Facelift Surgery in Seattle WA. A facelift, also known as a rhytidectomy, is a surgical procedure that enhances visible aging signs in the face and neck, such as: Sagging of the skin on the face due to relaxation The fold lines between the nose and the corner of the mouth become deeper. Fat that has dissipated or vanished In the cheeks and jaw, jowls are forming. A double chin or "turkey neck" is caused by loose skin and excess fat in the neck. Thinning skin, loss of facial fat, gravity, sun damage, smoking, as well as heredity and stress, can all contribute to the loss of youthful contours in the face. A brow lift and eyelid surgery to rejuvenate aged eyes are two other treatments that can be done in combination with a facelift. To substitute the missing fatty amount, fat transfer or fillers may be recommended. IPL, dermabrasion, peels, and laser treatments can be used to enhance the consistency and texture of the skin.