What a Facelift Actually Does
The common assumption is that a facelift pulls skin tight. That is not where the lift comes from. The deeper layer of tissue that sits over the facial muscles is repositioned upward and backward, and the skin is then redraped over it and trimmed without being put under tension. Tension on skin is what produces the swept look people are afraid of, which is what the technique is designed to avoid.
What it corrects well: jowls, a blurred jawline, descent of the cheek, and the folds running from the nose to the mouth. What it does not correct: skin texture, sun damage, fine lines or volume loss. Those need resurfacing, fat grafting or injectables, often planned alongside the surgery.