As Dr. Miller pointed out, the photo is too limited to give an individualized answer. However, I would like to provide some generalized advice. More and more men are seeking facial rejuvenation and wish to have it in a natural and inconspicuous way. In the last 5 years, I have had a much larger percentage of men come forward seeking to address aging face changes. Generally speaking, for a 63 year old Gentleman, a Facelift will best address concerns surrounding laxity in the lower face and neck. The best way to achieve excellent results is to see several independent Facial Plastic Surgeons in your area who will customize (as described by Dr. Ellenbogen) the procedure to your needs and specifications. As Dr. Miller pointed out, a lifestyle lift is not a revolutionary procedure, but it is very heavily marketed. So do your research and proceed with the Surgeon you feel most comfortable with.