Gallery

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 61

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 62

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 63

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 64

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 65

Patient is a 65-year-old nurse who had noticed over the last 10 years, rather rapid loss of her high cheekbones and angular jawline that used to define her face. She felt that she often looked fatigued and gaunt despite not feeling so, and did not like the appearance of her jowls or downturned mouth. She wanted to appear younger and more attractive with the inviting vitality she projected when she was a younger woman.

High SMAS Facelift, Lateral temporal browlift, Upper and lower blepharoplasty with autogenous fat transfer to the face for a total of 48cc including the temples, lower eyes, cheeks, jawline, chin and upper and lower lips. She is incredibly happy with her results, and feels much more attractive. These changes have bolstered her self-confidence and helped her get out and date again with new-found enthusiasm and wonder.

Patient 66

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 67

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 68

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 69

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 70

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 71

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 72

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 73

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 74

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 75

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 76

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 77

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 78

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 79

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 80