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 101
Patient is a 55-year-old female who wants to look younger and more attractive. Specifically she is asked frequently what is bothering her when in fact she is in a pleasant mood. She does not like her sagging facial features especially around her mouth, and the lack of definition of her jawline and neck. She would like to look less matronly and prettier with more defined facial features.
High SMAS Facelift with partial removal of superficial submandibular glands, anterior hairline browlift (to not elevate her hairline), upper and lower blepharoplasty with canthopexy, fat transfer to the face for a total of 39cc including lower eyes, cheekbones, nasolabial folds, jawline, and lips. Her surgical result has given her renewed confidence and zest for life.
Patient 102
47-year-old female who feels that over the last 3-4 years she has lost the angularity and voluptuousness of her facial features and dislikes that she always looks tired. She had nice cheekbones and a defined jawline when she was younger, and wants to look prettier and more youthful, while retaining her uniqueness.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, autologous fat transfer to face including lower eyelids, temples, cheekbones and cheeks, jawline, chin, and lips for a total of 43cc. She was delighted with the result.
Patient 103
59-year-old female who modeled when she was younger. Specifically, she felt that she looked a bit tired and serious, and she did not like her face falling. She wanted to look like she did in her modeling days.
High SMAS Facelift, endoscopic brow lift, upper and lower blepharoplasty with canthopexy, Restylane® injections to the lips.
Patient 104
53-year-old female who feels that she looks much older than her age, and wishes to look younger and more attractive. She is bothered by her deep forehead wrinkles, sad appearing eyes, and deep nasolabial folds. Her jawline has been weakened by mandibular surgery for TMJ, and desires more proportion to her face, and wants appear both softer and more approachable.
High SMAS Facelift, coronal browlift, upper and lower blepharoplasty with suture canthoplexy, fat transfer to the face including lower eyelids, cheeks and cheekbones, jawline and chin for a total of 86cc. (It should be noted that in the post operative photographs the patient subconsciously elevates her eyebrows to appear unnaturally high out of habit, and this tendency will diminish over time).
Patient 105
60-year-old female who thinks that she looks much older than she feels. She has a high hairline, and would like it lowered if possible with her facial rejuvenation. She would like to appear prettier and less tired.
High SMAS Facelift, anterior hairline brow lift, upper and lower blepharoplasty with canthopexy, lip augmentation with alloderm® grafts.
Patient 106
56-year-old female who maintains a very athletic lifestyle, and has noticed after menopause that her face seems to appear more like her mother’s, which is inconsistent with her youthful figure. She desires to look younger and more attractive.
High SMAS Facelift, upper and lower blepharoplasty with periorbital chemical peel, chin augmentation, lip augmentation with alloderm® grafts.
Patient 107
60-year-old female who had a previous face lift by another surgeon that she was never happy with. Specifically, she feels that her forehead is too high, and that the previous surgery diminished the prominence of her once beautiful cheekbones. She desires a better defined neck and wants to appear both younger and more attractive.
High SMAS Facelift, anterior hairline brow lift, upper and lower blepharoplasty, perioral dermabrasion, fat injections to lips. (post operative photographs are 1.5 years after surgery)
Patient 108
69-year-old female who underwent a previous facelift approximately 15 years ago, and desires to freshen-up. Specifically, she feels that her would like her eyes to “sparkle” again, and desires to achieve better definition of her cheeks, jawline, and neck.
High SMAS Facelift, upper and lower blepharoplasty with suture canthopexy.
Patient 109
Patient is a 52-year-old female who has a career as an actress and model and has noticed progressive loss of definition of her once prominent bone structure. She feels that her brow has begun to sag, and her eyes lack the definition they once had. She would like better definition of her cheekbones and jawline, and would like to reclaim the graceful neck she had when she was younger.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, and autogenous fat transfer to periorbital, naslolabial folds, cheekbones, jawline, and upper and lower lips.
Patient 110
50 year-old-female who had spent her entire life out in the sun, and has noticed that she appears much older than her husband, who is the same age. Specifically, she desires more definition of her cheekbones and eyes, and wants to address her sagging neck and ill-defined jawline.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty.
Patient 111
68-year-old female who is very active, and has a prosperous professional consulting career for which she still travels often, and derives much satisfaction from. She thinks that she looks much older than she feels, and wants to look more youthful and attractive both for her self-esteem, and desire to continue working for years to come. She hates her heavy jowls, and lack of jawline definition.
High SMAS Facelift, lateral endoscopic browlift, upper and lower blepharoplasty with suture canthopexy, bilateral buccal fat pad removal(to increase cheekbone definition), and perioral dermabrasion.
Patient 112
63-year-old female who desires to look younger and more attractive. She feels that she constantly looks tired, and that she has aged significantly especially around her mouth and neck. She still has a thriving professional career, and wants to project the vitality and confidence that she feels internally.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, fat transfer to face including lower eyelids, cheeks, jawline, and lips.
Patient 113
55-year-old female who desired to look younger. She felt that she had always been attractive but recently, especially post-menopause, had seen significant changes in her facial features. She wanted cheekbone and neck definition again and wished to look less tired.
High SMAS Facelift, endoscopic brow lift, upper and lower blepharoplasty, lip augmentation with alloderm® grafts, perioral dermabrasion.
Patient 114
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 115
62-year-old female who maintains a very athletic physique and wished to have the voluptuous facial features she had when she was younger. She missed her prominent cheekbones and defined, graceful neck and jawline. She had lost an eye(right) when she was younger, and had a rhinoplasty when she was a child.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, perioral dermabrasion.
Patient 116
65-year-old female who feels that she looks washed up. She has progressively lost the definition of her cheekbones and jawline, and wants to address her jowls and old appearing mouth. She wants to look younger and more attractive without looking “done”.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, peroral dermabrasion, and fat transfer to the face including lower eyes, cheeks and cheekbones, chin, jawline, and lips.
Patient 117
53-year-old female who modeled when she was younger. She did not like the loss of definition of her cheekbones, the formation of jowls and neck laxity, and the loss of volume of her lips. She desired to look as she had previously.
High SMAS Facelift, endoscopic brow lift, upper and lower blepharoplasty, fat injection to the upper and lower lips.
Patient 118
63-year-old female who feels that she appears very matronly, and is constantly asked if she is either tired or angry. She has developed the same jowls and loss of neck definition that her mother did, and wants to address these areas along with the heavy brow and bags around her eyes. She desires to appear both younger and more more attractive.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, fat transfer to the lower eyes, nasolabial folds, upper and lower lips, jawline and chin. The SMAS technique combined with fat transfer has imparted a soft and natural appearance to her facial rejuvenation.
Patient 119
65-year-old female who feels that she appears matronly and wants to address her full neck and sad looking eyes. With age, her lips have vanished and she would like more lip volume with more youthful and attractive features.
High SMAS Facelift, lateral temporal browlift, upper and lower blepharoplasty with suture canthopexy, liposuction of the neck, upper and lower lip augmentation with permalip implants and upper lip lift, fat transfer to the face (lower eyelids, nasolabial folds, and chin), and perioral dermabrasion.
Patient 120