A lower facelift tightens loose jowl and jawline skin as well as a drooping neck and eases deep wrinkles. The procedure is performed through a small incision in front of the ear that extends down and behind the ear. It can also be performed via an endoscopic facelift technique. Working through the small incision, the surgeon separates the skin from the tissue below. Excess fat and skin is removed and facial muscles are tightened and restored to a youthful position. The surgeon closes the incisions with sutures. A lower facelift addresses include the jowls, loose neck skin, loose jawline skin, deep wrinkles and corners of the mouth. Generally, a lower facelift surgery focuses on the bottom third of the face.