Thanks for your question. In my experience, which hundreds of facelifts, drains are rarely needed. I use a natural tissue adhesive and coagulation promoter at the time of the operation as well as a properly fitting dressing. In the cases where the patient has more bleeding than usual (usually due to their genetics or other health factors) I will place small drains for 24 hours. This happens about once every 18-24 months in my practice, and is well tolerated by the patients. Although this is rare, no surgeon performing a proper facelift should guarantee that you will not need one. After all, the goal is to keep your safety and the best results at the forefront. I hopes this helps. All the best to you!