Hi, I have performed many SMAS facelifts and neck lifts for over 30 years and have performed many minimally, invasive SMAS facelifts on women in their late twenties and early thirties. The reality is, there are many different ways to perform a facelift or neck lift from incision length, incision placement, level of tissue dissection (skin only, SMAS, Deep Plane, Subperiosteal), different degrees of tissue undermining, how to lift and support (imbrication versus plication of the SMAS layer), how much excess skin to trim, is excess fat going to be reduced and finally will the overall shape of the face be made more feminine or masculine (while avoiding the over pulled, windswept appearance). Price is determined by the reputation, location and experience of the Facelift Surgeon. In my humble opinion however, there are some basic requirements that must be met in order for a facelift to be "effective", yielding "aesthetic pleasing" and "naturally attractive" results. These include: 1. Some type of incision either curved around the front (preferred) or straight in front of the ear. This is how excess skin is removed which is not possible with an incision behind the ear alone. If you have so little excess skin on the face that "none" needs to be removed you are not a candidate for a facelift in the first place. 2. The facelift must address correction and softening of the "jowls" using a long lasting and effective technique. If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed. 3. Facial shaping must be combined to properly shape the cheeks, chin, jaw line and lips for feminizing or masculinizing the face as the case may be. In my experience, this is the "key" factor in making the face soft, feminine and naturally beautiful. An essential part of any facelift on a woman. Conversely, men look chiseled and handsome when angularity is created in the cheeks, chin and mandibular angles. The ability to provide precise, facial shaping separately or in combination with a facelift is in my humble opinion the definition of a "facial shaping expert". Hope this helps.