This is a 58 year-old woman who desired facial rejuvenation. She felt that she was starting to see typical signs of aging around her mouth and jawline. She also felt that her cheeks had lost fullness. Therefore, she underwent a facelift with a Rhytidectomy, SMAS elevation and plication, and Platysmaplasty. A lower and upper lid blepharoplasty was also performed to improve the puffiness under her eyes. Fat was also injected into her face to augment some of the tissue loss through the years.