Considering a facelift? Watch this patient testimonial about his experience with board certified facial plastic surgeon Dr William Portuese in Seattle Washington. br Dr William Portuese, specializes in facial plastic surgery with an emphasis on facelift surgery and rhinoplasty. br The aging process which encompasses the effects of gravity, sun exposure and the stresses of daily life begin to show on a persons face as they age. Creases form between the nose and the mouth, jowls begin to form, and neck muscles loosen becoming prominent and form what are called "bands". Fatty deposits can also appear in the neck which too becomes more prominent as the aging process progresses.