With every new procedure there is a wave of followers creating a new “trend.” The fact is, if there is abundance of loose skin and sagging tissue on the face and neck then these areas have to be “lifted” to a more youthful position and then the excess must be judiciously excised – hence a facelift of some sorts.
If there is decent of tissue with loss of volume then “filling” the areas will lift things and harmonize the face and replenish fullness. Incidentally, implants or fillers will give a similar result in many instances.
Occasionally the best result is achieved with a combination of these modalities. For example some patients look amazing and youthful a few weeks after a facelift but then notice some areas of “aging” again fairly soon after surgery as the swelling subsides. In such a patient, “filling” with a filler or fat at the time of surgery would have resulted in a better long-term aesthetic outcome. Each patient is different so each patient requires a somewhat unique approach – to some extent.