Hyperbaric oxygen (HBO) therapy has been used for many years to treat chronic wounds. The procedure has been shown to improve the delivery of oxygen to tissue and reduce tissue injury. Most assume HBO therapy is used only for patients who are experiencing poor blood flow to the skin after a facelift. In fact, there is some evidence that treatment with HBO can accelerate the resolution of bruising after facelift surgery (5). This could potentially benefit patients who would like to return to work or their social lives more quickly. The option for HBO treatment is discussed with patients prior to extended deep plane facelift surgery. People who could potentially benefit from HBO therapy include patients with a recent history of smoking or those who have undergone a facelift or non-surgical face tightening procedure elsewhere, because the blood supply to the tissue of the face, including the skin, is weakened. Patients who pursue HBO therapy undergo a consultation with the physician who administers the therapy where he extensively reviews their medical history and performs a physical exam to determine their candidacy for treatment.