Skin resurfacing, whether laser (CO2 or erbium laser) or chemical (TCA or phenol, or blue peel) and face lifting (rhytidectomy face lift surgery), are not mutually exclusive. In fact, resurfacing and rhytidectomy are complimentary. Skin resurfacing addresses fine wrinkles, pigment changes, and irregularities associated with aging. Facelifting addresses creases, skin and fat excess, as may be found in smile lines, marionette lines, jowling, and “turkey neck.” To get the best possible result from facial rejuvenation, it is often necessary to perform rhytidectomy, and some type of laser or chemical resurfacing either at the same time or after recovery from the face lift.