Dr. Frankel uses surgical techniques that rely on the deeper facial tissues for suspension so the skin does not show lines of tension and look pulled. Additionally, Dr. Frankel prefers a vertical vector for his lifts and this mitigates having the ‘windswept’ look and having the mouth become distorted. There are certain situations where a patient might be at risk for looking pulled and if that is the case, Dr. Frankel will discuss that before moving ahead with the surgery.