Patient is a 63-year-old woman who thinks she appears much older than her stated age. Though she feels quite vibrant and happy, she is often asked why she is upset and is frequently mistaken for someone much older. She is bothered by her obvious “turkey-gobbler” neck, her downturned mouth and sad-appearing eyes. She desires to look younger and more attractive.
Facelift, lateral endoscopic brow elevation, upper and lower blepharoplasty with canthopexy, partial removal of the superficial lobe of the submandibular gland, and autologous fat transfer to the face including lower eyes, midface, cheekbones and cheeks, upper and lower lips, jawline and chin for a total of 53cc.