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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Photos are unretouched