensive face-lifts in two separate sessions.
Stitches close the incisions and hold the skin in its new place. Metal clips may be used to close scalp incisions. The patient's head may also be bandaged to minimize bruising and swelling. The patient will feel mild to moderate pain and discomfort after the surgery, but should be up and moving around in about two days. Keeping the head elevated and fairly still for several days will keep the swelling down.