Why would a doctor chose to use stitches instead of Artiss for a facelift? P

Closing the facelift incisions is one of the most important parts of the procedure. It must be done with great care and precision in order to get the best result. Once healed, the face lift incisions should virtually be undetectable. Fine suturing is preferred over tissue glues because the sutures provide more long term predictable support for healing soft tissues.

Good question.   Artiss is a "fibrin sealant".  A fibrin sealant is used by some surgeons during various surgeries (like facelifts) to spray over the raw surfaces under the skin to stop oozing/swelling and helps the skin adhere to the underlying raw surface. Using a fibrin sealant usually means you do not need drains (nobody likes) and your swelling can be less.  Sutures are used to pull and hold the tissues.  Sutures are used to precisely close the skin incisions. Artiss does one thing and sutures do another.