This 58 year old patient consulted with Dr. Leonard for surgical facial rejuvenation. She had undergone multiple spa-type aesthetic procedures, but still felt she was not achieving the more youthful appearance that was her goal. Her surgery consisted of composite face/neck lifting and lower eyelid/cheek lifting. This improved the shape of her neck, lengthened her jawline and made her cheeks more prominent. Photos are 8 months following surgery and she is delighted with her more youthful appearance and all of her goals being met.