Gallery

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 61

Patient is a 48-year-old female who felt that over the last 6-7 years she had dramatically aged with loss of the definition of her cheekbones and jawline and was constantly asked whether she was upset or angry. She wanted to appear younger and more attractive, and wanted to improve the condition of her skin, which was showing the ravishes of years of activities out in the sun.

High SMAS Facelift, Endoscopic browlift, and Erbium laser resurfacing of the glabella, upper and lower eyes, and perioral regions.

Patient 62

Patient is a 62-year-old female who felt that in the last 10 years she had a gradual increase of fullness in her cheekbones and angularity of her jawline that she cherished for so many years. She felt that she was looking quite matronly and was no longer receiving the complements of her eyes which have always been her greatest feature. She wanted to look younger and more beautiful.

Procedure: High SMAS Facelift, Endoscopic Browlift, upper and lower Blepharoplasty with Canthopexy, Autogenous Fat Transfer to the lower eyes, cheekbones, nasolabial folds, jawline, chin and lips. She also underwent Perioral Erbium Laser Resurfacing.

Patient 63

Patient is a 52-year-old physician who wanted to appear more youthful. A year prior this patient had undergone an endoscopic browlift and upper and lower blepharoplasty, and wanted to complete her facial rejuvenation. Specifically, she hoped to improve the condition of her sundamaged facial skin, and regain the definition of her cheekbones, jawline and neck. Simultaneously, she wanted to create a more pleasant and approachable facial appearance that would better coincide with her positive outlook on life.

High SMAS Facelift, full face erbium laser resurfacing, and autogenous fat transfer to the face for a total of 18cc, including the eyes, nasolabial folds, jawline, and lips.

Patient 64

Patient is a 68-year-old female who would like to address her full neck that made her feel quite matronly. Since she could remember, she had lacked definition of her jawline and in the recent past she had become increasingly conscious of herself in photographs which made her appear quite old. She desired to look younger without looking pulled or any tell-tale signs of facial surgery.

High SMAS Facelift. Notice the beautiful anglularity of her jawline and neck, and the natural transition between the lower face and neck, both the result of the specific High SMAS facelift technique. She is delighted with the result.

Patient 65

61-year-old female who recently moved to Arizona after retiring from a long and stressful career. She wanted to do something for herself, and was bothered by her sad and matronly appearance as she was young at heart, and had many exciting plans for her retirement. She was specifically unhappy with her eyes and jowls, and the fact that her neck and jawline seemed ill-defined made her look like an older women. She desired to look younger, more attractive, and seemingly more approachable.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, buccal fat pad removal(to contour her cheeks and define her cheekbones), liposuction of the neck and chin augmentation with medium size chin implant, and autogenous fat transfer to face including periorbital, nasolabial folds, jawline, and upper and lower lips for a total of 19cc.

Patient 66

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 67

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 68

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 69

Patient is a 71-year-old female who had always felt quite attractive, but over the last decade had seen changes in her face that made her appear matronly. Specifically, she disliked her hollow and sagging eyes, her jowls, and the loss of jawline and neck definition that used to be a source of her pride. She wanted to appear younger and more attractive.

High SMAS Facelift, upper and lower blepharoplasty with canthopexy, and autogenous fat transfer to the face for a total of 29cc including upper and lower eyes, nasolabial crease, cheekbones, upper and lower lips, and corners of the mouth. She stated that she feels both beautiful and glamorous again, and that no one could exactly pinpoint the changes they notice after her surgery.

Patient 70

Patient is a 53-year-old female who had always considered herself attractive but in recent years had lost definition of her cheekbones and jawline, along with developing jowls which she hated. She felt that her brow sagged, and her eyes made her look constantly tired despite Botox and soft-tissue fillers. She wanted to regain a more youthful shape to her face, with defined cheekbones and jawline and beautiful eyes like she had when she was younger.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, fat transfer to the face for a total of 24 cc, and full face erbium laser resurfacing. Fat was injected to the lower eyes, nasolabial crease, cheekbones, jawline, upper and lower lips.

Patient 71

62-old-female who previously underwent facial rejuvenation by another surgeon. Though not much time has passed, she is already unhappy with the early return of her jowls and neck laxity, and feels that she has lost the almond shape of her eyes that were always her favorite feature. Note the vertical pull of her neck that seems to be separate from her falling face.

High SMAS Facelift, endoscopic brow lift, upper and lower blepharoplasty with canthopexy, perioral and glabellar dermabrasion.

Patient 72

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 73

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 74

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 75

Patient is a 50-year-old female who desires to appear younger and more attractive. She has noticed especially since menopause that she has lost the angularity and youthfulness of her face as her neck has become less defined, and her facial fullness has greatly diminished. She looks at old photos and hardly recognizes herself, especially around her eyes that seem to look hollow and very prominent. A long term sun worshiper, she would like to improve her skin quality with regards to fine lines and pigmentation. She yearns to look as youthful as she feels on the inside.

High SMAS Facelift, endoscopic browlift, lower blepharoplasty with canthopexy, fat transfer to the temples, upper and lower eyes, midface and cheekbones, nasolabial folds, jawline and lips. Patient also underwent full face erbium laser resurfacing and a rhinoplasty. Photos are approximately 7 months post-operatively, hence fat survival is permanent. Notice how much fuller and voluptuous her face appears, and with the addition of fat to the upper and lower eyes, how much more attractive she looks. She was delighted with the results.

Patient 76

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 77

Patient is a 69-year-old female who felt that she had lost the angularity of her cheeks and jawline that had previously been the highlights of her facial structure. She disliked her jowls, and the laxity of her neck and eyes. She wanted to look refreshed without tell-tale signs of a facelift.

High SMAS Facelift with erbium laser resurfacing of the upper and lower eyes.

Patient 78

48-year-old female who feels that she looks much older than she feels. Specifically, she does not like her sagging brow and eyes, and is bothered by her jowls, and lack of jawline and neck definition. She thinks that her downturned mouth makes her look “sour” and desires to appear more youthful and attractive. She also has wanted to improve the appearance of her nose since she was young.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, fat transfer to face including lower eyelids, nasolabial folds, cheekbones and cheeks, jawline, upper and lower lips for a total of 51cc. Patient also had a rhinoplasty.

Patient 79

59-year-old female who had facial rejuvenation in the past. She feels that her previous browlift raised her hairline too much making her forehead too prominent. She also has never liked the stretched, flat appearance that resulted from her previous surgery, nor her downturned mouth that makes her appear unhappy and was never approached. She has an active social life, and wants to appear younger and more attractive as she is back in the dating world.

High SMAS Facelift, anterior hairline lowering browplasty with elevation of the lateral temporal brow, bilateral lower blepharoplasty, fat transfer to face including lower eyelids, cheeks, jawline and lips for a total of 24cc, glabellar and perioral dermabrasion. Note how the anterior hairline has been lowered making her forehead appear more proportioned and attractive.

Patient 80