Facelift with skin pulled back or pulling facial muscles back?
What is the difference in recovery?
A Facelift should look Natural!
The loose muscles are re-suspended, the deeper fat must be lifted and saved to add volume to the face. The skin is gently lifted and smoothed with the extra skin being removed. Pulling or lifting aggressively yields an un-natural appearance or windblown appearance.
The refreshed and natural look is accomplished with attention to every detail, careful and meticulous surgery and much artistic input.