A traditional full facelift/ neck lift procedure takes on average 4- 5 hours to do and involves a lot of undermining of skin, tightening of deeper tissue layers of the face and neck in addition to ressecting all the excess skin and closing all the multiple layers along the long incisions around the ear and hairline. It's a lot of work so it can produce very dramatic results. You just cannot accomplish all that in a one hour procedure. I am not sure what they are advertising with a one hour "vertical lift" but it sounds more like a mini- type of facelift where the dissection and undermining is very limited and only a small amount of skin is removed with not enough exposure to tighten the deeper layers (SMAS and platysma) of the face and neck. If this is the case then there is no comparison between the two. The more involved facelift/ neck lift will always give you a much more dramatic look, and if you have a lot of loose neck skin and prominent jowls, then this is usually what's recommended. If you have minimal jowling and not too much neck skin issues, then a mini- facelift type of a procedure may be adequate, but don't be fooled, the mini- facelift type of procedure cannot give you the same result as a traditional facelift. The physics and mechanics just don't add up. If it sounds too good to be true, most of the time it is, and beware of the bait and switch advertising. Also beware of the cheapest doctor in town advertising bargain basement prices. You have to pay for quality. There is nothing more important than your face as that is what every one sees first so don't trust it to just anyone. I would recommend you seek consultations from a few board certified plastic surgeons in your area that have a lot of experience with facial cosmetic surgery (you may find them through the websites of the American Board of Plastic Surgery and the American Society of Plastic Surgeons (ASPS)). Best wishes.