Gallery

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 61

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 62

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 63

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 64

Patient is a 53-year-old female who feels that she looks tired and weathered and wanted to look younger and more attractive. Specifically, she misses her previous defined cheekbones and jawline, and wants to regain the confidence in her appearance without telltale signs of surgery.

High SMAS Facelift, bilateral lower blepharoplasty, autogenous fat transfer to the face including upper and lower eyes, nasolabial folds, midface and jawline. Patient also underwent erbium laser resurfacing of the upper and lower eyes and perioral regions.

Patient 65

Patient is a 59-year-old female that works as an ICU nurse who feels that she looks very tired and wrinkled. Specifically as she has aged in the last 10 years, she has lost the beautiful alluring eyes she had when she was younger, and the youthful volume and angularity of her face that made her feel attractive. She thinks that her jawline and neck look disproportionately old and would like to restore her youthful proportions and feel pretty again.

High SMAS Facelift, lateral temporal endoscopic brow elevation, upper and lower blepharoplasty with canthopexy, and autologous fat transfer to the forehead, upper and lower eyes, nasolabial folds, jawline, chin, and upper and lower lips.

Patient 66

Patient is a 54-year-old male who is a seasoned actor who feels that he is looking progressively older and more fatigued appearing, which is affecting his confidence. Specifically he wants to address his upper and lower eyes and regain their shape and crispness, along with redefining he prominent chin and jawline that used to photograph so well. He specifically does not want to address his brow wrinkles as he utilizes these areas for unique expressiveness that is his trademark. He desires to look younger and more handsome without signs of surgery.

High SMAS Facelift, upper and lower blepharoplasty with suture canthopexy, and autologous fat transfer to the face for a total of 20cc including lower eyes, midface, and jawline. He also underwent perioral erbium laser to address the wrinkles around his mouth.

Patient 67

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 68

50-year-old female who feels that she has concentrated on her career and family for years and would finally like to do something for herself. Over the recent past, she has noticed that her eyes appear more tired, and that she has developed increasing jowls and has lost the definition of her cheekbones and jawline. She wants to look and feel younger and more attractive.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty.

Patient 69

56-year-old female who desires to appear younger and more beautiful. She stated that she used to have very defined bone structure with prominent cheekbones, a graceful neck and sharp jawline and has noticed these features have become very weak. She is bothered by her uneven eyebrows and vanishing lips and would like look refreshed without looking operated on.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, fat transfer to the face (lower eyes, cheekbones, nasolabial folds, jawline, and upper and lower lips), and perioral laser resurfacing.

Patient 70

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 71

Patient is a 64-year-old female who desires to look younger and more attractive. She would like to address her jowls and lack of neck definition along with the hollowness beneath her eyes. She does not like the fine wrinkles and irregular pigmentation of her face, and would like this treated at the same surgery so there is a single recovery period.

High SMAS Facelift, bilateral lower blepharoplasty, autogenous fat transfer to the face including lower eyes, forehead, nasolabial folds, jawline and chin, and upper and lower lips. Patient also underwent full face erbium laser resurfacing.

Patient 72

50-year-old female who considered herself attractive but recently had seen changes in her face she did not like. Specifically, she wanted to address her jowls and downturned mouth, and the hollows beneath her eyes.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, perioral dermabrasion.

Patient 73

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 74

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 75

55 year-old-female who has noticed gradual facial aging that has been become more pronounced with recent weight loss. She desires the more voluptuous youthful features she had when she was younger, along with a stronger and cleaner neck and jawline

High SMAS Facelift, endoscopic browlift, bilateral lower blepharoplasty, perioral dermabrasion and fat transfer to the face including cheeks, upper and lower eyes, jawline and lips.

Patient 76

60-year-old female who desired to look younger and more attractive. She had long been bothered by her lack of neck definition, and felt that she looked angry and tired.

High SMAS Facelift, endoscopic brow lift, upper and lower blepharoplasty with canthopexy, fat injections to the lips, perioral dermabrasion.

Patient 77

54-year-old female who desired to look less fatigued and more attractive. She felt that she looked and was taken for a much older woman than she is. These changes happened in the past few years.

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

Patient 78

69-year-old female who feels that she is taken for a much older woman, and would like to get back the attractive features she had when she was younger. She stated people would always tell her she had beautiful eyes, but no one complements her anymore.

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

Patient 79

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 80