There is minimal discomfort following a facelift. You will be prescribed medication to control any pain you may have but most patients take them for only a few days and are relatively comfortable after 4-5 days. As you begin to heal you may experience itchiness, swelling and some tightness which is completely normal and for most subsides within the first few weeks. I typically make the neck skin tight as a significant amount of improvement is often needed in the neck. By comparison I do not make the face skin tight as that is not natural and can appear unfavorable.