Many factors contribute to aging facial tissues, including environmental conditions, gravity, hereditary traits, and stress. As we age, the tissues become loose and relaxed, causing wrinkles and sagging. We may begin to appear older than we feel, leading to poor self-esteem. Skin and the underlying facial tissues can be tightened and repositioned with rhytidectomy, also known as facelift surgery, which can remove up to a decade of aging from your face.