Facelifts or rhytidectomy are performed to improve sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, and redraping skin. There are most often done on men and women over age 40. The procedure takes 2 to 3 hours and is usually outpatient, although some patients may require a short inpatient stay. Anesthesia is general or occasionally local with sedation. Side effects may include temporary bruising, swelling, numbness, tenderness, and/or tight-feeling, dry skin. For men, there may be a permanent need to shave behind the ears, where beard-growing skin is repositioned. Risks include injury to the nerves that control facial muscles and sensation, infection, poor healing, excessive scarring, and/or asymmetry or change in hairline. Most patients are back to work in 2 to 3 weeks and more strenuous activity after 3 weeks or more. Bruising may take 2 to 3 weeks to subside. Sun exposure must be limited for several months. Results typically last 5 to 10 years. Learn more about facelifts or rhytidectomy.