This patient had undergone a facelift in Dallas by another surgery in the past. Dr. Weinfeld, a plastic and cosmetic surgeon, now in Austin Texas helped her with her secondary (redo) face and neck lift. He was familiar with the technique of her original surgeon and thus approached this patient differently from a primary (first time) facelift patient. Dr. Weinfeld typically uses a dual plane SMAS flap technique because he believes it causes less bunching and pleating and less unnatural facial contours that some SMAS plication techniques and some MACS lifts (This is his opinion based on his observations in published journal articles and at national conferences – other surgeons may disagree and may have have had good results with these techniques). However, given that this patient had previously undergone a SMAS flap procedure, Dr. Weinfeld chose a selective plication technique for increased safety and control. The patient was very satisfied with the elevation of her cheek structure and the neck tightening that occurred. She requested that some privacy be preserved by showing only half of her face.