Does a mid face lift actually remove skin?

Thank you for your question. The quick answer is
yes, a mid-face lift usually involves the removal of some skin. There are many
names for different types of facelifts, such as mini facelifts, mid-facelifts,
lower facelifts, and so on. These describe the customization of facial
rejuvenation surgery that is focused on specific areas of concern. As you
mentioned, they share some fundamental techniques in common, such as lifting
and repositioning tissue and muscle and tightening internal ligaments. By
offering more precise procedures to specifically address problem areas without
having to undergo a full facelift, I can customize the results. Each surgeon
has a unique approach, however, and I would recommend consulting with a number
of board-certified plastic surgeons before getting the surgery you want. Good
luck.

Yes, when I do a mid-face lift I usually remove excess skin.  I also remove skin to help tighten the neck to enhance the results even more.