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 lower face and neck show the clearest change: the jawline now traces a clean line from the chin to the angle of the mandible, and the small amount of preoperative jowl fullness has been lifted back into the midface.

The neck is smoother, with better definition between the chin and the thyroid cartilage, and the skin redrapes evenly without visible tension. The midface retains its volume, but the cheek sits higher over the malar bone, softening the nasolabial fold and restoring a more youthful cheek contour.

The brow lift was conservative, keeping the brow below the supraorbital rim in a natural feminine position while opening the upper eyelid show.

Buccal fat removal refined the lower cheek and made the jawline more visible from the front.

The overall effect is not a different face, but a face where the underlying architecture has been restored to an earlier, more defined state.