Healthy active woman was disappointed with changes of her face and neck, and wanted more youthful appearance. Aging features seen in "BEFORE" photo include eyelids (tired appearance before), cheeks (dropped lower with age), shape of face (width of jawline with small jowls), and neck sagging. Results in "AFTER" photo are permanent. Upper eyelids were surgically opened and lifted two millimeters. Lower eyelid creases and shadows filled to reflect light by fat advancement, NOT by unpredictable fat grafting. Cheeks lifted to more youthful location. Face re-shaped for younger more vibrant and happy appearance. Sagging neck skin and muscle treated by neck lift (neck-lift) with unification of central neck muscle bands and removal of extra neck fat. Neck skin smoothed and jowls removed to restore youthful features. Technique for natural rejuvenation of face, eyes, and neck is NOT pulling the skin tight. Pulling and stretching aging skin tight creates a fake surgical look, and does not maintain identifying features that compose individual character. The most natural face and neck anti-aging operation is accomplished by gently re-positioning only the elements of aging. This allows individuals to still appear like themselves, but younger.