The difference between a liquid and surgical facelift typically comes down to the amount of excess skin. While a liquid facelift can fill in lines and refresh the overall facial profile, it cannot get rid of moderate-to-severe sagging. If you have significant facial sagging, a surgical facelift is a better investment. However, fat transfer is often employed to enhance a facelift result. Laser resurfacing can also be performed to improve skin texture and quality.