Facial appearance affects how other people perceive you. Aging, sun exposure, lifestyle choices, and genetics can negatively impact facial appearance, creating a disconnect between how you look and how you feel. Your self- esteem may be affected, and you may feel self-conscious in social situations. Creams may not help with the volume loss, wrinkles, and loose skin. In a facelift procedure, the surgeon tightens tissues and removes excess skin to create a more youthful and pleasing appearance. Many men and women who have undergone a facelift enjoy an invigorated facial appearance that improves their self-image and confidence.