I believe the best facelifts don't look like facelifts. They just make people look their best. I often ask patients to bring photos of themselves from their youth to see how things have changed. My goal is always to make people look like the best version of themselves as possible The pros of surgery is that people will feel a renewed confidence without looking "done.The cons can include safety issues Other cons are the facelifts that look like facelifts. Distorted hairlines, odd shaped ears or pulled up looks or hollows in the face are telltales of a facelift that is not well done.People should not looked pulled or distorted after a facelift. In almost every facelift I perform, I incorporate some fat grafting to restore some of the natural fullness of youth. A facelift is a permanent chance. I encourage everyone considering facial rejuvenation to atke their time, view many photos, do research and ask many questions before seelecting a plastic surgeon to perform your facelift. The following are a few things that can distinguish some surgeons from others1) Graduating from a top tier medical school at the top of their class. 2) Membership in Alpha Omega Alpha. This is the medical honors society. Alpha Omega Alpha is to medicine what Phi Beta Kappa is to undergraduate universities.3) Formal surgical training from prestigious medical universities. The minimum number of years of surgical training for plastic surgeons to be bord certified in five years. Some physicians have as many as ten years of formal surgical training. There simply is no substitute for stelar academic and practical surgical training. 4) Very experienced surgeons with meticulous surgical technique and natural looking outcomes will have photgraphic evidence of their work. Patients should be able to view many photos of the surgery of interest, photgraphed from three different perspectives all with similar lighting, distance from the camera and croppingThe elite experience extends beyond the surgeon to the facility, and the surgical team. You should be able to see the surgical theater and know who else will be in the OR with you during surgery. The Joint Commission (JCAHO) is an organization that provides certification to hospital OR's. The Joint Commission and AAAASF are two of the organizations that can provide certification to surgical suites. Some plastic surgeons elect to have their surgery centers dually certified.The anesthesia experience is critical to a safe and comfortable surgical experience. A board certified anesthesiologist can administer general or MAC anesthesia. My preference is to have a board-certified anesthesiologist at the bedside of my patients for the duration of surgery.Plastic surgeons who cater to high profile individuals who place a high value on privacy will have a private first floor entrance and exit so patients never need to be in a public lobby or elevator for pre-operative or post operative visits.