A facelift, technically known as a rhytidectomy (literally, surgical removal of wrinkles), is a type of cosmetic surgery procedure used to give a more youthful appearance. It usually involves the removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping of the skin on the patient’s face and neck. The technique has evolved from short incisions in front and behind the ears to longer incisions into the temple and neck hairline including elevating the muscle deep to the skin and the tissues overlying the facial bones. With the advancement of endoscopic techniques twenty years ago we are capable of performing face and brow lifts through shorter inconspicuous incisions in the hairline or inside the eyelids. The muscles and deeper tissues are thus elevated, stretched and sutured into position with special sutures. Not only does this decrease the visibility and shorten the scar, it also diminishes decreased sensitivity and swelling.