A standard facelift involves an incision around the ears and another under the chin. The cheek and neck skin is pulled towards these incisions and the excess skin is removed. The soft tissue under the skin is then tightened through these same incisions before the incisions are sutured. With a subperiosteal facelift additional incisions are made inside the mouth, the soft tissues are freed up off the facial bones and the soft tissue is suture fixated at a higher level before the soft tissue under the skin is tightened. The advantages of a subperiosteal approach is a more youthful cheek contour and shorter upper lip that cannot be achieved by other types of facelifts. The disadvantages are more swelling after surgery, a twice as long recovery period, longer operating room time with higher operating room and anesthesia costs and a greater risk of complications. In the right patient with the right surgeon subperiosteal facelifts give a better result than any other known modality of facial rejuvenation.