Depends.Typically under specific circumstances a person having a facelift can have the procedure performed under IV sedation (aka., conscious sedation, twilight anesthesia) and therefore will not be intubated (which is a soft tube inserted into the throat by an anesthesiologist to assist your breathing). However, despite being intubated your features around your mouth are not distorted and will not impact your result; moreover, the plastic surgeon should have plenty of photographs taken of you prior to surgery, and these should be posted on the wall in the operating room or on a large television screen as a reference (I do both).The attached link provides more information about anesthesia and facelifts.I hope this helps.