Dr. Rizk, a New York City based facial Plastic Surgeon, believes in tightening not only the loose muscles beneath the skin, but also the loose and drooping fat pads in the face which form the jowls and turkey neck. Repositioning the fat pads and tightening the muscles are important components in doing a natural facelift which lasts a long time. If the muscles are not tightened, because of the elasticity of the skin, the face will droop again within 6 weeks. Successful facelift surgery involves tightening the loose muscles, lifting the fat pads and excising the redundant skin. Thread lifts fail because they do not involve skin excisions and are a blind procedure done without a good view of where the deep sutures are placed and can cause deep tissue damage.