Patient 5 – This 67-year-old had standard facelift and blepharoplasties in her 50’s and presented with recurrent aging changes that were addressed with redo of the facelift and eyelid surgery and thins time re-volumization of the face with fat grafting. This is her 4-month follow up after upper blepharoplasty with skin, fat, and corrugator muscle removal, a transconjunctival lower blepharoplasty to remove fat bags, a facelift, and 25cc of fat grafts to her cheeks, and jawline. Note how much softer and youthful the overall appearance is, especially the full cheeks and the smooth jawline.