Age Over 75 Does Not Increase Facelift Complication Risk

Rhytidectomy remains a primary intervention for facial aging, yet the procedure carries inherent risks such as hematoma, which is the most frequent early complication leading to morbidity [1, 2]. To mitigate these risks, surgeons often employ adjuncts like tranexamic acid (an antifibrinolytic agent used to reduce perioperative bleeding) or hemostatic nets designed to eliminate dead space [3, 4]. While technical choices between deep plane dissections and plication of the superficial musculoaponeurotic system (SMAS, the continuous fibromuscular layer covering deeper facial structures) can influence recovery, patient-specific factors remain critical to the safety profile [5, 6]. As the population of older adults seeking surgical rejuvenation grows, clinicians must determine if advanced age itself necessitates more conservative management. To clarify whether birth year should dictate surgical candidacy, researchers recently evaluated the relationship between advancing age and postoperative complications in a large surgical cohort.