Follow Joan as she undergoes a Rhytidectomy or face lift surgery under local anesthesia. Joan’s face lift procedure included a platysmaplasty, placing smas into the smile or marionette lines, the removal of buccal fat and an upper blepharoplasty. Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery is performed.