Gallery

Patient is a 68-year-old male who is status post-facial rejuvenation about 20 years ago.He desires to look younger and more attractive as he is involved in a very youthful industry.Specifically he does not like the lack of definition of his cheekbones and neck and wants to address his down-turned mouth, all of which make him look tired when he is not. He feels that his brow looks especially heavy and his eyes have lost the shape and sparkle they had when he was younger.

High SMAS Facelift with partial removal of superficial submandibular gland to improve jawline definition, coronal browlift, upper and lower blepharoplasty with canthopexy, autogenous fat transfer to the lower eyes, midface, nasolabial folds, and corners of mouth.He also underwent nasal tip rhinoplasty to narrow the nasal tip to more appropriately match facial proportions.

Patient 41

53-year-old female who is constantly asked if she is upset or tired when she is not. She has remembers being complemented about her beautiful cheekbones and eyes, but has noted the progressive development of hollow eyes and jowls, and loss of definition of her angular bone structure. She wants to feel attractive and look beautiful and voluptuous as she did as a younger woman.

High SMAS Facelift, lateral endoscopic browlift, lower blepharoplasty with canthopexy, fat transfer to lower eyes, nasolabial folds, jawline, upper and lower lips. She was delighted with the results.

Patient 42

Patient is a 55-year-old female who desired facial rejuvenation.She has noticed over the past 5 years rather rapid and progressive loss of definition of her neck and jawline, and the development of bothersome jowls that make her look matronly.She also thinks her brow appears heavy and that her eyes make her look very tired.She has wanted a more elegant nose all of her adult life and decided to have this done at the same time as her other facial procedures.She would like to look younger and more refreshed, along with looking more attractive if possible.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, liposuction of the neck, autogenous fat transfer to the face for a total of 16 cc, and perioral erbium laser resurfacing.She also underwent a rhinoplasty with contouring of the nasal tip cartilages, reduction of nasal projection, and narrowing of the nasal bones.

Patient 43

Patient is a 50-year-old female who feels that she has progressively developed heavy upper and lower eyes that make her look swollen and tired. She dislikes her lack of facial definition, and has developed progressive jowls and has lost her once youthful neck and jawline. She thinks she looks frumpy and old and very unattractive. She wants to feel pretty again.

High SMAS Facelift, upper and lower blepharoplasty with suture canthopexy, partial removal of the superficial submandibular gland to improve jawline definition, buccal fat pad removal to improve cheekbone definition, liposuction of the neck, and autogenous fat transfer to the face for a total of 22cc including the lower eyes, midface, nasolabial folds, jawline, and chin. Notice the drastically improved aesthetics of the jawline and chin accomplished without a chin implant. This was accomplished through the combination of the aforementioned procedures, including fat transfer to the chin.

Patient 44

Patient is a 51-year-old female who in the past 3 years underwent gastric bypass surgery with significant weight loss that followed. She has noticed that when she was heavier, her face looked younger, and that at her current weight, she looks much more gaunt with excess skin that makes her look much older than she feels. She would like to look younger with more voluptuous facial features that match her newly found vigor for life. Prior to her facial surgery, pre-existing facial asymmetries ( her eyes are very asymmetric) were pointed out that may be accentuated after surgery.

High SMAS Facelift, lateral temporal browlift, bilateral lower blepharoplasty, partial removal of the superficial submandibular gland to accentuate the contour of the jawline, and autogenous fat transfer to the face for a total of 32 cc including upper and lower eyes, nasolabial folds, cheekbones and cheeks, jawline, and upper and lower lips.

Patient 45

Patient is a 59-year-old female who has always been proud of her appearance but feels in the recent past she has lost the cheekbone definition, jawline angularity, voluptuous facial fullness she has identified with most of her life. She thinks she is looking matronly, appearing older than she feels. She has been afraid of having work done on her face, as she wants to avoid looking pulled or unnatural. She desires to look younger and more refreshed without signs of having surgery performed.

High SMAS Facelift, upper and lower blepharoplasty, TCA chemical peel to the lower eyes, and autogenous fat transfer to the face for a total of 31cc including forehead and temple, lower eyes, nasolabial folds, upper and lower lips, corners of the mouth, jawline and chin. She was delighted with the results and feels that she has regained her aesthetic identity.

Patient 46

Patient is a 62-year-old female who is has had a previous facelift by another surgeon and desires facial rejuvenation. Specifically she feels that she has lost the definition of her once high appearing cheekbones and graceful jawline, and does like her jowls and loss of volume of her periorbital and perioral regions. She wishes to look younger and more attractive, and as she is a very active and prominent business woman, she desires to have no tell-tale signs of surgery.

High SMAS Facelift, with partial removal of superficial submandibular gland to improve the jawline, endoscopic browlift, bilateral lower blepharoplasty, autologous fat transfer to the upper and lower eyes, cheekbones, nasolabial folds, jawline and lips for a total of 31cc. She also underwent erbium laser resurfacing of the upper eyes and perioral region. Note how more balanced and voluptuous her face appears. She was extremely happy with the results.

Patient 47

Patient is a 62-year-old female who desires to look younger and more attractive. She had a previous facelift about 15 years ago, and though happy with the previous surgery, she would like to rejuvenate her face again. Specifically she would like to approach her heavy brow and fatigued appearing eyes and face. She desires to regain the angularity of her cheekbones and jawline which recapturing the voluptuousness her face possessed when she was younger.

High SMAS Facelift, endoscopic browlift, lower blepharoplasty with canthopexy, upper lip-lift, and autogenous fat transfer to the face for a total of 48cc including upper and lower eyes, midface, cheekbones, nasolabial folds, jawline, chin, and upper and lower lips.

Patient 48

Patient is a 65-year-old female who thinks that she looks much older than she feels. Specifically, when she was younger she much enjoyed the compliments she received regarding her beautiful eyes and bone structure. She misses this. When she looks in the mirror she just sees wrinkles, jowls, and a heavy neck, and is beginning to look like her mother. She desires to look younger and more attractive.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, fat transfer to the face including upper and lower eyes, cheekbones, jawline, and upper and lower lips. Patient also underwent full face erbium laser resurfacing. She is delighted with the results.

Patient 49

Patient is a 48-year-old woman who feels that she has developed heavy appearing eyes that have “lost their sparkle”, along with jowls and progressive loss of definition of her cheekbones and jawline. She does not want to appear different, just refreshed and more confident.

High SMAS Facelift, upper and lower blepharoplasty with lower eyelid TCA chemical peel, and fat transfer to the face including lower eyes, cheeks and cheekbones, jawline, upper and lower lips.

Patient 50

Patient is a 48-year-old woman who feels that she has developed heavy appearing eyes that have “lost their sparkle”, along with jowls and progressive loss of definition of her cheekbones and jawline. She does not want to appear different, just refreshed and more confident.

High SMAS Facelift, upper and lower blepharoplasty with lower eyelid TCA chemical peel, and fat transfer to the face including lower eyes, cheeks and cheekbones, jawline, upper and lower lips.

Patient 51

53-year-old female who modeled when she was younger. She did not like the loss of definition of her cheekbones, the formation of jowls and neck laxity, and the loss of volume of her lips. She desired to look as she had previously.

High SMAS Facelift, endoscopic brow lift, upper and lower blepharoplasty, fat injection to the upper and lower lips.

Patient 52

Patient is a 72-year-old female who has undergone a previous facelift and desires to appear younger and more attractive. Specifically she would like to have crisper eyes, more defined cheekbones, and a more angular neck and jawline. She is also bothered by her skin tone with multiple fine wrinkles and irregular pigmentation. She wants to look prettier but wants to avoid that “over-operated on” appearance.

High SMAS Facelift, upper and lower blepharoplasty with canthopexy, fat transfer to the face for a total of 46 cc including the upper and lower eyes, cheekbones, midface, nasolabial folds, jawline and chin, and upper and lower lips. She also underwent full face erbium laser resurfacing.

Patient 53

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 54

Patient is a 52-year-old female who has noticed significant facial aging during the last 5 years, especially after menopause. She is a long term “sun-worshiper” and a previous smoker who dislikes her jowls and neck laxity along with her heavy brow and eyes. She is an exercise fanatic and her lack of body fat makes her face appear especially gaunt. Her skin quality has drastically changed for the worse, and as her skin elasticity has diminished she needs to wear more makeup. She wants to appear younger and more attractive and recapture the “spark” her face used to have, and identified with.

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

Patient 55

41 year-old-female who has undergone some stressful events over the last few years and feels that she had aged dramatically. She wants to address her sad hollow eyes, and the significant skin laxity of her face, her sagging neck and would like to have more voluptuous, attractive features like she did when she was younger.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy and lower eyelid chemical peel, fat injections to the lower eyelids, temporal regions, cheekbones and cheeks, chin and jawline, and lips.

Patient 56

Patient is a 62-year-old female who is extremely active with much time spent outside enjoying sports. She had a facelift 15 years ago, and was concerned she looked pulled after her first surgery albeit with a rapid recovery. Currently she does not like the hollowness of her eyes and cheeks, and would like to address her jawline and neck which have become progressively aged appearing with skin and muscle laxity.

High SMAS Facelift, lower eyelid TCA chemical peel, and autologenous fat transfer to the face for a total of 19cc including the lower eyes, nasolabial folds, upper and lower lips, and jawline. Notice the youthful voluptuous and glow this patient has from the addition of micro fat transfer to the procedure. Of note is the notion that her original facelift with stretched appearance but rapid recovery was most likely a “skin” facelift without the benefits of contemporary SMAS facelift that do not depend upon skin tightness for the desired effect. This results in a longer lasting and much more natural appearing facelift.

Patient 57

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.

High SMAS 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.

Patient 58

Patient is a 61-year-old female who has an upcoming wedding of her daughter and wants to appear more refreshed for the event. Specifically she desires to address her heavily lined brow and fatigued appearing eyes. She has developed jowls and has lost definition of her jawline, and thinks that her neck makes her appear matronly and much older than she feels. She expressed that she has always had a heavy neck, even as a younger woman, and has never liked her profile for that reason. She would like a more graceful neck and jawline if possible.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, autogenous fat transfer to the face including upper and lower eyes, midface, nasolabial folds, upper and lower lips and jawline. She also underwent perioral erbium laser for perioral wrinkes, and partial removal of the superficial submandibular glands to improve neck definition especially along the angle of the mandible.

Patient 59

Patient is a 57-year-old female who had a previous mid-facelift and browlift by another surgeon who feels that she is losing definition of her cheekbones and jawline. Specifically she would like to address the hollowness beneath her eyes, the hollowing of her cheeks with early jowl formation, and the laxity of her neck. She wants to appear younger and more angular as she used to.

High SMAS Facelift, lateral temporal brow elevation, lower blepharoplasty, and fat transfer to the face for a total of 23.5 cc including forehead, upper and lower eyes, nasolabial folds, upper and lower lips, and chin. Of note is the improvement of the midface with the extended SMAS facelift procedure that I perform, which recruits tissue into this area replacing the need for older “midface lift” procedures.

Patient 60