Assessment: After a thorough and careful exam, Dr. Mentz determined that this patient wanted a more polished, fresh look. She was just starting to notice the laxity in the skin and the tired appearance in the eyes. Plan of Action: Endoscopic brow lift, upper and lower blepharoplasty, double-layer SMAS facelift and necklift, fat grafting of the cheeks, laugh lines, and chin area. Note: Notice the significant improvement with modest changes in the contours of the cheek, eyes, and mouth. Restoration of cheek fullness and strength in the jawline brings freshness and elegance to her facial features.