What is a facelift?

Over the years, the face may begin to lose its volume, the internal structures descend and the skin tends to become flaccid. The effects of age and genetics can have a dramatic impact on the face, facelift or also known as Rhytidectomy is the plastic surgery procedure that can help reduce the effects of age and have a less tired and more cheerful appearance.

The following conditions could indicate that facelift surgery is right for you:

  • Facial skin is loose and sagging
  • The creases below the lower eyelids and around the lower lip and chin are becoming deeper
  • A deep line, or fold, running from the corner of your nose to the corner of your mouth
  • Jowls or loss of a well-defined jawline
  • Loose skin, wrinkles, or Vertical bands of skin in your neck
  • Excess fat in the neck

A facelift can be done in combination with other facial cosmetic procedures, such as a brow lift or eyelid surgery to give a more balanced, natural rejuvenation.

During this procedure, Dr. Rodolfo Castillo board-certified plastic surgeon in Tijuana, Mexico reaffirms the muscular structure of the face and removes any excess skin. Liposuction with fat transfer can also be performed in specific areas to obtain a face with more volume, and youth trait.

Both men and women who are in good health are good candidates for this procedure, which repositions internal tissues and removes excess skin on cheeks, eyelids and neck. Dr. Rodolfo Castillo uses personalized surgical techniques to ensure results of a natural appearance.

Which facelift option is best for me?

Depending on the patient’s individual goals and needs the facelift procedure varies quite a bit. Today, many different techniques exist with outcomes that are consistently reliable and durable.

A traditional facelift procedure usually involves Dr. Rodolfo Castillo making an incision in your hairline starting at your temples, continuing down and around the front of your ears and ending behind your ears and may extend in your scalp. An incision might be made under your chin to improve the appearance of your neck.

A limited-incision facelift may also be an option for younger patients whom have early aging changes. It provides the benefits of a traditional facelift with fewer incisions and faster healing. Dr. Rodolfo Castillo will make short incisions in your hairline starting at your temples and continuing down and around the front of your ears. Incisions might also be made in the lower eyelids or under the upper lip.

Ask Dr. Rodolfo Castillo board-certified plastic surgeon if you are a candidate for this procedure. Once the incisions are made, various degrees of undermining of the skin are performed, and the deeper layers of the face are ‘lifted’. Muscle tightening as well as liposuction of the neck and jowls may be performed. The skin will then be draped over the new contours and the excess skin will be trimmed away creating a more youthful and natural appearance.

Before and During the Procedure

To prepare for your facelift or also known as Rhytidectomy, you will have a consultation with Dr. Rodolfo Castillo board-certified plastic surgeon. He will discuss your Medical History, so prepare to answer questions about past and current medical conditions, previous surgeries, previous plastic surgeries, complications from previous surgeries, history of smoking, and drug or alcohol use. Also, he will ask for all medications you regularly take (name/dosages), including prescription drugs, over-the-counter drugs, herbal medications, vitamins and other dietary supplements.

Dr. Rodolfo Castillo performs all procedures in one of the best hospitals in Tijuana, Mexico for maximum patients safety and comfort. After the general anesthesia has been applied, an incision is made around the ear from its anterior edge, this incision is subsequently continued by mixing it with the hairline. The doctor will gently lift the skin and when required, remove fat from some areas through liposuction to use that same fat and give volume in areas required for a smoother and more uniform appearance.

Then, the doctor will reposition the muscles and secure them with sutures. This process will give more definition to the face, particularly to the cheeks and neck. Dr. Rodolfo Castillo will return the skin to its place and remove excess tissue. If there is a significant excess of skin and sagging muscles in the neck area, you can create an incision below the chin to adjust the muscles and redistribute the skin.

After the Procedure and Recovering

After your facelift, you will usually spend a night at the hospital. Dr. Rodolfo Castillo leaves a slight bandage on his face for three to four days. The initial inflammation takes two to three weeks and you may have bruises and discomfort that can easily be controlled with medication. Within five to seven days, it is the first review appointment. The doctor will remove the sutures from the skin. You will have a second review appointment in the next two to three weeks after surgery, then at two, six months and one year.

The results of facial resurfacing will appear gradually as recovery progresses. However in about three weeks you will notice a significant change with natural looking results. Your skin will be firmer and your features more defined. The face will reflect a more youthful and healthy attitude.

Facelift does not offer you to look young again. It gives the face a renewed, fresher and less tired appearance. The results of a facelift are not permanent and may vary according to the characteristics of each patient, but there will definitely be an improvement that will help maintain a more youthful appearance than if the procedure had never been performed.


Self-care at home during the first three weeks will help your recovery and minimize the risk of complications:

  • Follow wound care instructions as directed by Dr. Rodolfo Castillo
  • Do not pick at crusting scabs that develop on your wound
  • Avoid excessive pressure or motion on and around the incisions
  • Avoid using makeup
  • Avoid vigorous or aerobic activity or sports
  • Avoid direct sun exposure to the incision for three weeks and use a sunscreen of SPF 30 or higher thereafter
  • Avoid coloring, bleaching or perming hair for at least six weeks