Facelifts (face/neck lift – see section on this on the regular site) are a special procedure. They are intended to turn back the clock of facial aging by reducing some of the signs of the time that has passed. Furthermore, when performed well they can make a face more attractive by gently reshaping and re-proportioning foci of facial soft tissue volume. What does this all mean? In order to make a face look younger, the facelift must re-elevate the malar fat pad off of the mandible and back onto the maxilla and zygoma. This moves the anterior highlights of the face from the lower cheeks back up to the upper cheeks. It must also deepen the cervico-mental angle and reduce excess skin in the face and neck. But to enhance the inherent beauty of a face, a face/neck lift must create convexities and concavities that relate to one another and transition from one to another to create a balanced, natural, and harmonic appearance. Furthermore, with attention paid to minimizing pre-existing facial asymmetries through targeted and differential fixation and fat grafting, a face can be made inherently more attractive (i.e. more than just younger). That is to say the goal should always be to be not just younger but younger and more attractive (while all the while retaining a natural appearance through preservation of nuanced uniqueness.) I recently visited a well-established and respected facelift surgeon in Miami. He put it to me this way, “It’s about the aesthetics more than the techniques.” This means, you have to have a clear mental picture of where you are headed in order to actually ever get there.