Dear Christalent, This is an interesting question and a technique I use often in minimally -invasive collagen stimulating facial skin tightening. There are 2 techniques: • Lysis or cutting the fibers with separation of the skin from the underlying tissues. This may allow the skin to slip down until it re-adheres with new scar (collagen) formation and tightening. • Undermining the face and (neck) skin, (with or without lipocontouring and facial fat grafting) not cutting the retaining skin fibers achieving collagen stimulation and new adherence with tightening. • Both can be performed with PDO or PLLA Thread Face and Neck lifting to hold the tissues in a higher position and further stimulate collagen. • A less invasive option is the use of Sculptra. This is a PLLA injectable into the subdermal tissues to stimulate collagen, firming and tightening. Since I don’t know the timing following a facelift, these techniques are useful in “non-surgical” pre-facelift early skin tightening and lifting, and/or post-facelift maintenance and continuation of collagen restoration. I hope this is helpful. Happy Holidays! All the best!