Over the years the classical (skin only) operation has undergone a number of modifications to improve the overall results. These modifications were aimed at lifting not only the skin but also the underlying structures (i.e. muscles or SMAS), which were equally subjected to the effects of the ageing process. By addressing these structures, the face could be lifted to enjoy a longer lasting effect. The SMAS type of lift is favoured by many competent cosmetic surgeons although there are now many variations such as the extended SMAS lift, Composite Lift and Sub-periosteal Lift. Each of the above modifications can be tailor made to suit individual needs. It is equally important to remember that different methods do not indicate a departure from any formally established standard, as there is no- one standard. Many times liposuction is carried out during a face-lift so as to ensure that the neck and jawline is clearly defined. More recently there have been newer “mini” techniques that have been popularised such as the MACS lift, S-lift and thread lifts. These have been devised with the aim of minimising scars, extent of cosmetic surgery and to generally shorten recovery times. While these techniques may have some place in patients with very early ageing signs, most have a limited spectrum of facial improvement and probably don’t last as long. Of course, it’s a great deal for the cosmetic surgeon – lots of repeat business – but not such a great deal for the patient. Because if you keep pulling on the skin, before long your face looks over stretched, giving you that “facelift look.” Generally speaking Mr. Solomos feels that “less” will always be “less”, and that the effectiveness, and longevity is always compromised with these more minimal techniques. “Mini” techniques or surgery generally gives you “mini” results. Our practice viewpoint is that if you have decided to subject yourself to cosmetic surgery to address any ageing aspects of your face, then you should not really look at the immediate short term, i.e. very quick recovery and minimal swelling, because 3 or 6 months later, you will more than likely be disappointed with your decision to “cut corners”. Unfortunately, a facelift is like everything else in life. If you want more out of it, you have to put more into it – meaning, you have to be patient with the recovery period. But our advice for looking your best over the long haul is to do a facelift LESS OFTEN and MORE THOROUGHLY.