This 63 year old woman presented with concerns about her neck and jowls, the heaviness of her upper eyelids, the deep circles and hollow appearance of her lower eyelid region, and the texture of her skin. After an extensive consultation with Dr. Ransom, she selected an upper eyelid lift (upper blepharoplasty), lower eyelid lift (extended lower eyelid blepharoplasty with orbital fat transposition), facelift (rhytidectomy), and fractional CO2 laser resurfacing. After her procedures, she looks well-rested and confident, with a significantly improved jawline, and the youthful fullness restored to the lower eyelid and upper cheek area. In addition, the thick, hanging tissue of her upper neck is gone!