Facelift A facelift smoothes loose skin and tightens and lifts underlying tissues in the face and neck. Dr. Lille employs several different facelift incisions, depending upon the degree of sagginess of a patients skin. If there is minimal skin sag, Dr. Lille utilizes the limited facelift incision, avoiding a large scar behind the neck area. He also believes that merely tightening the skin of the face is not enough to achieve a natural, youthful and rested look. Performing a facelift should also include molding and lifting of underlying facial muscle and fat. Dr. Lille incorporates fat grafting of the cheek area to help replace lost fat and also performs deep plane cheek lifts for patients with excessive cheek sagginess. An individual’s bone structure, heredity and skin texture all play a role in how many years the clock can be turned back, and to some extent, influence how long a facelift will last.