It’s not unusual for patients to complain of tightness and swelling following facelift procedures. This occurs for a variety of reasons including structural sutures, scar formation and the swelling that normally accompanies surgical procedures. This response varies from patient to patient and depends upon the surgical technique utilized and the patients wound healing characteristics.Skin tightness and tissue thickening following this procedure are usually related to swelling. The vast majority of post-operative swelling resolves in the first two weeks following surgery. At this point, most patients can return to work and resume normal activities. In most cases, total resolution of skin tightness takes about three months.It’s important to realize that more aggressive facelift procedures cause more swelling and skin tightness, which can last for longer periods of time. Elevation of the head and decreased salt intake may help decrease swelling after surgery. Range of motion exercise and massage may help skin tightness following surgery. Swelling and skin tightness are normal following surgery, but persistent tightness and swelling should be evaluated by your surgeon.