Are there any alternatives to face lifts without having to forgo surgery?

It depends on why there is a need for a facelift. If it is to repair damage due to congenital malformations or injuries then (following the advice of a doctor) facelift may well be the best option, however if the surgery is to remove or reduce the signs of ageing then there may well be a number of alternatives. Some are preventative (e.g. using sunblock can reduce the signs of ageing brought on by exposure to sunlight) whereas others mask the signs rather than removing them (such as using creams and oils).