There are literally a dozen of ways of performing a facelift. Surgeons are in general moving away from the classic big omega type facelift to smaller variant types of facelift. However, the key is that whatever is chosen has to be right for you. If you have neck cord and loose neck skin, this needs to be addressed at the time of your facelift. If you have a heavy face or a thin face, the work that is done under the skin flap needs to addressed accordingly.
Studies have shown that over the long term it is impossible to tell the difference in facelifts. So the more aggressive deep plane techniques that have a definite rate of motor nerve injury really can't be justified. However, it is very important to have a natural facelift results. Have the windswept look benefits no one.
I would also caution you regarding some of the heavily advertised facelifts. These are essentially a type franchise. The advertising looks so go but the results have been very disappointing. I think there is no substitute for a high experienced, artistic surgeon who is able to individualize surgeon for your particular concerns. This is one surgery were a cookie cutter, one size fits all approach just does not work.
Finally, Realself is dominated by General Plastic Surgeons. Hear them say it, they are all great at facelifts and you should not go to any other specialist. This is their opinion. Recognize that most general plastic surgeons get very little hands one facelifting experience as the surgeon doing the surgery. Assisting another surgeon is not the same thing as being the surgery. In many plastic surgery residencies, general plastic surgeons are lucky to be the primary surgeon on one full facelift.
It is no wonder then that many general plastic surgeons don't seem to be adequately trained to perform a facelift. The reality is that unless your general plastic surgeon went on to do a cosmetic surgery fellowship, which is rare, they are largely self taught facelift surgeons. The results of this are predictable: suboptimal surgical results. Recognize that facial plastics surgeons get more face lift training than general plastic surgeons. Even eye plastic surgeons now get more facelift training than general plastic surgeons.
So how do you find a good surgeon? It is difficult. Recognize, that just because someone is a board certified general plastic surgeon, this is not a guarantee of a good outcome. Do your homework. Talk to others in your community who have had a facelift. No matter how they love their surgeon, open your eyes and look at their results. Are they over or under done? Has their hair line been damaged? How are the scars around the ears and along the hairline. Don't make the mistake of assume that they will do a better job with you. Check that they have hospital privileges. They should be board certified. If they are a general plastic surgeon, they should be board certified in general plastic surgery. If they are facial plastics, they should be board certified in otolaryngology and fellowship trained in an approved facial plastics fellowship.
Check with your state medical board to determine if there have been any actions against the doctor. Also look at your doctors resume to determine if they are any unexplained gaps. Finally study any before and afters posted on the doctors website. This represents the doctors best work. If you don't like what you seen, look for another doctor.