Patient is a 45-year-old female who has noted considerable facial aging in the last ten years and is constantly asked whether she is tired or unhappy when she is neither. She does not like the puffiness of her upper and lower eyes, the lack of definition of her cheekbones and jawline, and is quite bothered by her downturned mouth. She feels otherwise quite young, and desires to appear more refreshed, more youthful, and more beautiful.
Facelift, upper and lower blepharoplasty with suture canthopexy, and autogenous fat transfer to the face including lower eyes, cheekbones, midface, corners of the mouth and chin.
Patient 41
Patient is a 56-year-old female who feels that her upper eyes appear fatigued, and that she has lost the youthful volume of her face leaving her appearing tired and much older than she feels. She does not want a facelift. She also wants to improve the overall texture of her facial skin and even out her irregular pigmentation.
Autologous Fat transfer to the face including periorbital, cheekbones, cheeks, jawline and lips, with bilateral upper blepharoplasty and lower eyelid TCA chemical peel.
Patient 42
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.
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 43
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.
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 44
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.
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 45
Patient is a 68-year-old female who in her younger years enjoyed feeling and looking very attractive. She had always had high cheekbones, and a sculpted neck and well-defined jawline, but these attributes seemed to fade in her late 50’s. She began to feel quite matronly, and was bothered by her full neck which resembles her mother’s, and her very down-turned mouth which made her appear constantly angry. She wanted to appear younger and more attractive.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, fat transfer to the periorbital, nasolabial folds, jawline, chin and lips for a total of 21cc, and periorbital and perioral erbium laser resurfacing. Photographs are at 1 year post-op.
Patient 46