Brow Lift
END-of-Aging Facelift with Neck Lift and Endoscopic Brow LiftAddressing Jowls and Tissue Descent at 50Before and After
At 50 years old, this patient was beginning to notice the structural signs of facial aging through the midface, jawline, jowls, and lower face. To address these changes, Beverly Hills plastic surgeon Dr. Suzanne Trott performed her END of Aging Facelift, a fully endoscopic deep plane facelift, together with a neck lift and deep plane endoscopic brow lift. The combined procedure was designed to create a strong structural lift without a traditional facelift scar in front of the ear. END stands for Endoscopic, No scar in front of the ear, Deep plane. Rather than simply tightening the skin, the END of Aging Facelift works at the deeper structural level of the face. Using an endoscope for visualization, Dr. Trott releases and repositions descended facial tissues within the deep plane through small, strategically placed incisions hidden within the hairline. This allows for a powerful vertical and posterior lift while avoiding an incision in front of the ear. The goal is not to make the face look tight or fundamentally different. It is to restore facial anatomy by repositioning tissue that has descended with age, creating a more defined jawline, improving jowls, and restoring a more youthful position to the midface and lower face. What makes this case especially interesting is that these results are only three months after surgery. Three months is still considered relatively early in the facelift healing process. Swelling continues to resolve, tissues continue to soften and settle, and facial contours can become increasingly refined over the months that follow. What you are seeing here is not necessarily the final result. For appropriately selected patients, Dr. Trott’s END of Aging Facelift offers an alternative approach to facial rejuvenation for those interested in the benefits of a deep plane facelift performed endoscopically without the traditional scar in front of the ear. Dr. Suzanne Trott is a double board-certified plastic surgeon in Beverly Hills whose approach to facial rejuvenation focuses on precision, structural restoration, and natural-looking results rather than changing the character of the face. END of Aging: Endoscopic. No scar in front of the ear. Deep plane.
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Deep Plane Facelift, Neck Lift, Endoscopic Mid Facelift, Buccal Fat Removal & Endoscopic Brow LiftEarly Jowls, a Fresher Contour in Her Early 40sBefore and After
This patient in her early 40s is shown after a deep plane facelift and neck lift combined with an endoscopic mid facelift, endoscopic brow lift, and buccal fat removal. The brow position has been restored to a more youthful height, which opens the upper face and makes the eyes appear more awake without altering their shape. Along the jawline and neck, the tissues have been lifted and repositioned in the deep plane, creating a sharper mandibular border and a smoother submental contour. The buccal fat removal refined the lower cheek, adding definition between the cheek and jaw while keeping the midface full. The nasolabial fold is softer because the cheek pad has been repositioned upward, not because the skin was pulled tight. The result is observational rather than dramatic: the jawline is more defined, the neck is cleaner, the eyes are brighter, and the face still moves and expresses naturally.
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Endoscopic Brow Lift, Deep Plane Facelift and Neck Lift with Facial Fat Transfer and Fractional CO2 Laser ResurfacingA More Defined Jawline, the Same ExpressionBefore and After
This patient is shown after an endoscopic brow lift combined with a deep plane facelift and neck lift, with facial fat transfer and fractional CO2 laser resurfacing of the face, neck, and décolletage. The brow has been elevated and shaped to a more youthful position, which brightens the upper face and opens the eyes without changing the patient's natural expression. The lower face and neck show a stronger jawline with the mandibular border visible from the chin to the angle of the jaw. The midface is supported from below, so the cheek volume sits higher and the nasolabial fold appears softer. The neck is smoother, with a more defined transition between the chin and the upper neck. Fat transfer restored fullness to the face, and fractional CO2 laser resurfacing of the face, neck, and décolletage refined the skin itself: smoothing texture and tone in places a lift alone cannot reach. The result reads as refreshed rather than transformed. The deep plane approach repositioned the deeper tissues first, allowing the skin to follow without the pulled or tight appearance that comes from superficial tightening.
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Deep Plane Facelift with Facial Fat Grafting, Lower Blepharoplasty and Fractional CO2 Laser ResurfacingRestoring Lift and Lost Fullness at 61Before and After
For this 61-year-old patient, Beverly Hills plastic surgeon Suzanne A. Trott, M.D., F.A.C.S. combined an upper, mid and lower facelift with transconjunctival lower blepharoplasty to remove lower eyelid fat, microfat grafting to the nasolabial folds, marionette lines, jaw, temples and under eyes, and fractional CO2 laser resurfacing of the skin. Each procedure has a specific responsibility. The facelift addresses tissue position and facial contours. Microfat grafting, a form of facial fat transfer, uses the patient’s own fat to replenish selected areas of volume loss. Together, they address both the descent and the depletion associated with aging. The fractional CO2 laser resurfacing addresses the skin itself, improving its texture and quality: changes no lifting procedure can achieve on its own. Fat grafting was mapped to specific areas rather than spread evenly. Small amounts went into the nasolabial folds and the marionette lines, where deepening creases pull the lower face down. The jaw and the temples were treated for lost definition and the hollowing at the side of the head, and the under eyes were filled to take the shadow out from beneath the lower eyelid. The lower eyelid work does two things at once. Fat is removed through an incision placed inside the lower eyelid, so no scar shows on the outside skin. Fat grafting is then placed into the under eyes to correct the hollowness that makes someone look tired. Taking the puffiness down and filling the hollow in the same operation is what makes the eye area look rested rather than operated on. With these facelift before-and-after photographs side by side, look beyond the outline of the face. Examine the lower eyelids, the cheeks and the relationship between fullness and definition. That is the thinking behind Dr. Trott’s approach to this case. The planning extends beyond how much to lift. It considers where fullness belongs and how the individual corrections will work together. The procedures are separate. The face is not.
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Endoscopic Brow Lift, Deep Plane Facelift and Neck Lift with CO2 Laser ResurfacingWhy the Neck Came First at 60Before and After
Her facelift was not where we started. Her neck was. She was unhappy with the lack of definition beneath her chin, so I first performed submental plication to address that concern. Her facelift came years later, at 60. That distinction matters: this was a treatment plan that evolved over time, not a collection of procedures performed in one sitting. The later treatment included an endoscopic brow lift, mid and lower facelift, neck lift, and CO₂ laser resurfacing of the lower eyelids. I considered the brow, cheeks, jawline and neck together, while giving the lower eyelid skin its own treatment. Repositioning tissue and refining skin texture are different assignments. A thoughtful facial rejuvenation plan recognizes where each approach belongs rather than asking a facelift to do everything. She is thrilled with how natural her results look. When I review her facelift and neck lift before and after photographs, I look beyond any single feature. I consider how the brow, face and neck relate to one another, not simply how much tightening was achieved. Her neck brought her to my Beverly Hills practice, but her care did not stop at that first concern. We addressed what mattered to her then and revisited her needs years later. The plan followed the patient, not the other way around.
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Endoscopic Brow Lift, Deep Plane Facelift and Neck LiftA Natural, Rested Look at 60Before and After
Before and after photos of a brow lift, facelift and neck lift performed by Dr. Suzanne Trott in Beverly Hills. Case 104513
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Case 104513