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Scientifically known as a rhytidectomy, the facelift pulls back limp skin and repositions sagging and lax fat and muscle. Since 2008, the number of facelifts in the U.S. has decreased by almost 29%, most likely losing popularity to less invasive facial rejuvenators like lasers and injectables. But when significant tightening is needed, a facelift can provide more extensive and longer-lasting improvement.