Lifestyle lifts, like other mini-lift procedures, promise minimal to no downtime with a short "minimal" surgical procedure. Usually, if it sounds too good to be true, then it probably is. This is no different. These types of lifts are performed in a wide variety of ways. Usually, they are skin only lifts. This is where the surgeon makes small incisions around the ear, lifts the skin of the cheek and jawline, and closes. There is no treatment of the underlying structure. The skin lift is minimal. This is how it can be performed in less than an hour under local anesthetic. A good long lasting "traditional" facelift is also performed in a variety of ways. They are similar in that the layer beneath the surface of the skin, callled the SMAS, is the one that is lifted. This layer connects the muscles of the neck with the superficial muscles of the face. Also, the neck muscles are treated by making an additional incision just under the chin. This allows the superficial neck muscles, which give support to the facelift, to be treated. Once the SMAS layer is lifted, the skin can be redrapped and the excess trimmed. This gives a natural, tension free lift. The neck angle is sharp and the corners of the mouth are not pulled. This lift usually does not require any type of tuck up for at least 10-15 years! This procedure requires a deeper sedation or general anesthetic and typically takes about 2-3 hours to perform. The healing time is about a week before the sutures are removed.