Research remains non-specific as to which intervention or combination of interventions is best to reduce the already relatively low risk of bleeding during and after surgery. The Laryngoscope, one of the premier publications in the field of head and neck surgery, commonly publishes articles called “Best Practices” where contributors review the available literature to conclude about a common clinical question. Kleinberge A. and Spiegel J., in their article “What is the Best Method for Minimizing the Risk of Hematoma Formation After Rhytidectomy [Facelift]?” determined that “the current literature does not definitively support one particular method for reliably preventing post-operative hematoma after rhytidectomy” and “there is no replacement for meticulous surgical technique and adequate intraoperative hemostasis” (3). Larger, better designed studies are required to elucidate this. However, it is important to ask whether your surgeon has engaged with the medical literature and comes to their decisions about intra-operative and post-operative care in a thoughtful manner, weighing the potential risks and benefits of any and all of the above interventions. In the end, there is currently not one perfect method or methods. Each of the above methods could be implemented and the low risk of bleeding would remain. Seek someone who you trust understands how to evaluate and respond if something such as a bleed does occur.