Complications after rhytidectomy will occur even in the best of circumstances. Establishing a good rapport with the patient, taking a thorough history and physical exam to elicit potential risk factors such as hypertension or a bleeding diathesis, enlisting staff members to help understand a patient’s goals, psychology, and supports, as well as setting realistic expectations help both the surgeon and the patient navigate the journey of surgery toward a successful outcome. Lastly, understanding how to manage potential complications when they arise, in a supportive and caring manner, is vital to the patient relationship and end result: a happy and satisfied patient.