L. Mike Nayak, MD

I would agree with the previous answers -- no one surgical techinique is superior, or even appropriate, in every patient and circumstance.

The single biggest key to getting consistent, natural, beautiful resuls is not which procedure I choose to use -- it is truly examining and identifiying what changes each specific patient's face requires to achieve a natural, refreshed look.

Once the patient's specific circumstances -- bone structure, skin type and tone, fat distribution, medial health, etc have been taken into account, then and only then can a surgeon choose what approach or procedure is most likely to be the best choice.

I, for one, am glad that there isn't one "best" procedure that works in every case, no matter what. I enjoy using my artisitic and medcal judgment on a case by case basis!