Yes, typically the "classic "mid face lift removed some degree of skin. This is typically the skin that is elevated and then becomes excessive at the lower eyelid.However, mid facelifts are not for every one and come with a specific set of potential complications. They can be done in a variety of ways with a variety of techniques. One can suspend the cheek tissues with suture, a barbed strip, and internal device, implants, or even reinflate it with fat grafting. Whether or not you are a candidate for this procedure depends upon your specific aging pattern and anatomy. you would of course need to go with a very experienced surgeon who has performed many mid facelifts.More commonly, the face descends out more laterally at the sides, hence the jowling. In these patients, the classic facelift performed with the incision around the ears is more appropriate.My advice is visit with a board certified plastic surgeon, in fact, visit many, and choose the one with whom you are most comfortable.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA