Experience has shown that a superior facelift result is not possible without modification of the SMAS, platysma, and other deep facial structures. Although techniques vary and a consensus of opinion is unlikely to emerge, any surgeon able to identify the anatomic basis of his or her patients' problems can, through the application of logic and careful planning, select appropriate methods that are safe, effective, and rational. Presented here is the author's technique, which has delivered satisfaction to many patients.