59-yr-old return patient came to Dr. Lee to discuss her aging face and neck. She had deepened tear troughs, and her cheeks had lost their plumpness. She had a significant amount of skin redundancy around her neck and prominent neck bands. She decided on facelift surgery and included lower blepharoplasty surgery. Fat was placed in the upper cheeks, tear troughs, nasolabial folds, marionette line and chin depression. The patient is very happy with her results.