Hi, there are so many different names that are more about marketing than descriptive of what the procedure actually does. I have performed facelifts for over 25 years and the presence of jowls remains the primary indication for some type of facelift procedure. The difference in the last 15 years is that I most often use a minimally invasive type of facelift that addresses the SMAS without threads or other suspension methods that simply do not work or last. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is then removed and the facelift incisions closed.My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:very small incisionsminimal tissue dissection = less bruising and swelling = rapid recoverycan be performed in 90 minutes or less, with or without general anesthesiano incisions within the hair = no hair lossexcess fat can be removedexcess skin removedcheeks, chin and jaw line can be augmented with dermal fillers (I prefer Perlane) or facial implantsmost patients fly back home to parts all over the world in as little as 3 days post-opAt 78, it makes more sense to me to have an effective short-incision facelift that can be done in just 90 minutes with or without anesthesia instead of a 6 hour general anesthetic for a traditional facelift. Hope this helps.