Facial agingFacial aging in the lower face is most notable for sagging jowls and laxity at the neck from loss of elasticity in the skin and underlying aponeurotic layer. FaceliftFacelift and neck lift surgery addresses these changes, restores a more youthful contour and helps rejuvenate the appearance of the face and neck. There is a multitude of variant facelift and neck lift procedures described as well as options for incision planning; and while a thorough discussion of each is beyond the scope of this chapter, a brief overview will be provided to allow an organizational framework on which the reader can expand their knowledge. This chapter details the high superficial musculo-aponeurotoric system (SMAS)Superficial Musculo-Aponeurotoric System (SMAS) pattern deep planeDeep plane face and neck lift technique.