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 81

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 82

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 83

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 84

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 85

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 86

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 87

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 88

Patient is a 65-year-old female who felt that she looked much older than she felt. She was bothered by the loss of volume of her face, jowls, and loss of neck definition. She wanted to improve the appearance of her sun-damaged skin, but did not want to appear “over-done”

High SMAS Facelift, Bilateral canthopexy, full face erbium laser resurfacing, and autogenous fat transfer to the face for a total of 41cc, including lower eyes, nasolabial crease, cheeks, cheekbones, upper and lower lips.

Patient 89

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 90

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 91

67-year-old female who maintains a fit physique, but feels that her gaunt face makes her look weathered and old. Specifically, she would to address her facial skin laxity and jowls, but does not want to appear pulled or stretched. She would like to regain the voluptuous features she had when she was younger with better defined cheekbones and jawline.

High SMAS Facelift, endoscopic browlift, periorbital TCA chemical peel, and fat transfer to the face including the temporal hollows, upper and lower eyes, cheeks and cheekbones, chin and jawline, and upper and lower lips.

Patient 92

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 93

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 94

Patient is a 59-year-old female who wanted to appear younger and more attractive. In the last 10 years she noticed progressive loss of her cheekbone definition, and had developed her mother’s neck, much to her dismay. She wanted to like her face and to appear more angular, more voluptuous, and more radiant. She had been a long-term sun worshiper, and wanted to improve her skin pigmentation and tone.

High SMAS Facelift, Endoscopic browlift, Upper blepharoplasty, Full face erbium laser resurfacing, and autogenous fat transfer to the face for a total of 40cc, including the lower eyes, nasolabial folds, cheekbones and cheeks, jawline, upper and lower lips.

Patient 95

Patient is a 55-year-old female who felt she had lost the youthful contours of her face and that her once sharp jawline now made her feel quite old. She desired to appear younger and more attractive, without tell-tale signs of facial surgery.

High SMAS Facelift, endoscopic browlift, bilateral upper blepharoplasty, full face erbium laser resurfacing, and autogenous fat transfer to the face including lower eyes, midface, cheekbones, jawline, chin, and upper and lower lips. She was deligted with the results.

Patient 96

Patient is a 46-year-old female who desired to look younger and more attractive. She has noticed that she has progressively lost the definition of her cheekbones and jawline, and her profile is beginning to resemble her mother’s neck, which makes her feel old and matronly. She has lost the beautiful shape of her eyes, and feels that they are no longer her strongest feature as they were when she was younger.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, autologous fat transfer to the face for a total of 47cc including the lower eyes, midface, cheekbones, nasolabial folds, upper and lower lips.

Patient 97

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 98

Patient is a 49-year-old female who would like to look younger and more attractive.  She is bothered by the sagging of her brow and eyes, and  the loss of definition of her cheekbones and jawline, which has become more pronounced after menopause.  Having lived in Arizona her entire life, she has significant sun-damage of her skin and would like more even pigmentation and smoothing of her fine wrinkles.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, fat transfer to the face including lower eyes, cheekbones, nasolabial folds, jawline and lips, along with full face erbium laser resurfacing. Though she appears much younger in her post-operative photographs, she related that few people have mentioned any change in her appearance. This is the beauty of approaching the face completely so the result appears balanced and natural.

Patient 99

 54-year-old female who is constantly being asked if she is tired, when she feels quite rested. She had spent considerable time in the sun when she was younger, and maintains her slender body by working out and eating very healthy. She has noticed progressive loss of the crispness of her eyes, along with less definition of her cheekbones and jawline. She would like to appear both younger and more vivacious, and of course, prettier.

High SMAS Facelift, lateral endoscopic browlift, upper and lower blepharoplasty, fat transfer to face for a total of 46.5cc including lower eyes, cheeks and cheekbones, upper and lower lips, and jawline. Patient also had perioral dermabrasion.

Patient 100