Imagine going in for a face lift. They don't really lift your face they just re arrange it. The joke implies that to get a facelift they actually lift the face. A doctor would not do such a thing. And I don't blame you for not getting the joke it was a very bad joke. I told my brother that at the time. I thought it was just my sense of humour though as I respect my brother so much. Now I'm going to tell him I was right, it was a bad joke. I really must apologise, it was just the way I was brought up. Bad brother, bad brother. You should have heard what I had to put up from the rest of my family. I going to look for a joke school that will put up with me so I don't upset so many people any more. I'm very sorry, I'm really sorry. My God I'm so sorry. Please forgive me for my sick perverted, twisted sense of humour and please don't tell me how you are, I know it's none of my business.