In persons with incipient changes due to facial skin laxity, a minilift can offer a fresher look with the advantage of shorter scars and less recuperation time. Under local anesthesia and sedation, an incision is made in natural creases in front of the ear and around the earlobe. The skin is lifted in a more limited area, the underlying tissues are suspended and the excess skin is removed. The patient can return home the same day and the area of swelling can be concealed with a scarf or the patient’s hair. The relatively undamaged skin in these patients generally permits a very gratifying result.