58 year old presented to discuss a facelift. This is something she has thought about for a long time, she has done some research online, and has seen my website. “I’m tired of having a sad looking face because all of my lines and wrinkles point downward.” She is also concerned with the deep lines at her glabellar area, and the hollow appearance of her eyes. To address her concerns, we performed : Facial rejuvenation: High SMAS facelift lift with cervicoplasty, with retroauricular extension. Micro-fat grafting: supraorbital rims, infraorbital rims, malar areas, nasolabial folds, geniomandubular groove, mental crease. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results are shown at 3 months.