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Patient is a self-described sun-worshiper who felt that in the last ten years, especially since going through menopause, she had aged considerably and did not consider herself to be as attractive as she once was. Specifically, she wanted to approach her old-appearing mouth and weak chin, and yearned for a better defined and graceful jawline. She felt that her eyes had always been her best feature, but hardly anyone noticed anymore due to her sagging brow and wrinkled skin. She wanted to appear younger and prettier.

Procedure: High SMAS Facelift, Endoscopic browlift, bilateral lower blepharoplasty, chin augmentation with placement of medium extended anatomic implant, autogenous fat transfer to the face for a total of 24cc including lower eyes, nasolabial folds, cheekbones, jawline, and upper and lower lips. The patient also underwent full face erbium laser resurfacing

Patient 41

Patient is a 58-year-old female who had a previous blepharoplasty and desires a more youthful appearing face and neck. Specifically, she wants to address her downturned mouth, as people think she appears dissatisfied when she is not. She would like a more younger looking jawline and neck, with more definition of her cheekbones and eyes. As a nurse, she has seen many facelifts, and has always been concerned that many appeared too tight, or unnatural, and wants to avoid this appearance at all cost.

High SMAS Facelift, lateral temporal browlift, upper blepharoplasty, and autogenous fat transfer to the face for a total of 31cc including the lower eyelids, midface, cheekbones, nasolabial folds, upper and lower lips, jawline and chin.

Patient 42

Patient is a 55 year-old-female who previously was often complemented regarding her attractiveness, but feels that she has gradually lost the beauty she possessed when she was younger.Specifically, in the last 10 years she has noticed her brow sagging, and her eyes have lost their beautiful definition, and her cheeks appear gaunt and weathered.She dislikes her downturned mouth.She desires to regain her defined cheekbones and jawline, and wants to appear younger and more attractive without looking operated upon.

High SMAS Facelift, endoscopic browlift, fat transfer to the face for a total of 39.5cc including the cheekbones, upper and lower lips and jawline.She also underwent upper and lower eyelid erbium laser resurfacing.She is delighted with the result and enthralled with the youthful voluptuous that microfat transfer contributed to the final result. Photographs were taken about 3 weeks after surgery ( early) as the patient lives in Colorado with unpredictable follow-ups possible.

Patient 43

Patient is a 59-year-old female with a desire to appear younger and more attractive. She felt that she appeared matronly, and had lost the sparkle she once had in her eyes. She desired better definition of her facial features, most notably her cheekbones and neck with better proportions to her face. She wanted to look more vibrant, approachable, and sexy. She also had forever disliked her thick and bulbous nose, and desired a more elegant profile that appeared more feminine.

High SMAS facelift, endoscopic browlift, bilateral upper blepharoplasty, with autogenous fat transfer to the face for a total of 16cc, including the lower eyes, nasolabial fold, jawline, chin, and lips. She also underwent a Rhinoplasty with Septoplasty and reduction of the nasal dorsum, reduction and suture contouring of the nasal tip, and fascial graft to the radix to soften the transition of the forehead to nose. She was ecstatic with her surgical result, and feels beautiful.

Patient 44

Patient is a 69-year-old female who felt that she appeared much older than she felt. She came to our office looking to address the lost definition of her cheekbones, her sagging jawline, and the abundance of wrinkles on her face and neck. Her goal was to look soft and natural without the tell-tale signs of surgery.

High SMAS Facelift, upper and lower blepharoplasty with transpalpebral removal of corregator muscles, and autogenous fat transfer to the face for a total of 22cc, including lower eyes, nasolabial folds, jawline, chin, and lips.

Patient 45

Patient is a 72-year-old female who had undergone previous facial rejuvenation in the distant past. She had begun to feel that her “face had fallen” and desired better definition of her cheekbones and jawline, and wanted to regain the long elegant neck that she had when she was younger.

Rhytidectomy with lateral SMASectomy, medial and lateral platysmaplasty and Erbium laser resurfacing of periorbital and perioral areas.

Patient 46

Patient is a 55-year-old female who wishes to look younger and more attractive. She has noticed over the last few years increasing prominence of her downturned mouth, and has developed troublesome jowls that remind her of how her mother aged. She feels that she has lost her once prominent cheekbones and angular jawline, and is bothered that no one complements her anymore on her appearance.

High SMAS Facelift, bilateral lower blepharoplasty and autogenous fat transfer to the face for a total of 22cc including lower eyes, cheekbones, nasolabial folds, jawline, upper and lower lips and corners of the mouth, and temples.

Patient 47

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 48

Patient is a 63-year-old female who underwent a previous “LifeStyle-Lift” which resulted in scarring and disappointing results. She wanted to appear less “frumpy” and felt that she had no facial contour, and lacked definition of her cheekbones and jawline. She had never had a graceful neck and yearned for this. She wanted to appear younger and more attractive.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, bilateral buccal fat pad removal, and fat transfer to the face for a total of 34 cc including the lower eyes, midface, nasolabial folds, cheekbones, chin, upper and lower lips. Patient also underwent erbium laser resurfacing of the lower eyes and perioral regions.

Patient 49

Patient is a 67-year-old female who underwent a previous facelift by another doctor and was never quite pleased with the result. Currently felt that there was a mismatch of the upper and lower face with heaviness of her jawline, and loss of volume of her cheekbones and around her eyes. She felt that she just did not look like she did before her original surgery. She desired to appear more balanced, more voluptuous, and more attractive.

High SMAS Facelift, Lateral Temporal endoscopic browlift, Bilateral lower blepharoplasty, Full face erbium laser resurfacing, and autogenous fat transfer to the face fort a total of 31cc, including the upper and lower eyes, nasolabial folds, cheekbones, jawline, upper and lower lips. She was ecstatic with the result.

Patient 50

60-year-old female who feels that she looks weathered and unattractive. Specifically, people constantly inquire whether she is angry or unhappy, and she simply does not feel this way. She has developed sad looking eyes, jowls, and has lost the volume of her lips. She used to be a smoker and is reminded of this by the deep wrinkles around her mouth. She would like to appear younger, more attractive, and more approachable.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, upper and lower lip augmentation with permalip silicone lip implants, fat transfer to the face including periorbital, cheekbones, nasolabial folds, jawline and chin for a total of 21.5cc, and perioral dermabrasion.

Patient 51

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 52

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 53

61-year-old female who was a model and actress when she was younger who desires to address her significant facial aging that she feels has made her appear much older and less happy than she feels. She used to be quite photogenic, and was always quite proud of her appearance. She wants to look younger, more attractive, and more vibrant. Specifically she requested not to address the wrinkles around her mouth at this surgery.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, exchange of previous chin implant with a new anatomic extended model to provide more natural contour, and fat transfer to face for a total of 44cc including lower eyes, midface, cheekbones, upper and lower lips and jawline.

Patient 54

54-year-old female who feels that she looks matronly with the development of her mother’s jowls and loss of her jawline in the last 5-10 years. She notes that her eyes have become sad looking and that she desires a better neck and jawline, as she has never had a very elegant profile. She wants to look younger and more attractive.

High SMAS Facelift, lateral temporal endoscopic browlift, bilateral lower blepharoplasty with canthopexy, liposuction of the neck, and fat transfer to the nasolabial folds, corners of the mouth, jawline and chin for a total of 23cc.

Patient 55

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 56

51-year-old female who is status post a “lifestyle-lift” with significant visible scarring and disappointment with her result. She has long standing facial asymmetry with a prosthetic eye and eyelid asymmetry. She would like to appear softer, younger, and more attractive, with more facial balance and proportion.

High SMAS Facelift, lateral temporal browlift, upper and lower blepharoplasty, fat injections to the face including periorbital, jawline, and lip areas. (Notice the increased facial balance with fat injections to the jawline and lips)

Patient 57

Patient is a 59-year-old female who wishes to look younger and more attractive. She is bothered by the weathered appearance of her face, especially the hollowness of her lower eyes, and the sagging of her cheeks with recent development of jowls. Her neck and jawline used to be one of her strong features, but now she only sees skin laxity and platysmal bands. She also feels that she has lost significant volume in her cheeks and cheekbones and often will not look in the mirror. She wants to regain her youthful confidence and vigor.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, and autogenous fat transfer to the face for a total of 23cc including lower eyes, midface, nasolabial folds, jawline, and upper and lower lips.

Patient 58

Patient is a 60-year-old female who over the last 5 years had noticed progressive heaviness of her upper and lower eyes and loss of her jawline definition and once beautiful cheekbones. She was particularly bothered by her downturned mouth that made her appear unhappy. She was concerned she was looking quite matronly, yet felt quite youthful. She wanted to appear younger and more attractive.

High SMAS facelift with upper and lower blepharoplasty with suture canthopexy to elevate the corners of her eyes, and autogenous fat transfer to the face for a total of 32cc including lower eyes, midface, nasolabial folds, cheekbones, chin, upper and lower lips.

Patient 59

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 60