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This is a 49-year-old female who presented to discuss facial rejuvenation. She was predominately bothered by the deep lines under her eyes, loss of fullness in her cheeks, and laxity in her neck. Much of her issues related to her weight loss of 70 lbs. Therefore, she underwent a facelift with a rhytidectomy, SMAS plication, and platysmaplasty. In order to deal with the significant loss of fullness in her mid-face and cheek area, a modified mid-face lift was also performed. In addition, an upper and lower lid blepharoplasty was performed to rejuvenate around her eyes.