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Preop and 2 months post op photos. This is a 64 yo female who previously underwent a facelift with an anterior hairline browlift and lower lid blepharoplasty 6 years prior. Due to the poor elasticity of her skin, she had a relatively early recurrence of signs of facial aging. Her areas of concern involved flattening and descent of her cheek region, recurrence of jowling along her jawline, and skin excess and banding of her neck. Therefore, she underwent a full facelift with plication of her SMAS layer (tightening of the muscular/fascial layer in the face), platysmaplasty (tightening of the muscle in the neck), fat injections to her cheeks, nasolabial folds, and lips, and laser treatment of the area around her eyes and mouth.