A woman in her early 70’s who is shown before and again, one year after a facelift with lateral SMASectomy combined with a small chin implant and fat grafting to the mid face. As we age, it is not “gravity” as commonly thought, but a loss of volume. We are sinking in like a peach left on the counter too long. So the most natural results come from a combination of lifting and filling. If we try and correct this only by pulling, an unnatural look can result. In addition when the chin is slightly “weak” a small chin implant can improve the results. It is interesting to see that the “bags” under the eyes are improved but no surgery was performed to remove fat- only micro fat grafting to replace some of the volume lost with aging. My patients typically tell me that they want to look like a better version of themselves, not someone else. I always like to have a patient bring in a photo of when they are younger and they liked the appearance of their face as a guide.