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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.

Description:

This 58-year-old woman underwent upper and lower blepharoplasty combined with an endoscopic brow lift — together representing complete periorbital rejuvenation. The endoscopic brow lift can be thought of as an upper facelift, and is also referred to as an upper ponytail lift. All incisions are hidden within the hair. The technique I use involves five incisions; the two over the temples allow significant elevation of the upper lateral cheek tissue, which can complement a facelift beautifully — and when done alone, can create meaningful changes extending into the midface in select patients. In addition to being a facial aesthetic plastic surgeon, I hold additional training and certification in oculoplastic surgery. She is seen here at four months following her surgery. This procedure was performed by Dr. Adam Bryce Weinfeld, facial aesthetic plastic surgeon in Austin, Texas.

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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.

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83-Year-Old Male, Two Weeks After a Secondary Facelift and Neck Lift

This 83-year-old male patient was photographed just two weeks after undergoing a secondary facelift and neck lift. More than a decade after his first facelift, he sought Dr. Weinfeld’s expertise to restore youthful definition while correcting the effects of time and prior surgical aging.

The most recent procedure lifted and reshaped the cheeks, reduced jowling, and eliminated excess neck skin, achieving a smoother, more balanced facial contour. In addition to improving overall facial shape, this surgery also provided an opportunity to refine incision placement, resulting in a more anatomic and natural positioning that will yield less noticeable scars as healing progresses.

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Improvement Focus: Dorsal Hump, Dorsal Width, Tip Shape, Nostril Shape

Technique: Open Rhinoplasty

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Costal Cartilage (Rib)

Patient Story: This patient is a young Woman from north Austin. She had suffered a cheerleading injury that resulted in altered nasal shape and deviated nasal septum. She underwent a septoplasty by prior  to coming to see Dr. Weinfeld. While this surgery improved her breathing somewhat, it was not normal and the shape was still problematic. She underwent a rhinoplasty by Dr. Weinfeld. Costal cartilage was used as graft source for the procedure due to the fact that septal cartilage was not available (prior septoplasty). This patient was extremely pleased. It is interesting to note that here recovery was so rapid that she was able to walk as a runway model in a fashion show the day her splint was removed (her brother is a fashion designer and was participating in a charity fashion show). This case highlights the important fact that if you are going to undergo a septoplasty, but believe you may later want to undergo a rhinoplasty, find a surgeon like Dr. Weinfeld who is experienced with both, board certified, a member of the American Society of Plastic Surgeons, a member of the American Society of Aesthetic Plastic Surgeons, and The Rhinonplasty Society.

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About 7 months following rhinoplasty and chin augmentation with implant.
Notice how on the front view the chin implant provides more support for the lower lip and her mouth. Rhinoplasty surgery (nose job) is often combined with other procedures to improve overall facial balance. These additional procedures include chin augmentation (chin implant), chin reduction (genioplasty), eyelid surgery (blepharoplasty), fat grafting, brow-lift, neck liposuction, and buccal fat reduction.

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Chin augmentation with porous, polyethylene, implant, and submental liposuction