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48-Year-Old, One Year After Comprehensive Facial Rejuvenation Surgery

This 48-year-old patient was photographed one year after a complete facial rejuvenation, sometimes referred to as age-reversing surgery of the face and neck. Her transformation was achieved through a combination of advanced procedures, including a TriMax deep plane facelift, deep plane neck lift, upper and lower blepharoplasty, and an endoscopic brow lift.

Together, these procedures addressed every layer of facial aging—from the underlying muscle and connective tissue to the delicate skin around the eyes and forehead. The result is a refreshed, natural-looking appearance that restores youthful contours, smooths the neckline, and brightens the eyes—all without an over-tightened or operated look.

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Buccal fat pad reduction has the powerful ability to reshape the lower cheeks. The procedure removes a small amount of fat from between the cheekbone above and the jaw bone below through two small incisions inside the mouth. The incisions are near where we sometimes accidentally bite our cheeks. There are no external incisions and thus there are no visible scars. Removing precise amount of the buccal fat gives a puckered appearance which can enhance cheek bone fullness, jawline contour, and can even make it look as if a patient has lost weight. The procedure is quick and can be performed awake in the office or asleep as part of other procedures to enhance facial appearance, as was the case with this patient.

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Technique: Open Revision Rhinoplasty with Costal Cartilage Grafts
Graft Types: Bilateral Spreader, Columellar Strut, Bilateral Alar Rim, Dorsal Onlay
Graft Source: Costal (Rib) Cartilage

Patient Story

This patient is a retired woman currently living in Georgetown, Texas who was referred to Dr. Weinfeld by another Plastic Surgeon in Round Rock for consideration for Revision Rhinoplasty. This patient suffered significant nasal trauma with a severe nasal fracture (broken nose) in her late teen years. This event had a significant negative impact on her breathing and on the appearance of her nose. In here early twenties she underwent a rhinoplasty which she states worsened her nose leaving her with very small nostrils that are difficult to pass air through, a very short nose, and an over rotated tip. She desired a revision rhinoplasty to improve the appearance and function of her nose. This was a very emotional issue for her and in particular she stated that she wanted her nose to have the appearance that it did prior to the injury and the first rhinoplasty. In particular she wanted a slight convexity to the dorsum (i.e. a slight hump) which was consistent with the character of her nose as she remembered it. She underwent the complex revision rhinoplasty using rib cartilage some of which was fashioned into a dorsal onlay graft which was essential in the process of restoring dorsal contour and nasal length. She has been very happy with the transformation in the appearance of her nose and its function. She is now considering having Dr. Weinfeld perform a facelift.

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Five Months After a Deep Plane Facelift, Neck Lift, and Upper & Lower Blepharoplasty

At just 40 years old, this patient underwent a comprehensive facial rejuvenation that included a deep plane facelift, neck lift, and upper and lower eyelid (blepharoplasty) procedures. Only five months post-surgery, her results appear natural, balanced, and refined—with smoother skin, lifted cheeks, and a more defined jawline.

The neck lines and nasolabial folds are significantly softened, while the skin shows fewer shadows and contour irregularities. Her scars are barely visible, reflecting the precision of modern facelift techniques.

Today, facelifts in younger women are becoming increasingly popular. Advanced deep plane facelift techniques are carefully adapted to the unique anatomy of younger patients—enhancing facial definition and restoring youthful contours without the appearance of tightness or distortion.  In younger women, the emphasis is as much on shaping as it is on lifting.  Dr. Weinfeld developed the TriMax facelift with shape in mind.  The technique uses four key support sutures to enhance facial shape while also resulting in a powerful, natural lift.

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58-Year-Old, One Year After Facelift, Neck Lift, Fat Grafting, Blepharoplasty, Brow Lift, and Lip Lift

This 58-year-old woman was photographed approximately one year after a comprehensive facial rejuvenation that included a facelift, neck lift, anatomic fat grafting, upper and lower blepharoplasty, endoscopic brow lift, and lip lift.

By combining structural lifting with volume restoration and delicate eyelid and brow refinement, Dr. Weinfeld achieved a harmonious, natural-looking rejuvenation. The results showcase smoother skin, refined jawline definition, and refreshed eye and lip contours—demonstrating how a customized, multi-layered approach can beautifully reverse signs of facial aging.

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58-Year-Old, One Year After Facelift, Neck Lift, Fat Grafting, Blepharoplasty, Brow Lift, and Lip Lift

This 58-year-old woman was photographed approximately one year after a comprehensive facial rejuvenation that included a facelift, neck lift, anatomic fat grafting, upper and lower blepharoplasty, endoscopic brow lift, and lip lift.

By combining structural lifting with volume restoration and delicate eyelid and brow refinement, Dr. Weinfeld achieved a harmonious, natural-looking rejuvenation. The results showcase smoother skin, refined jawline definition, and refreshed eye and lip contours—demonstrating how a customized, multi-layered approach can beautifully reverse signs of facial aging.

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65-Year-Old, One Year After High SMAS Facelift, Deep Plane Neck Lift, Fat Grafting, and Blepharoplasty

This 65-year-old patient was photographed approximately one year after undergoing a high SMAS facelift, deep plane neck lift, fat grafting, and upper and lower eyelid blepharoplasty. The results demonstrate how combining advanced facial rejuvenation techniques can restore youthful balance, volume, and definition with natural-looking results.

The high SMAS facelift shares similarities with the deep plane facelift—both involve repositioning deeper facial tissues to achieve long-lasting improvement in facial contour. However, the high SMAS technique differs in the extent of skin elevation and repositioning, making it particularly effective for certain facial structures and aging patterns.

In an aesthetic landscape where many surgeons perform only one type of facelift, Dr. Weinfeld offers both high SMAS and deep plane approaches, tailoring each to the patient’s unique anatomy. His comprehensive understanding of facial layers ensures results that look refined, natural, and harmoniously proportioned.

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51-Year-Old, Five Months After Deep Plane Facelift, Neck Lift, Brow Lift, Blepharoplasty & Fat Grafting

This 51-year-old woman was photographed five months after undergoing a comprehensive facial rejuvenation that included a deep plane facelift, deep plane neck lift, endoscopic brow lift, upper eyelid blepharoplasty, and selective anatomic fat grafting.

Her before-and-after photos illustrate not only the lifting and tightening effects of surgery but also the powerful facial reshaping achieved through Dr. Weinfeld’s TriMax approach—a technique designed to optimize contour, balance, and projection across multiple facial planes.

Postoperatively, she displays refined neck contours, a more defined jawline, and elevated, youthful cheek positioning, with the complete elimination of jowls. The result is a natural, refreshed appearance that restores harmony to the face without appearing overcorrected.

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56-Year-Old, Nine Months After Deep Plane Facelift, Neck Lift, and Fat Grafting

This 56-year-old woman was photographed nine months after undergoing a deep plane facelift and deep plane neck lift, complemented with anatomic micro and nano fat grafting for volume restoration and contour refinement.

At the patient’s request, the upper third of the face is not shown; however, her complete rejuvenation also included upper and lower blepharoplasty and an endoscopic brow lift.

The combination of deep structural lifting and precision fat grafting allowed for comprehensive facial rejuvenation—enhancing contour, restoring youthful fullness, and achieving a natural, balanced appearance that maintains harmony across all facial planes.