Patient came in reporting that it was time to think about having some work done. She was looking just to be a bit more refreshed. She had lost some cheek volume and did not like the wrinkles around her mouth. She also had lost a nice clean jaw line. In surgery, we did a Facelift with tightening of the under structures as well (SMAS lift). We did a tuck on all four eyelids (Quad Blepharoplasty) and some sanding (dermabrasion) around the mouth, which really has helped with the wrinkles. She says that people started telling her they had not noticed how blue her eyes were before!