This very pleasant 64-year-old female who has been coming in for facial rejuvenation with neuromodulators and filler was wondering about a more permanent solution for the areas that bother her. She says the things that bother her the most are her jowl area and the skin looseness. She is also wondering about a more permanent solution for some fullness in her cheek.

She underwent a full facelift with SMAS plication, as well as, facial fat grafting to the tear troph, malar area, cheek and chin.

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