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39 year-old-female with familial “heavy eyes” that make her feel she looks tired and much older than her age. She desires a fresher more relaxed appearance. She also wanted more proportion of her jawline and chin but was afraid of a chin implant.

Upper and lower blepharoplasty with fat transfer to the lower eyelids cheekbones, jawline, and upper and lower lips.

Patient 21

48-year-old female who has seen significant facial aging in the last few years due to the illness and ultimate death of her spouse. She feels that she looks both sad and fatigued, and is no longer complimented on her beautiful eyes. She desires to look both younger and more attractive, with the angularity of her bone structure she had when she was younger.

Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, fat injections to the face (midface, nasolabial folds, lateral cheeks and corners of mouth).

Patient 22

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”.

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 23

56-year-old female who had facial rejuvenation in the past. Techniques where used that relied on skin tightening and fat removal for a “youthful appearance”. She does not like the fact that her previous browlift shifted her hairline so far up, and the fact that the position of her eyebrows makes her look worried. She wants to address the hollow appearance of her eyes and cheeks resulting from aging and previous surgery. She desires a more beautiful appearance with more defined and proportioned features. She really left it up to me to direct her towards an end result.

Facelift, hairline lowering browlift ( a full 2 cm) with redirection of eyebrows, upper and lower blepharoplasty with canthopexy, and fat transfer to the face including periorbital, cheekbones and cheeks, naslolabial folds, chin, jawline, and lips. She is ecstatic with the result.

Patient 24

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.

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 25

40-year-old female who felt that she had aged rapidly in the last few years and desired to have some “freshening up”. She wanted to address the lax skin of her face, and would like address the early jowls and loss of definition she was seeing. She wanted surgery to be performed in the office if possible.

Mini Facelift (cheeklift) with fat transfer to the chin and jawline. Surgery was performed in the office under local anesthesia with oral sedation.

Patient 26

53-year-old female who feels that she looks much older than her age, and she wishes to look younger and more attractive. She is bothered by her hanging cheeks and jowls, and sad appearing eyes and weak jawline and chin. She wants to appear softer and more approachable.

Fat transfer to the face for a total of 86cc, including lower eyelids, cheeks and cheekbones, jawline and chin. Patient also underwent a facelift, coronal browlift, upper and lower blepharoplasty with canthopexy. Notice the better facial proportions enabled with the addition of meticulously and strategically placed fat in the face.

Patient 27

49-year-old female who feels that she looks extremely gaunt and unhealthy and would like to appear younger and healthier, with more voluptuous features. She stays thin and fit, and this seems to intensify her thin and narrow face. She has undergone two previous facelifts with various other facial procedures, and thinks she looks like she has obviously had plastic surgery. She yearns to look more beautiful.

Fat transfer to the face for a total of 101cc including upper and lower eyes, temples, nasolabial folds, upper and lower lips, jawline and chin. Patient also underwent corrective facelift with canthopexy. Notice the complete volume enhancement with the fat transfer and increased proportion of the lower face to add balance and symmetry. She was extremely happy with the result.

Patient 28

49-year-old female who feels that she looks extremely gaunt and unhealthy and would like to appear younger and healthier, with more voluptuous features. She stays thin and fit, and this seems to intensify her thin and narrow face. She has undergone two previous facelifts with various other facial procedures, and thinks she looks like she has obviously had plastic surgery. She yearns to look more beautiful.

Fat transfer to the face for a total of 101cc including upper and lower eyes, temples, nasolabial folds, upper and lower lips, jawline and chin. Patient also underwent corrective facelift with canthopexy. Notice the complete volume enhancement with the fat transfer and increased proportion of the lower face to add balance and symmetry. She was extremely happy with the result.

Patient 29

32-year-old female is a competitive body builder and professional trainer and maintains a low body fat content that affects her facial features. She desires to have the more voluptuous facial features she had when she was younger that gave her more exotic features. She wants better definition to her cheekbones, jawline and chin, and lips. She wanted a procedure that could be performed in the office with local anesthesia.

Fat transfer to face for a total of 31cc including temporal regions, lower eyes, cheekbones, nasolabial folds, lips, jawline and chin.

Patient 30

37-year-old female who has always had a very thin body stature, and dislikes the fact that she looks increasingly skeletal in her face as she ages. She desires to have fuller facial features with less cheek laxity, and wants to appear healthier and less fragile.

Fat transfer to the face for a total of 85cc with fat injected into the forehead and temples, periorbital region, cheeks and cheekbones, jawline and chin, and around the mouth. Patient also underwent a cheeklift.

Patient 31

53-year-old female who feels that she looks tired and her that face appears gaunt, and this has seemed to become more pronounced after a recent desired weight loss. She would like to appear more youthful but does not want a facelift, and specifically wants to have the procedures performed in the office under local sedation.

Fat transfer to the face including lower eyelids, along the jawline and chin, nasolabial folds, cheeks, and lips. Patient also had bilateral upper blepharoplasty. Total fat injected was 32cc, all performed in the office with local anesthetic and oral sedation.

Patient 32

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”.

Autologous fat transfer to face including lower eyelids, temples, cheekbones and cheeks, jawline, chin, and lips for a total of 43cc. Patient also had facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy. She was delighted with the result.

Patient 33

60-year-old female who felt that she has lost “something” from her facial features, and cannot really pinpoint what it is. She feels that her lower face has aged much more than her upper face, and feels that she is not ready for a facelift. She would like to have something done in the office that helps regain her “voluptuousness”

Fat transfer to the face from abdominal and knee donor sites for a total 21cc to lower eyes, cheekbones, nasolabial folds, corners of mouth, and jawline including chin. This was performed in the office with oral sedation and local anesthetic. She is delighted with the result.

Patient 34

61-year-old female who was a model and actress who feels that her face looks gaunt, lacks definition, and looks quite old. She would like to appear more attractive and voluptuous, and would like to procedures performed to blend together in harmony so she does not look operated upon. She likes to work out and maintains a slender figure, though her face looks younger when she is heavier, she does not want to put on weight. She did not want to address the wrinkles around her mouth at this particular surgery.

Fat transfer to face for a total of 44cc including lower eyes, midface, cheekbones, upper and lower lips and jawline. She also underwent a facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, exchange of previous chin implant with new contemporary model.

Patient 35

64-year-old female who yearns to have the youthful and voluptuous features she had when she was younger. She feels that she has lost definition of her cheeks and cheekbones, and does not like the hollowing beneath her eyes and around her mouth. She would like to have balanced facial rejuvenation that addresses the volume loss of her face, and simultaneously redefines her jawline and neck.

Fat transfer to face for total of 56cc including upper and lower eyes, cheekbones and cheeks, nasolabial folds, upper and lower lips, and jawline. Patient also underwent facelift, endoscopic browlift, lower blepharoplasty, and perioral dermabrasion.

Patient 36

29-year-old Asian female with longstanding puffiness of the lower eyes and hollowing of the face along the midface regions near her nose. She feels that the hollowing accentuates the puffiness of the lower eyes, and makeup cannot cover the shadows produced which make her appear unhealthy. She these problems addressed in a single operation.

Fat transfer to face for a total of 8cc including lower eyelid and midface regions. Patient also underwent a transconjuctival lower blepharoplasty with no external incisions.

Patient 37

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.

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 38

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.

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 39

Patient is a 48-year-old woman who feels that she has developed heavy appearing eyes that have “lost their sparkle”, along with jowls and progressive loss of definition of her cheekbones and jawline. She does not want to appear different, just refreshed and more confident.

Facelift, upper and lower blepharoplasty with lower eyelid TCA chemical peel, and fat transfer to the face including lower eyes, cheeks and cheekbones, jawline, upper and lower lips.

Patient 40