A "one stich facelift" is a marketing tool and associated with a significant dissatisfaction rate, because it is a minimal procedure that accomplishes little from a cookie cutter approach rather than being individualized for the patient’s specific anatomy and needs. It is not long lasting. Many who offer these procedures under a variety of marketed “named” procedures often lack appropriate formal plastic surgery training and are not Board Certified by the American Board of Plastic Surgery. A lesser procedure that promises a faster recovery and significant results is very appealing, but may not deliver either. If such a procedure existed and was effective most plastic surgeons would perform it, but it doesn’t and they do not. You cannot expect to get more for less with a surgical procedure. The keys to good natural results are not how fast a procedure can be performed and how many corners can be cut doing a procedure, but how safely and meticulously it can be performed. Make sure any procedure you undergo is performed only in a facility that is licensed or accredited by a national organization as an ambulatory or office-based surgical facility, that there is an appropriate anesthesia provider, and the surgery is performed by an artistic, skilled, experienced Board Certified Plastic Surgeon. You have only one face, so don’t shop for bargains or magical procedures when it comes to facial surgery. If it sounds too good to be true, it generally is! I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. If you live outside of the United States, the surgeon should ideally be a member of the International Society of Aesthetic Plastic Surgery (ISAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California