Prior to the use of liposuction, the results of face-lifting procedures were often unsatisfactory especially in the areas of the jowls and under the neck as well as for the nasolabial folds. Liposuction has been of tremendous help in contouring the neck, the angle of the mandible, the nasolabial fold and the cheeks. The liposuction technique is useful in complementing the face-lift technique. It improves the appearance of the face, improves in the removal of the unwanted fat and improves in the overall appearance of the face. Excess bruising, hematomas, rare cases of nerve paresis, infections and skin slough are possible complications. New problems occur as new approaches and applications of the technique are developed especially the new techniques of ultrasound and others.