This is a 65-year-old, female resident of San Francisco, California who presented to the San Francisco office at Union Square for evaluation for a facelift. She underwent a lower facelift including a neck lift, upper and lower eyelid lift and a TCA chemical peel. She also had the corrugators partially resected, which are the muscles between the eyebrows that cause the frown lines, and a brow lift of her lateral eyebrows. The lower eyelid lift was through an external incision with a tightening of the lower eyelid and a complete platysma transection of the neck muscles to achieve a better neck/jaw line. She also had a SMAS plication, which is an overlapping and tightening of the SMAS layer, to get more fullness in the mid-face region. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. This is her result approximately one year after her surgery.