This is a 53-year-old, female resident of Sonoma, California who presented to the Novato office in Marin County for evaluation of her aging face. She underwent an endoscopic brow lift, lower lid eyelid lift with a lower facelift and a SMAS plication and transection of the platysma and of the neck. She had fat injections of her mid-cheek region and lip augmentation with her own skin. Note the overall improvement in the appearance, the youthfulness and fullness in her face and the natural, balanced appearance. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California.