A facelift does not change the appearance of the skin. Fine lines, fine wrinkles, hyperpigmentation, age spots and skin texture will not improve with a facelift. Improving the overall skin quality and wrinkles typically requires a resurfacing procedure such as a chemical peel or laser resurfacing. The facelift procedure mainly addresses the lower portion of the face and neck. To significantly improve the upper portion of the face and eyes, adjunctive procedures such as a forehead lift or eyelid surgery may also be beneficial. Often times a facelift is combined with other facial surgical procedures as well such as skin resurfacing to give the most youthful and rejuvenated results to a patient.