Facelift surgery (rhytidectomy) lifts and repositions sagging tissue in the lower face and neck, tightens the underlying muscle layer, and removes excess skin—restoring a more youthful jawline and neck contour. Find the right surgeon who fits your needs below, serving Canadians in major cities like Vancouver, British Columbia; Edmonton, Alberta; Toronto, Ontario; and Montréal, Québec.

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Facelift surgery (rhytidectomy) is a procedure that lifts and repositions sagging tissue in the lower face and neck, tightens the deeper muscle layer (the SMAS), and removes excess skin. Despite the name, a modern facelift mainly addresses the lower face and neck—the jawline, jowls, and neck. It does not lift the brow or treat the eyelids; those need separate procedures.
Think of the face as layers: skin on top, fat compartments beneath, then a fibrous muscle layer called the SMAS (superficial musculoaponeurotic system), then deeper structures. With age, gravity, sun exposure, and volume loss, these layers slide downward and forward. Skin loses elasticity, fat pads descend, and the jawline blurs. A facelift repositions the SMAS and skin upward and backward, then removes the excess skin that's left over.
The surgeon makes incisions hidden in and around the ear (and sometimes a small one under the chin), lifts the skin off the deeper tissue, then tightens the SMAS layer. The skin is redraped, excess is trimmed, and the incisions are closed with fine sutures.
Many patients say they look tired, angry, or older than they feel—and that creams, lasers, and injectables no longer move the needle. Facelift surgery is the most reliable way to restore a defined jawline and a smoother neck. It doesn't change who you are; a well-done facelift makes you look like a more rested version of yourself.
A standard SMAS facelift with neck lift typically takes about 3–5 hours. Deep plane facelifts often take 4–6 hours. Mini facelifts are usually 2–3 hours. Add time at the centre for check-in, anaesthesia, and recovery.
1. Check-in and confirmation
You meet the team, review your surgical plan, and the surgeon marks the planned incisions and key landmarks while you're sitting upright (this matters—facial tissue sits differently when you're lying down).
2. Anaesthesia
Most facelifts are done under general anaesthesia or deep IV sedation with local anaesthetic. Your anaesthesiologist will choose what's safest for you.
3. Position and prep
You're positioned on your back with your head slightly elevated. Your hair is tied back away from the incision lines, and the area is cleaned and draped sterilely. Eye lubricant and protective shields keep the eyes safe.
4. Local anaesthetic with adrenaline
A dilute local anaesthetic mixed with adrenaline is injected throughout the surgical area. This minimizes bleeding and helps with pain control after surgery.
5. Incisions
Incisions are placed in well-hidden locations: starting in the temple hair, curving down in front of the ear (in a natural crease or just inside the cartilage), around the earlobe, and behind the ear into the hairline. A small incision under the chin is often added for the neck.
6. Skin elevation and SMAS work
The surgeon carefully lifts the skin off the deeper tissue, then addresses the SMAS layer—either tightening it with sutures, repositioning it as a flap, or releasing and lifting it as part of a deep plane technique. For the neck, the platysma muscle is tightened in the midline and along the jawline.
7. Fat sculpting (if needed)
Excess fat in the jowls or under the chin may be carefully reduced; thin or hollow areas (e.g., cheeks, tear troughs) may be augmented with fat grafting.
8. Skin redraping and trimming
The skin is redraped upward and backward along natural tension lines, excess skin is trimmed conservatively, and the earlobe is repositioned to avoid distortion.
9. Drains and closure
Fine drains may be placed behind the ears to prevent fluid collection. Incisions are closed in layers with absorbable deep sutures and very fine surface sutures.
10. Dressings and wake-up
A soft, supportive head dressing is applied. You recover in the post-anaesthesia area. Most patients stay overnight at the surgical facility or a recovery suite for monitoring; some go home the same day with a responsible adult.

This is generalized information. Every body heals differently—follow your surgeon's plan.
Most people are presentable in 2–3 weeks and back to most normal activities by 4–6 weeks. Final, refined results emerge over 6–12 months as swelling fully resolves and scars mature.
Reality check:
You'll have significant swelling, bruising, tightness, and a "wooden" or numb feeling across the cheeks and neck. Sleeping is best done on your back with the head elevated. A supportive dressing or chin strap is usually worn most of the time.
Goals: Manage swelling and pain, protect the incisions, rest.
Activities: Sleep with head elevated on 2–3 pillows or a wedge; cool compresses (not ice) on the cheeks intermittently; light walking around the house; soft, low-salt foods; chin strap as directed; drains emptied and recorded as instructed.
Bruising peaks, then begins to fade.
Goals: Reduce swelling, return to light routines.
Activities: Drains usually removed. First post-op visit is typically in this window. Showering and gentle hair washing are often allowed. Continue head elevation and chin strap at night. Most patients are not yet ready to be seen socially.
Most visible bruising gone; tightness and lumpiness linger.
Goals: Return to most daily activities; protect from sun.
Activities: Sutures (if non-dissolving) typically removed at 7–14 days. Many patients return to desk work and light social activities by 2–3 weeks—often with help from hair, makeup, and a scarf. Light cardio (walking) is usually fine. Skin still feels tight and slightly numb; small lumps along the incisions are normal.
Building toward final result.
Goals: Resume full exercise; gentle scar care.
Activities: Most patients return to gym workouts and most physical activities around 4–6 weeks. Scars are pink but well-camouflaged in and around the ear and hairline. Continue sun protection—fresh scars darken with sun exposure. Numbness around the ears and cheeks slowly improves.
Final result emerges.
Goals: Allow scars to mature, swelling to settle, and sensation to return.
Activities: No restrictions. Subtle swelling can persist for several months, especially in the neck and jawline. Scars continue to fade for up to a year. Numbness usually resolves over 3–6 months but can take longer in patches.
The final "snapshot" you'll remember.
Deep plane and SMAS work fully settles. Scars are typically pale and very hard to spot when placed and cared for properly.
Most recoveries are uneventful, but the face has a rich blood supply and some warning signs need same-day attention. Call your surgeon or seek care immediately if you notice any of the following:
When in doubt, call. Hematomas in particular are time-sensitive—your surgical team would always rather hear from you early than late.
Facelift pricing varies based on the type of facelift (mini, SMAS, deep plane), whether a neck lift is included, the surgeon's experience, the type of anaesthesia, and the city. Always ask for a written, itemized quote.
Typical range: $15,000 - $35,000+
Typical range: CA$25,000 - CA$60,000+ for comparable procedures, often higher in major metro areas.
Quotes vary widely. Request line items for: surgeon, facility, anaesthesia, overnight stay, drains, chin strap, follow-ups, and clarify the revision policy if a touch-up is needed. Be cautious of bargain pricing—facelift surgery is one of the most technique-dependent procedures in plastic surgery, and revisions are significantly more difficult than getting it right the first time.
Facelift surgery is one of the most technique-sensitive procedures in plastic surgery. The difference between a natural, long-lasting result and an obviously "done" one comes down to surgeon judgement, technique, and volume.
Ask how many facelifts they perform each year—not just "facial procedures" or injectables.
Facelift surgery is technique-sensitive because:
Also ask about their case mix:
Two types of surgeons commonly perform facelift surgery in Canada:
Either can be excellent—the question is volume, results, and fit.
For a more in-depth guide read, How to Understand Surgeon Credentials in Canada
Request recent data, ideally for facelift surgery specifically:
A careful surgeon should explicitly assess:
Ask:
Choose accredited centres (e.g., Accreditation Canada or CAAASF) with:
You want a written plan for:
Request an itemized quote including:
Surgeon and plan
Technique and safety
Recovery and after-care
Costs and logistics
Signals of a high-quality facelift program
A facelift can make sense for the right candidate. It's a deeply personal decision, and should come with significant thought and reflection.
Reminder: this is general information, please seek guidance from a medical professional.
In most cases, no. Cosmetic facelift surgery is accessed directly—you can book a consultation with a private plastic surgeon or facial plastic surgeon without a family doctor's referral.
Your surgeon will want a complete medical history, your medication list, and recent health information before clearing you for surgery. If you have ongoing medical conditions (high blood pressure, blood-clotting disorders, diabetes, sleep apnea), your surgeon may ask your family doctor to confirm you're safe for surgery.
If you don't have a family doctor, many clinics can help coordinate the medical clearance you need.
Your surgeon's instructions come first—follow their plan if it differs.
Quit nicotine—this is critical
Medication review
Optimize medical conditions
Skin and hair
Set up a recovery zone
Clothing
Help at home
Stock easy meals
Bowel plan
Skin prep
What to bring
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Your personal risk depends on your anatomy, skin quality, medical history, smoking status, and the technique used. The content below is generalized information, always discuss your specific risks with your surgeon.
This is general information, your situation may differ. Please consult with your surgeon for your unique circumstances.
A facelift doesn't stop aging—but it sets the clock back. Most patients enjoy their result for 10–15 years, and many never need a second facelift.
Most patients eventually pair their facelift with non-surgical maintenance—neuromodulators, fillers, lasers, or energy-based tightening—as the rest of the face continues to age. A small number choose a touch-up procedure or a second facelift years down the road. Many are happy with their original result for life.
If you still have questions, please feel free to contact us directly.
Please note: Surgency is not a clinic itself. Nor can we help with emergency situations, or provide personalized medical advice—that is between you and your surgeon. If you are experiencing acute or severe symptoms, please present to your local emergency department or urgent care centre.


Double board-certified surgeon (CA & US) renowned for her "Golden Ratio" approach to aesthetics, combining the precision of microsurgery with a commitment to female empowerment with 15 years of experience.