Ensuring Safe Facelift Surgery for Patients with Hypertension

Facelift surgery is a highly effective procedure to rejuvenate the face and combat visible signs of aging. However, patients with high blood pressure (hypertension) require extra care before, during, and after surgery to ensure a safe and successful outcome. At his Orange County practice, board-certified plastic surgeon Dr. Farbod Esmailian prioritizes patient safety, tailoring every step of the facelift procedure to account for individual health needs.

Why Is Blood Pressure Management Crucial During a Facelift?

High blood pressure can increase the risk of complications, such as excessive bleeding or hematoma (a localized collection of blood under the skin). These risks are most significant during the postoperative period, when the stress, pain, or anxiety from surgery can cause blood pressure to spike.1

During the facelift procedure, Dr. Esmailian performs the surgery under general anesthesia, during which an anesthesiologist carefully monitors and adjusts blood pressure levels as needed to maintain stability. The most important phase, however, is after surgery, when patients regain consciousness and the body's natural responses can elevate blood pressure.2

Pre-Surgery Preparations for Patients with Hypertension

Patients with high blood pressure are advised to take their medications as prescribed to ensure that their blood pressure is well-regulated leading up to surgery. Dr. Esmailian typically recommends that patients take their usual dose of blood pressure medication with a small sip of water on the morning of surgery. This small step can significantly reduce the likelihood of complications during and after the procedure.

Additionally, patients are encouraged to discuss their full medical history, current medications, and any concerns during the pre-operative consultation. Dr. Esmailian works closely with each patient to create a comprehensive plan that prioritizes safety and minimizes risks.

Postoperative Care for Hypertension Patients

After the surgery, careful monitoring of blood pressure continues to be crucial. Postoperative pain or stress may elevate blood pressure, so Dr. Esmailian and his team focus on minimizing discomfort with appropriate pain management strategies and medications. Patients are also encouraged to:

  • Rest in a calm environment: Avoid activities that could cause unnecessary stress.
  • Take medications as prescribed: Painkillers, antibiotics, and blood pressure medications play a key role in recovery.
  • Follow up with your doctor: Attend all post-surgical checkups to ensure proper healing.

Why Choose Dr. Farbod Esmailian for Your Facelift?

Dr. Esmailian’s extensive experience in plastic surgery and dedication to patient safety make him a trusted provider for facelift procedures, particularly for patients with underlying health conditions like high blood pressure. His comprehensive approach includes personalized consultations, meticulous surgical care, and diligent postoperative follow-ups to ensure the best outcomes.

If you have any questions about facelift surgery or the management of high blood pressure during your procedure, contact us today to schedule a consultation. Dr. Esmailian is happy to discuss your concerns and provide tailored recommendations to help you achieve safe, stunning results.


1 Aesthetic Surgery Journal. How to Prevent and Treat Complications in Facelift Surgery, Part 1: Short-Term Complications. https://pmc.ncbi.nlm.nih.gov/articles/PMC8240741/. Accessed February 11, 2025.
2 Cardiovascular Prevention & Pharmacotherapy. Perioperative Management of Hypertensive Patients. https://e-jcpp.org/journal/view.php?doi=10.36011%2Fcpp.2021.3.e7. Accessed February 11, 2025.

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Page updated: March 12, 2025

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