Hi and thanks for your question. I can comment on the Lifestyle Lift Orange County location. Lifestyle Lift was one of the first plastic surgery practices to market lower facelifts under local anesthesia and oral sedation. The concept became so popular that many private practices now have similar marketed names for their facelifts under local anesthesia. There were many successful Lifestyle Lift clinics and the Orange County, CA location was one of them. The Orange County clinic had consistently one of the highest patient satisfaction ratings in the nation based on independent surveys. The success of each clinic was highly dependent on the surgeon. The best surgeons at Lifestyle Lift were highly experienced, performing thousands of facial rejuvenation procedures during their careers there, such as myself. Each best surgeon performed their individual lower facelifts tailored to each individual patients' needs just as any surgeon would in their private practices. With the ultimate closing of Lifestyle Lift, there remain the best former Lifestyle Lift surgeons out there who are experts in facial rejuvenating procedures under local anesthesia. Fortunately, many of these surgeons are now in private practice. If you are seeking to rejuvenate your face and neck, please research carefully online and consider a consultation with a former Lifestyle Lift, board certified facial plastic / plastic surgeon who has successfully performed thousands of local anesthesia face and neck lifts.