This lady was unhappy with the aging of her face and the way that the midface had hollowed, the jowl had dropped and that her jawline had become less well defined. A facelift that undermines the full face and neck enables one to be able to reposition the internal structures of the face in a manner that can be individualized to patients wishes. Re-volumising the face can be performed using varying vectors. Mr Ross does not discard any internal tissue within the face but repositions it to help maintain and improve volume. Excess skin often needs to be removed but the main focus of facelifting is the repositioning of the internal stuctures.