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Patient is a 60-year-old male who in the last few years has pursued a more active lifestyle, trying to be healthier with both exercise and diet. With progressive weight loss and increasing age, he had noticed more heaviness of his upper and lower eyes, and the development of facial laxity and jowls. He specifically did not like his neck which he felt lacked definition and made him appear much older than he felt. He wanted to appear natural and refreshed, without tell-tale signs of having had plastic surgery.

High-SMAS Facelift, upper and lower blepharoplasty with suture canthopexy.

Patient 1

Patient is an 80-year-old man who is still active as a hair-stylist. He was bothered by his lateral upper eyelid hooding, jowls, and neck laxity with “turkey-gobbler” appearance. It was important that he looked natural after surgery but wanted to appear younger and more handsome.

Facelift with lateral SMASectomy, and lateral temporal endoscopic brow elevation.

Patient 2

Patient is a 67-year-old male who had noticed progressive loss of definition of his jawline and neck, and felt that his eyes look constantly fatigued. He desired to look younger, more handsome and more approachable.

Procedure: High SMAS Facelift, Upper and lower blepharoplasty with suture canthopexy and transpalpebral removal of corregator muscles, and autogenous fat transfer to the face for a total of 42cc, including the lower eyes, midface, cheekbones, nasolabial folds and lips. The patient also underwent a septo/rhinoplasty.

Patient 3

58 year-old-male who desires to look both younger and more handsome. He feels that he appears gaunt, tired, and unapproachable. He would a more proportioned face that appears happier and well-rested.

Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, chin augmentation, fat injections to the forehead, eyes, and cheeks.

Patient 4

Patient is a 30-year-old male who desires a softer appearing brow. For as long as he can remember he has disliked the deep wrinkles of his forehead and between his eyebrows all of which make him appear stern and angry. He has tried Botox, but did not like how that made his brow look even heavier. He would like a natural appearing, more youthful brow and a more permanent solution.

Coronal Browlift

Patient 5

Patient is a 49-year-old male who was often being asked if he was upset or angry when he was not. He wanted to address his heavy brow, and if possible make his eyebrows more symmetric. He was quite concerned about appearing natural and did not want anything drastic looking, but wanted to see a difference that made the experience worth it.

Endoscopic browlift, autogenous fat transfer to the face for a total of 19cc including lower lid, mid-face, cheekbones, and forehead, and erbium laser resurfacing to the forehead, lower eyes, and midface.

Patient 6

Patient is a 58-year-old male who is active and athletic, a college professor immersed in a very youthful culture. He felt that his eyes made him look tired and fatigued, and wanted to appear more youthful, without looking "done".

Upper and lower blepharoplasty with fat transfer to the lower eyes, midface, and cheekbones and periorbital erbium laser resurfacing.

Patient 7

Patient is a very youthful acting 83-year-old man that wanted to appear “less grumpy” and more youthful without tell-tale signs of plastic surgery. He desired a better jawline and neck, and less puffy eyes that made him appear tired. He looks forward to many great years ahead of him, and wanted to look as young as he feels.

High SMAS Facelift with upper and lower blepharoplasty with suture canthopexy.

Patient 8

Patient is a 39-year-old male who has long standing asymmetry of the upper eyes. He likes the upper eyelid crease that is present in the left upper eyelid and would like them to match.

Right upper blepharoplasty with creation of supra-tarsal fold. He was delighted with the result.

Patient 9

Patient is a 57-year-old male who is very athletic and keeps extremely fit with low body fat. He has been a long time sun-worshiper, and works in a very youthful industry and wants to keep his competitive edge. He feels that he looks much older than he feels, and people often ask him if he is either tired or under-the-weather. He wants a natural appearing complete facial rejuvenation, with attention to facial scars as he wears his hair often very short, and desires to keep the surgery to himself.

High SMAS Facelift, Coronal browlift, Upper and lower blepharoplasty with suture canthopexy, and 35%TCA chemical peel to his lower eyes and midface. Notice how the High SMAS Facelift is able to impart a very youthful and natural result, by permanently elevating tissues to their appropriate positions (actually a mid-face lift also) This makes the face appear more voluptuous, with definition of the cheekbones, jawline and neck, adding volume to the lower eyes and midface without injections of soft-tissue fillers.

Patient 10

Patient is a 46-year-old Belgian male who works as an international art buyer in a very youthful industry.He reflects that he was very handsome when he was younger and wishes to regain the angularity and striking features that he once had.Specifically he dislikes the heaviness of his brow, his prominent jowls and full neck that make him appear both tired and angry.He feels that he is looking like his father who is much older. He desires to have a more contoured face, with youthful angularity and definition, much like he had fifteen to twenty years ago.

High SMAS Facelift, Coronal browlift, upper and lower blepharoplasty, buccal fat pad removal, and fat transfer to the face for a total of 22cc including the lower eyes, nasolabial folds, upper and lower lips, and jawline.To increase lip definition he also underwent upper and lower lip augmentation with permalip implants.He is extremely happy with result and feels that this has renewed his confidence and as he feels both younger and more handsome.

Patient 11

Patient is a 41-year-old male who had a desire to address his lower eyes which he felt made him look tired and exhausted. He wanted his eyes to appear crisper, as they have always been a source of compliments that he no longer receives.

Bilateral transconjunctival lower blepharoplasty with autogenous fat transfer to the lower eyes, midface, and cheekbones for a total of 9cc. There were no external facial scars from this operation.

Patient 12

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 13

54-year-old male who desired to look younger and less serious. Specifically, he missed the eyelid and jawline definition that he had when he was younger.

Face lift, upper and lower blepharoplasty, removal of the muscles between the eyebrows that cause wrinkling.

Patient 14

63-year-old male who desired to look younger, as he was quite athletic and fit, and thought he looked much older than he felt. He had undergone previous eyelid surgery.

Facelift

Patient 15

Patient is a 58 year-old-male who recently retired from a long career in the automotive industry. He feels that his long hours have made him look and feel quite fatigued, and wants a fresh start for his long awaited retirement. Specifically, he would like to address his heavy upper eyelids and deep wrinkles between his eyebrows. He does not like the heavy folds of his face along with the jowls and lack of definition of his neck and jawline. He would like to appear younger and more handsome.

Facelift with upper blepharoplasty and removal of corregator muscles (muscles that form wrinkles between eyebrows). Patient also had fat transfer to the lower eyelids, nasolabial folds and along the chin and corners of the mouth. He was so delighted with rejuvenation of his face he became motivated to exercise more and has lost 20 pounds.

Patient 16

62-year-old male who recently retired from a very rewarding career as a teacher. He is looking foward now to years of golf and spending quality time with his wife and thinks he looks much older than he feels. He wants to enter the new phase of his life looking as young and as excited as he feels.

Face Lift, coronal brow lift, upper and lower blepharoplasty.

Patient 17

62-year-old male who has always been very proud of his appearance. He diligently works out every day, but as he has aged, he has lost the youthful fullness of his cheeks and developed a turkey-neck. He likes his face when he is a bit heavier, but does not want to put on the weight. He wants to appear younger and more handsome.

Face Lift, endoscopic brow lift, upper and lower blepharoplasty with canthopexy.

Patient 18

59-year-old male who works out religiously and has lost considerable weight in recent years making his face look gaunt. He thinks he looks much older than he feels, and would like to have facial rejuvenation along with his wife for their 60th birthdays.

Face lift, coronal brow lift, upper and lower blephaoplasty.

Patient 19

32-year-old male who feels that he appears quite “tired and sad” due to his falling brow, and the configuration of his eyelids that he describes as a “basset-hound.” He has always desired a more refined nose and prominent cheekbones that he feels would make his face appear more handsome and proportioned.

Endoscopic brow lift, lower blepharoplasty with canthopexy (changing the angle of the lower eyelid), rhinoplasty, cheek implants.

Patient 20