This ISAPS Patient Safety Update outlines the anatomical, vascular and technical challenges associated with facelift surgery, proposing strategic and safety-focused approaches to optimize outcomes.

Modern aesthetic patients frequently undergo years of non-surgical facial rejuvenation prior to seeking surgical intervention. Dermal fillers and energy-based devices provide effective volume restoration and tissue tightening; however, their cumulative and long-term tissue effects have become increasingly relevant to facelift surgeons.