Does a facelift cause hair loss? Will I need a hair transplant after?

No a facelift should not cause hairloss. I have been doing this for over 10 years and have never had a patient require a hair transplant after this procedure because of the facelift. I have had a few male patients require some hair removal after the facelift as the hair on the lower face tends to move back up behind the ear after a lift. There is a risk of having hair loss and this can be see in patients who get a different type of incision, that extends up into the hairline towards the temple. I don't do these incisions so its not a concern with my patients. 

In general, facelifting does not cause hair loss, or at least noticeable hair loss. When we elevate the cheeks, resulting extra skin that is removed may have some hair follicles. Depending on technique used your hairline could either be lowered or elevated and this is one key point to discuss with your surgeon. Also, occasionally hair follicles find difficulty growing through scar tissue and there may be some hair loss along a scar line. In general, most scars are very thin and well hidden so this is not noted.

The facelift procedure techniques have developed over the years to ensure you will not suffer from hair loss. In older techniques the incision would be placed in front of your ear in the middle of your side burns and then round the back into your hair lone. This could cause hair loss. However nowadays the incisions are placed much closer to the ears and tucked round the back. In all of my surgeries for the the Facelift procedure i do not go near the hair line at all. I have performed hair transplants on patients who had a facelift elsewhere and had hair loss.