by Paul Howard | Aug 10, 2026
A Discussion About Why I Changed to the Local Anesthesia Facelift After performing hundreds of facelifts under general anesthesia early in my career, I made a deliberate shift. For roughly the next fifteen years I performed well over 1,500 facelifts under local...
by Paul Howard | Jul 25, 2026
Since the beginning of plastic surgery, surgeons have engaged in marketing tactics to set themselves apart from their competitors. The facelift procedure has been at the heart of marketing tactics to differentiate the surgeon’s artistic style, ease of recovery, and an...
by Paul Howard | Apr 8, 2026
The “ponytail facelift” remains one of the most searched terms in facial rejuvenation. Patients love the idea of a subtle, natural-looking lift with scars hidden in the hairline—so they can pull their hair back into a ponytail just days after surgery. While the exact...
by Paul Howard | Mar 29, 2026
A Guide to Finding the Right Facelift for You When you start exploring facelift options, it’s natural to wonder which approach will give you the most natural, refreshed result. The answer isn’t about choosing the “best” facelift but about choosing the one that fits...
by Paul Howard | Mar 22, 2026
Core Anatomical Difference:SMAS vs Deep Plane Dissection The difference between these two techniques lies in how the SMAS layer is treated and whether dissection proceeds beneath it. In a SMAS facelift, the SMAS is manipulated from above or within which is folded,...
by Paul Howard | Mar 21, 2026
Mini Facelift vs SMAS Facelift: Key Differences Overview The primary distinction between a mini facelift and a SMAS facelift lies in the depth and extent of surgical manipulation. A mini facelift involves limited subcutaneous dissection with optional, conservative...
