Gallery

58-year-old female who has always felt attractive but has noticed the last 5 or so years the development of significant jowls and loss of her youthful cheekbones and defined jawline. She would also like to address the hollowing beneath her eyes but has been hesitant about pursuing plastic surgery as her friends look too pulled and “scary”. She wants to look younger, more voluptuous, and recapture her “mojo”.

High SMAS Facelift, upper and lower blepharoplasty with canthopexy, and autologous fat transfer to the face for a total of 41cc. Fat was transferred to the lower eyes and midface, cheekbones, nasolabial folds, jawline, and upper and lower lips.

Patient 1

Patient is a 64-year-old female who desired to look younger and more beautiful. She specifically did not like the loss of definition of her neck and brow and had developed jowls and a downturned mouth which she felt made her look angry appearing. She wanted to recapture the voluptuous looks she had at a younger age without looking operated upon. She also had a rhinoplasty when she was a teen and wanted to have her nose straighter and less surgical looking.

Procedure: High SMAS Facelift, endoscopic browlift, upper and and lower blepharoplasty, autogenous fat transfer to the face for a total of 16cc including 4cc to the midface, 2cc to the nasolabial folds, 2cc to the nasolabial folds, 2cc corners of mouth, 8 cc to the jawline. The patient also had a revision septorhinoplasty.

Patient 2

Patient is a 49-year-old female who had a previous facelift with another surgeon and was not satisfied with the results. Specifically, she feels that her jowls returned quite rapidly after the prior surgery, and never achieved the more youthful facial contours that she was promised. She feels that she looks matronly and sad. She wants to look younger and more beautiful.

High SMAS Facelift, lateral temporal endoscopic browlift, bilateral canthopexy, fat transfer to the lower eyelids, midface, jawline, chin, and upper and lower lips. Notice how the SMAS technique has lifted the facial fat to crisply contour the cheekbones and jawline with fat transfer leaving her softly voluptuous and youthful. She was delighted with the results.

Patient 3

Patient is a 61 year-old female who has noticed in the recent past that she is losing the definition of her cheekbones, jawline, and neck, and that her face has become progressively gaunt appearing. She is very athletic, and does not wish to put on weight. She desires to appear younger and more attractive, with better facial proportions and a more graceful jawline and neck. She also desired a smoother and more evenly pigmented complexion, and a more attractive nose that better fits her facial features.

High SMAS Facelift, lateral endoscopic browlift, partial removal of superficial submandibular glands, chin augmentation, autogenous fat transfer to the face for a total of 22 cc including lower eyelids, nasolabial folds, cheekbones, jawline, and lips. The patient also underwent full face erbium laser resurfacing and a rhinoplasty. She is incredibly satisfied with her post-operative appearance.

Patient 4

Patient is a 68-year-old female who feels that she looks old and unhappy. She dislikes her downturned mouth, her hollow and darkly pigmented eyes, and the jowls she has developed over the last 10 years. She remembers having a very angular and sculpted jawline when she was younger, and desires to regain her youthful voluptuousness and angularity without looking operated upon.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, partial removal of the superficial submandibular glands to give angularity of the jawline, and autogenous fat transfer to the face for a total of 28cc including lower eyes, nasolabial folds, jawline, chin, upper and lower lips, and corners of the mouth.

Patient 5

Patient is a 73-year-old female who thought she looked much older than she felt. She thought that her neck had become quite matronly, and did not like the loss of the youthful definition of her cheekbones, her puffy eyes and the deep wrinkles between her eyebrows, and her downturned mouth that imparted a sour tone to her face. She wanted to appear younger, more youthful and more attractive.

High SMAS Facelift, upper and lower blepharoplasty with removal of corregator muscles through the upper eyelid incision, full face erbium laser resurfacing, and autogenous fat transfer to the face for a total of 30cc including the lower eyes, midface, cheekbones, nasolabial folds, upper and lower lips, and corners of the mouth. She was delighted with the result and feels both younger and more beautiful.

Patient 6

Patient is a 56-year-old female who desires facial rejuvenation. She feels that she looks quite gaunt, and likes her current body weight, as she works to maintain a trim figure. Specifically she dislikes the hanging skin of her neck and jawline, and feels hollow both along her upper and lower eyes, and in her cheeks. She wants to look softer and younger, but is very afraid of obtaining that “stretched look”, that she often sees around town.

High SMAS Facelift, Endoscopic browlift, Upper and lower blepharoplasty and autogenous fat transfer to the face for a total of 90 cc including the temples, upper and lower eyes, cheekbones, nasolabial folds, jawline, chin, and upper and lower lips. She said post-operatively that people could not exactly figure out what had been done to her face.

Patient 7

Patient is a 45-year-old female who has noted considerable facial aging in the last ten years and is constantly asked whether she is tired or unhappy when she is neither. She does not like the puffiness of her upper and lower eyes, the lack of definition of her cheekbones and jawline, and is quite bothered by her downturned mouth. She feels otherwise quite young, and desires to appear more refreshed, more youthful, and more beautiful.

High SMAS Facelift, upper and lower blepharoplasty with suture canthopexy, and autogenous fat transfer to the face including lower eyes, cheekbones, midface, corners of the mouth and chin.

Patient 8

Patient is a 67-year-old female who has developed significant jowls and loss of definition of the neck over the last 5 years. She feels that she appears very unhappy though she is not, and is often asked what’s wrong. When she was younger, she was often complemented on her beautiful jawline and cheekbones, and yearns to recapture her youthful facial proportions that made her feel attractive. She has been apprehensive about getting a facelift as she does not want to appear done.

Facelift with High-SMAS elevation, lateral temporal brow elevation, upper and lower blepharoplasty with softening of muscles between eyebrows, and autogenous fat transfer to the face for a total of 50cc including lower eyes, midface and cheekbones, nasolabial folds, jawline, chin and lips. Notice with the addition of fat transfer, how the patient’s lower face and jawline beautifully balance her brow and eyes. She was ecstatic with her result.

Patient 9

Patient is a 61-year-old female who has always been considered attractive, but in the recent past feels that she has lost the definition of her jawline and neck, while developing progressively heavy jowls that make her feel old. She would like to regain her youthful facial features without a surgical appearance.

High SMAS Facelift, endoscopic browlift, bilateral lower blepharoplasty, erbium laser resurfacing of the upper and lower eyes and perioral region, fat transfer to the lower eyes, nasolabial folds, jawline and chin, and upper and lower lips.

Patient 10

Patient is a 68-year-old female who in her younger years enjoyed feeling and looking very attractive. She had always had high cheekbones, and a sculpted neck and well-defined jawline, but these attributes seemed to fade in her late 50’s. She began to feel quite matronly, and was bothered by her full neck which resembles her mother’s, and her very down-turned mouth which made her appear constantly angry. She wanted to appear younger and more attractive.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, fat transfer to the periorbital, nasolabial folds, jawline, chin and lips for a total of 21cc, and periorbital and perioral erbium laser resurfacing. Photographs are at 1 year post-op.

Patient 11

Patient is a 60-year-old female who underwent a previous facelift and upper and lower eyelid surgery. She has noticed progressive hollowing of her upper and lower eyes after her previous eyelid surgery, along with progressive loss of the definition of her cheekbones, jawline, and neck. She would like to appear softer and more voluptuous with more harmony of the facial features for which she was very proud of in her youth.

High SMAS Facelift, bilateral lower blepharoplasty, upper and lower lip augmentation with placement of permalip lip implants, autogenous fat transfer to the face for a total of 30cc including upper and lower eyes, nasolabial folds, jawline, chin and lips, and erbium laser resurfacing of the upper and lower eyes and perioral region. Note that the post-operative photos are 1.5 years post operative, hence the fat transfer is permanent. Appreciate the improved contour of the upper and lower eyelids that now appear youthful, and the improved proportion of the chin and jawline which have been improved with fat transfer. No chin implant was placed. She was ecstatic with the results.

Patient 12

Patient is a 49-year-old female who feels that she looks tired and beginning to resemble her much older mother. She has successfully raised multiple children, seemingly putting her own desires on the back burner for years. She wants to do something for herself, as she was quite beautiful and glamorous when she was younger as evidenced by old photographs. She does not like the bags of lower eyes, her asymmetric and drooping brow, and the lack of definition of her cheekbones and jawline. After years in the sun, she suffers from multiple regions of irregular facial pigmentation and yearns for the porcelain complexion she had when she was younger.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, full face erbium laser resurfacing, and autogeonous fat transfer to the face including upper and lower eyes, cheekbones, nasolabial folds, chin, jawline, upper and lower lips, and corners of the mouth.

Patient 13

52-year-old female who had significant sun exposure growing up in the Southwest. She felt that she appeared much older than her age and wanted to look both younger and more attractive. She had always wanted more voluptuous lips.

The last photo is of the patient 5 years after the surgery. She continues to feel beautiful and elegant without evidence of surgery.

Patient 14

Patient is a 58-year-old female wanted to appear younger and more attractive. She is very athletic, and likes to keep a trim figure, but as she ages she has found it difficult to keep youthful volume in her face. She enjoyed the results from soft-tissue fillers but was seeking a more precise and global solution, with longer lasting results. She was specifically bothered by her sagging brow, her tired and undefined upper and lower eyes, her jowls and her down-turned mouth. She had broken her nose multiple times, and did not like her profile with its plunging tip and dorsal hump.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, Rhinoplasty with septoplasty, reduction of dorsal hump, and contouring of nasal tip cartilages, and autogenous fat transfer to the face for a total of 35 cc including lower eyes, midface, cheekbones, jawline, and upper and lower lips.

Patient 15

Patient is a 61-year-old female who is a technology executive, and is still very active in an increasingly youthful industry.She is maintains a very athletic lifestyle, and feels that her low body fat adds to her aged appearance.Specifically, she would like to address her hollow eyes and cheeks, her downturned mouth, and her progressive loss of jawline definition and excess neck skin.She would like to look younger and more attractive with no tell-tale signs of surgery.

High SMAS Facelift, lateral temporal brow lift, bilateral lower blepharoplasty, and autogenous fat transfer to the face for a total of 37cc; including the forehead, upper and lower eyes, cheeks, corners of the mouth, jawline, and chin.Note how the aesthetics of the jawline and chin were improved without the addition of a chin implant.Fat transfer in this area (the chin and lower face), when appropriate, is long lasting and beautifully adds balance and proportion to the lower face.

Patient 16

Patient is a 69-year-old female who was interested in appearing younger and prettier. Self-proclaimed as vain, she used to be in movies and on-stage when she was younger. She recently had significant weight loss, and had noticed increased laxity of her face with more pronounced jowls, loss of jawline definition, and more sagging of the skin around her eyes. When she was younger, she was always complimented on her beautiful cheekbones and neck. Of course, she stated she did not want to look “done”, but wanted the “It” back.

High SMAS Facelift, endoscopic browlift, upper blepharoplasty, and autogenous fat transfer to the face for a total of 20cc, including lower eyes, nasolabial folds, cheekbones, jawline, and lips. She also underwent full face erbium laser resurfacing. She is delighted with the result, and feels beautiful again.

Patient 17

Patient is a 62-year-old female who has become increasingly saddened by her aged appearance and was tired of everyone asking whether she is angry or tired. Specifically she would like to improve the hooding of her eyes without changing their shape, and would like to address her downturned mouth and jowls, while also improving jawline and neck. She is terrified about looking different or appearing like she has had surgery.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, fat transfer to the face for a total of 33cc addressing the lower eyes, cheekbones, nasolabial folds, jawline, and chin. She is absolutely delighted with her surgical result, and how transforming the experience was with regards to her spirit and mood.

Patient 18

Patient is a 63-year-old female who desires to look younger and more attractive. She stated that she was “ cute” when she was younger, but since menopause her face has become very lax with loss of definition of her eyes, cheeks, and jawline. She feels the same inside as when she was younger, but sees a much older woman when she looks in the mirror.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, autogenous fat transfer to the face including lower eyes, cheekbones, nasolabial folds, upper and lower lips, jawline and chin. Patient also had lower eyelid TCA chemical peel and perioral dermabrasion.

Patient 19

64-year-old female who desire to appear younger and more attractive. Specifically, she feels that she looks stern and serious, and does not like her jowls, her downturned mouth, and lack of neck definition. She wants to look softer and more voluptuous, but with the defined cheekbones and jawline that she was used to in her younger years.

High SMAS Facelift, endoscopic browlift, bilateral lower blepharoplasty, perioral dermabrasion, and a fat transfer to face for a total of 56cc including upper and lower eyelids, midface, cheekbones and cheeks, nasolabial folds, upper and lower lips, and jawline.

Patient 20