A facelift (rhytidectomy) is a facial cosmetic surgery procedure that tightens facial and/or neck skin to provide a patient with a more youthful appearance. Patients looking to tighten jowls or sagging skin may consider a mini facelift, which uses smaller incisions (typically hidden within the hair and below the ears). During a facelift, the surgeon elevates the skin to tighten underlying muscles and tissue and may sculpt, redistribute or remove fat.