This is a 59-year-old who desired a "fresher" face. She had complained of a drooping nose, extra skin on her upper eyelids, and skin laxity of her neck and jaw line. After meeting with San Diego plastic surgeon, Dr. Chaffoo, she was educated on the different options available for facial sculpting. Dr. Chaffoo had performed a variety of procedures including: nose reshaping for a more refined nose, upper blepharoplasty for reduction of the excess skin of the upper eyelids, as well as a neck lift to contour the lower face and neck. The patient had a successful procedure and recovered well. She returned for her post-operative photos in six weeks.