60-year-old female who feels that she looks weathered and unattractive. Specifically, people constantly inquire whether she is angry or unhappy, and she simply does not feel this way. She has developed sad looking eyes, jowls, and has lost the volume of her lips. She used to be a smoker and is reminded of this by the deep wrinkles around her mouth. She would like to appear younger, more attractive, and more approachable.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, upper and lower lip augmentation with permalip silicone lip implants, fat transfer to the face including periorbital, cheekbones, nasolabial folds, jawline and chin for a total of 21.5cc, and perioral dermabrasion.