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Liposuction and T-Z plasty in 65 year old man

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47-Year-Old, 11 Weeks After a TriMax Deep Plane Facelift, Neck Lift, and Osteoplastic Genioplasty

At just 11 weeks post-procedure, this 47-year-old patient demonstrates the transformative results of a TriMax deep plane facelift, neck lift, and osteoplastic genioplasty. The outcome highlights a critical principle of modern facial rejuvenation: beauty is not just skin deep.

True facial harmony depends not only on tightening skin but also on enhancing the underlying bony structure. A successful facelift doesn’t simply lift—it reshapes and restores balance. In some cases, achieving ideal facial proportions involves structural modification of the bone through osteotomy or facial implants, providing long-term support and natural contour to the overlying soft tissues.

With extensive experience in facial trauma reconstruction and facial feminization surgery, Dr. Weinfeld is uniquely qualified to integrate advanced bony contouring techniques with deep plane facelift surgery. His comprehensive approach ensures results that are both natural and enduring—enhancing not only the skin, but the foundation beneath it.

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Technique: Open Rhinoplasty

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

Graft Source: Septal and Costal Cartilage

Patient Story: This patient suffered trauma to her nose and had previously undergone a septoplasty by another surgeon to help improve her breathing. She came to see Dr. Weinfeld due to his experience in complex rhinoplasties in patients have previously undergone septoplasties.

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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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Technique: Open Revision / Tertiary Rhinoplasty (3rd)
Graft Types: Bilateral Spreader, Columellar Strut, Bilateral Alar Rim, Dorsal Onlay
Graft Source: Residual Septal Cartilage, Costal (Rib) Cartilage

Patient Story:

This patient is women in her mid-Twenties who suffered significant facial trauma the age of 5 years old when she fell face first only a bleacher seat. She had undergone a rhinoplasty to try to improve hear breathing in her pre-teen years and then a second rhinoplasty in her teenage years to improve her shape. Both of her surgeries were performed in Austin by a different Facial Plastic Surgeon. She was referred to Dr. Weinfeld by her primary care Doctor to discuss a tertiary (3rd) rhinoplasty to improve her breathing and appearance. She underwent a complex revision rhinoplasty with grafts from her own rib cartilage. Dr. Weinfeld believes a patient’s own rib is one of the best graft materials for revision rhinoplasty because of its long term durability. Some patients are initially apprehensive but later comment on the fact that the procedure is associated with much less discomfort than they initially expected. This procedure improved nasal length and projection in addition to refining shape, especially at the tip. Of special note is the use of the dorsal onlay gaft to restore dorsal projection and improve nasal length.

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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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Neck contouring with liposuction: This woman underwent liposuction of the submental region and neck. The liposuction improved neck contours. In combination with the buccal fat pad reduction the liposuction has created the appearance of weight loss and has improved visualization of the jaw bone contours. Liposuction of the neck can create significant improvements and in younger people may be all that is required to improve the appearance. This woman is an example of how the improvement is profound, however it is not perfect. Some loose skin is visible and there is still some fullness to the overall contours. She is interested in having a neck and facelift in several years, but for now the neck liposuction has brought considerable satisfaction and has deferred those more involved procedures for now.

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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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Two months after, and the scopic brow lift and lower lid blepharoplasty. This combination of procedures is wonderful for younger patients who desire a refreshed, vibrant, and energetic look. It is also often performed in older individuals, but in these situations it is also combined with other procedures, such as a face and neck lift. The endoscopic brow lift uses small incisions small incisions within the hair to dissect beneath the soft tissues down to the brows to provide powerful control over shape and elevation. The procedure also allows for elevation of the temple and upper-outer cheeks, providing what can also be described as an upper facelift. The lower lid blepharoplasty in this case was done through a small incision on the inner surface of the eyelid in order to reposition shape, and reduce the lower lid bags. This results in a blending of the lid cheek junction that is seen in young people, providing a very attractive look to the lower eyelids and upper cheek region.

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Improvement Focus: Dorsal Hump

Technique: Open Rhinoplasty

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

Graft Source: Septal Cartilage

Patient Story: This patient was referred to Dr. Weinfeld from a friend who was prior patient. She desired surgery to improve the shape of her nose. Her favorite element of her results is the absence of her dorsal hump now that her nose is very straight in profile from its take-off (nasion) to its tip seen in its side view.