A face-lift is a cosmetic surgical procedure to create a younger look in the face. The procedure can reduce sagging skin. It can also help smooth folds of skin on the cheeks and jawline. A face-lift is also called a rhytidectomy. A neck lift is often done as part of a face-lift. It reduces fat and sagging skin on the neck .Modern facelift surgery manipulates the underlying supporting tissue (SMAS) for longer lasting support, while allowing the skin to be excised without undue tension. The net result is a more youthful, natural look, rather than an operated look. Additionally, the state of the art facelift of today strives to identify and reverse the natural changes of aging. The vast majority of patients will benefit from fat grafting to the middle face and regions near the eyes. This helps to restore volume loss over time and build up the cheeks to restore a more youthful, heart-shaped appearance.