Rhytidectomy/Facelift for Vaughan, Richmond Hill, and Greater Toronto Area
A rhytidectomy, frequently referred to as a facelift, is a surgical procedure that rejuvenates the face and neck by removing excess skin and fatty tissue from the area, as well as strengthening underlying facial muscles. In doing so, a facelift can safely and effectively provide a natural looking, more youthful appearance with minimal risk and recovery time. A facelift lifts and redefines the skin and muscles of the neck.
With time, every face begins to show signs of aging. The elastic fibers in the skin as well as the deeper, underlying fascia begin to deteriorate as we age. These are replaced with fibrous connecting tissue that are looser and less supportive.
Facelifts can restore the face and neck of men and women who wish to restore a younger looking appearance. They can also be undertaken by younger patients who wish to stave off or correct early signs of aging.
The extent of facial skin aging can depend on a wide variety of factors. Your physical environment, skin type, complexion, weight fluctuations, nutrition, smoking, and reproductive stage of life are all important factors that impact the look and feel of your facial skin. A loss of fat, for example, particularly in the mid-face can make a person look significantly older.

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Take a few moments and review our photo gallery to see the before and after transformation of Dr. Madronich's patients for yourself.
Visible signs of aging in the face and neck often include:
- Deepening creases on the face, particularly nasolabial folds—which extend from the nose to the corners of the mouth—and marionette lines, which extend from the corners of the mouth to the bottom of the chin
- Loss of volume in the cheeks, resulting in sagging skin in the mid-face
- The appearance of jowls due to a loss of muscle tone in the lower face
- The appearance of a double chin on a patient with a healthy weight due to loose skin and excess fatty deposits under the jaw and chin
- Loss of tightness and definition in the neck that can result in deep neck creases as well as loose skin under the chin
Facelifts are designed to:
- Smooth out wrinkles and reduce deep creases in the forehead, cheeks, and around the nose and mouth
- Lift and tighten the underlying muscles of the face, reducing sagging skin in the mid-face and jawline
- Restore volume to the mid-face and cheeks, giving your face a more youthful contour
Many patients choose to simultaneously undergo liposuction, particularly for the area under the chin, and to have fillers added to restore volume to the mid-face during their facelift. These options can be discussed during your initial facelift consultation, in which a comprehensive surgical plan is developed and tailored to meet your needs.
Facelift surgery should only be performed by a qualified plastic surgeon—a medical specialist who has completed a minimum of five years of training in surgery following medical school. Cosmetic surgeons require a high level of surgical skill, excellent aesthetic judgment, as well as extensive knowledge and years of practice.
Finding a qualified plastic surgeon that you feel is right for you is an important part of the facelift process. Patients considering aesthetic surgery should have the opportunity to discuss their expectations and options in depth with their surgeon.
What to Expect – Consultation
During each consultation, Dr. Madronich and his friendly staff work closely with patients to find the best solutions for them. Dr. Madronich will take the time to thoroughly examine your features, carefully assess your skin, and ask you detailed questions about your health and medical history. Consultations with Dr. Madronich allow for ample opportunity to discuss your expectations and goals as well as surgical options, limitations and risks.
This detailed consultation process allows Dr. Madronich to develop a comprehensive surgical plan and give you an accurate assessment of what you can expect to achieve from a facelift.
The fee for a consultation with Dr. Madronich is $100 CAD, which can be applied to the cost of your facelift surgery, should you decide to proceed.

Dr. J. Robert Madronich 
Dr. Robert Madronich is a Toronto Plastic Surgeon and a member of the Canadian Society of Plastic and Reconstructive Surgeons. He holds double board certification with both a Plastic Surgery Fellowship as well as a Head and Neck Plastic Surgery Fellowship.
Procedure - How a Facelift Works
Facelifts are performed under general anesthesia at Mackenzie Health (previously named York Central Hospital) in Richmond Hill, Ontario. Depending on your specific needs, Dr. Madronich will place a series of small incisions either within your hairline, behind your ear, and hidden along and inside your ear. Fat deposits can be removed and facial muscles are tightened during the procedure. The skin is then repositioned to give your face a more firm and youthful look.
Many patients choose to simultaneously undergo liposuction, particularly for the area under the chin, and to have filler added to restore volume to the mid-face. All of these options will be discussed with you in detail during your initial facelift consultation.
Venus Legacy
Is our nonsurgical alternative for loose neck and face. It can tighten skin and reduce fat. The device makes use of multipolar radio frequency and pulsed magnetic fields—long proven to be safe and effective technologies in the medical industry—to uniformly heat the skin and trigger collagen production and immediate and delayed skin tightening. This Venus Legacy process can be used virtually anywhere on the body but it is particularly effective on the neck.
Recovery
After surgery, Dr. Madronich recommends his facelift patients stay overnight in the hospital. It is normal to experience swelling and bruising of the face after a facelift. Most patients return to their normal activities within a few weeks. Your facelift scars, though minimal, will recede further with time to the point where they should be nearly invisible, hidden by your hair or the contour of your ear.
Once the swelling subsides, you can begin to see your rejuvenated face. As with any form of cosmetic surgery, it may take a few months for the full affects of your facelift to be visible. As swelling dissipates and incision lines mature, the true results of your surgery will emerge.
Dr. Madronich recommends that facelift patients use a UVA/UVB sunscreen daily to protect their newly rejuvenated face from any further sun damage and to practice a healthy lifestyle, including good nutrition and daily exercise.

