The effects of gravity, environment, aging, weight loss and gain and genetic influences lead to
telltale signs of aging in the face. Sagging cheeks with deep creasing between nose and mouth,
excess skin which droops below the jawline (jowls) and loose skin folding in the neck and below
the chin with fatty deposits under the chin and jaw may result. In a facelift, skin is lifted up,
smoothed and redraped, fat is sculpted as necessary and underlying muscles are typically tightened
in order to restore a more youthful shape to the face and neck. A facelift requires an incision
around the ear and may also require extensions into the temple hairline and the hair behind the ear.
These incisions are made as inconspicuously as possible. A small incision under the chin may be
necessary to improve the neck. Additional procedures that are sometimes performed with a facelift
include browlift, blepharoplasty (eyelids) and facial fillers. A facelift cannot be performed non
surgically. However, facial fillers are excellent for restoring central volume and filling central
creases as a complement to surgery and may also delay the time when a facelift may become more appropriate.