The exact procedure depends on the patient facial anatomy, and their goal, the type of facelift to be performed.
Typically they are performed by using general anesthesia, while in less extensive cases local anesthesia with sedation is used.
After making the incision according to the type of facelift, the skin is separated from the connective tissues and muscles. The surgeon then repositions the facial tissue to get rid of jowls. Then the excessive skin is removed while the remaining skin is laid back over the rejuvenated facial connective tissues and muscles