National plastic surgery survey: face lift techniques and complications

A survey of American plastic surgeons, returned by 570 of 3800 (15 percent), found that most use established face lift methods rather than new ones, that less-experienced surgeons tend to be more conservative, and that reported complication rates match earlier studies.

Matarasso A, Elkwood A, Rankin M, et al.. Plastic and reconstructive surgery, 2000.

What it means for a patient

  • Most surgeons in this survey used established face lift methods, not the newest techniques promoted in the media.
  • Complication rates reported by surgeons across the country were in line with earlier studies.
  • Ask a surgeon which technique they use and how often they perform it.
  • Limits: only 15 percent of surgeons replied, and the answers are self-reported. Those who replied may differ from those who did not.

Why this paper matters

It gives a national picture of face lift practice in the United States at the time and checks complication rates against earlier studies.

Overview

The authors set out to measure trends in face lift technique and philosophy, related procedures, and how often complications occur and how they are managed. They mailed surveys to 3800 members of the American Society of Plastic and Reconstructive Surgeons. The survey asked detailed questions on demographics, technique, complications and philosophy.

Findings

  • Surveys sent to 3800 members of the ASPRS.
  • 570 surveys returned (15 percent).
  • Surgeons perform more established ("tried and true") methods rather than the new methods that get the most attention in the media and at meetings.
  • Less-experienced surgeons tend to be more conservative in their approach to aesthetic surgery.
  • Complication rates reported by surgeons match rates from earlier, non-survey studies.
  • The abstract does not list the complication rates or technique percentages.
  • Further reports on brow surgery (part II) and facilities and ancillary procedures (part III) were planned.

Terms

  • Face lift (rhytidectomy): surgery to lift sagging skin and deeper tissue of the face and neck.
  • ASPRS: the American Society of Plastic and Reconstructive Surgeons, the professional society whose members were surveyed.
  • Survey response rate: the share of people who returned a survey; here 15 percent.
  • Self-reported data: information given by the people surveyed, not checked against records.
  • Ancillary procedures: extra procedures done along with the main operation.
  • Complication rate: how often a problem after surgery occurs.

Newest papers on complications

The latest studies on the same subject.

2026
Effect of Age on Complications in Facelift Surgery
Vishwanath N, Mandelbaum M, Williams-Medina E, Darras O, Fraiman E, Patel V, et al. · Aesthet Surg J · PMID 42045665
2026
Auriculotemporal Nerve, Intraoperative Findings, and Potential Implications in Rhytidectomy
Tang Z, Wang M, Li Z, Yuan Y, Zhu S, Wu L · J Craniofac Surg · PMID 42283533
2026

More plain summaries on complications

2026
Challenges and complications in secondary rhytidectomies, a systematic review
Saad C, Ishak R, Joumaa JP, Harb I, Emmanuel N, Nicolas G, et al. · JPRAS Open · PMID 42382704 · Plain summary
2019
Neck Deformities in Plastic Surgery
Gordon NA, Paskhover B, Tower JI, O'Daniel TG · Facial Plast Surg Clin North Am · PMID 31587772 · Plain summary