This is a 60-year-old, female resident of San Francisco, California who presented to the San Francisco office at Union Square for evaluation for a facelift. She had undergone a lower facelift, including the neck, upper and lower eyelid lift and an endoscopic brow lift. Her goal was to rejuvenate her face and maintain a natural appearance. Her endoscopic brow lift was elevated 10 millimeters on both the right and left side. She had an external lower eyelid lift procedure with muscle tightening. Her procedure was performed at the Marin Cosmetic Surgery Center in Marin County, California. Note the natural appearance and balance to her face postoperatively.