The most common signs of ageing are the lines, wrinkles and loose skin that start to sag. Since these are an inevitable part of the natural ageing process, many people choose to reverse them in order to regain their youthful look, making them look as young as they feel inside. Rhytidectomy is a facelift procedure that requires excess skin removal in order to compensate for the loss of natural elasticity of the skin usually around the mouth and jawline.