54 year-old patient before and 4 months after a facelift, neck lift, upper eyelid lift, lower eye-bag removal, fat grafting to the face, and a TCA peel This beautiful patient came to us wanting to address the excess skin on her lower face and neck, lack of volume on her face, and overall skin quality. She has a youthful and vibrant personality, and felt like her outward appearance did not match how she felt on the inside. I performed a comprehensive, custom tailored facial rejuvenation surgery to restore a more youthful look. The images show her results 4 months later. You can see major enhancements in her skin quality (thanks to the TCA peel), her cheeks, her nasolabial folds, her jawline and her neck all the way down to the level of the collarbones. You can see this from the front views and the 45 degree views very clearly. From the 45 degree views, you can see that her jowls have been lifted very gently and restored back to their former position. The laxity around her mouth and the side of her cheek has been cleaned up, her jawline has improved, her neck and even her collarbone area. She is ecstatic about her results and feels much more confident in her own skin.