Hi and thanks for your question. I can comment on the Lifestyle Lift Orange County, CA location and my practice and technique while there. Lifestyle Lift was one of the first plastic surgery practices to market lower facelifts under local anesthesia and oral sedation. The concept became so popular that many private practices now have similar marketed names for their facelifts under local anesthesia. The success of each clinic was highly dependent on the surgeon. The best surgeons at Lifestyle Lift were highly experienced, performing thousands of facial rejuvenation procedures during their careers there, such as myself. Each best surgeon performed their individual lower facelifts tailored to each individual patients' needs just as any surgeon would in their private practices. There was no proprietary technique, and it was not a mini lift in my hands. That said, if a patient needed a mini lift with shorter incisions it could easily be performed under local anesthesia. More commonly, I performed a complete neck lift with liposuction and platysmaplasty and a full lower SMASectomy facelift. Other surgeons in various locations perform what is best suited for their patients so the operation will differ with another surgeon. With the ultimate closing of Lifestyle Lift, there remain the best former Lifestyle Lift surgeons out there who are experts in facial rejuvenating procedures under local anesthesia. Fortunately, many of these surgeons are now in private practice. If you are seeking to rejuvenate your face and neck, please carefully research online in your area to find a surgeon who has successfully performed thousands of local anesthesia face and neck lifts.