Do most (highly skilled) surgeons use before and after photo simulations for facelifts?

Thank you for your question.  We do not personally use this software, we use comprehensive consultation, examinations and clear before and after pictures of all our previous patients.  This helps patients gage what results can be achieved.  We have a whole portfolio of pictures so patients can typical find someone who has a similar face shape or bone structure to them.  All The Best 

Before and after facial simulations can help to some degree and I suspect it's surgeon's preference.  I have found that these simulations work better for assessing the nose, the chin and the neck than for face lifting.  I always warn patients that this does not necessarily imply or guarantee an outcome but rather as a springboard for discussion during the consultation process.  The most important piece of advice would be to seek a board-certified plastic surgeon with experience in facial rejuvenation.  Good luck with your search.