A patient is rarely a candidate for a facelift only, as most patients that are old enough to have jowls or excess neck skin also have upper facial and skin aging. A facelift is not an operation for wrinkles but loose skin and ptotic tissues. Most facial wrinkles are unaffected after a facelift. A facelift does make the patients look tighter and reverses the gravitational and aging changes in the lower face and neck. To truly rejuvenate (restore the car), concomitant procedures such as brow and forehead lift, blepharoplasty, facial implants, laser skin resurfacing, and fat injections are added. For true facial rejuvenation, patients must be offered a correction of their global facial and neck aging with the discussed ancillary procedures took on the name “full facelift.”