Description:

Description:

Improvement Focus: Dorsal Hump / Bump, Tip Shape, Uneven Dorsal Aesthetic Lines

Technique: Open Rhinoplasty

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

Graft Source: Septal Cartilage

Patient Story: This patient had injured his nose playing soccer. He wanted cosmetic improvements to his nose and also needed to breathe more efficiently through his nose. He underwent surgery where both issues were addressed.

Description:

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:

Description:

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.

Description:

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:

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.

Description:

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.

Description:

Description:

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.

Description:

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.

Description:

Description:

Technique: Open Revision / Secondary Rhinoplasty
Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim
Graft Source: Residual Septal Cartilage, Costal (Rib) Cartilage

Patient Story:

This patient had previously undergone a closed rhinoplasty (“nose job”) in conjunction with septoplasty performed by a Facial Plastic Surgeon in Austin, Texas. The intent of the initial surgery was to treat a dorsal hump. Unfortunately, the surgery created significant dorsal contour irregularities. Based on an internet research her mother identified Dr. Weinfeld as a Plastic Surgeon in Central Texas with interest and experience with secondary rhinoplasty. She visited Dr. Weinfeld in his Austin office where they discussed revision rhinoplasty options. The patient’s goal was to have a smooth and straight dorsum, improved dorsal aesthetic lines, and tip refinement. She underwent an open revision rhinoplasty. Due to the fact that she had already had a septoplasty she only had enough cartilage to use for the columellar strut. Thus, costal cartilage was used for the remainder of the grafts. The incision was placed in the inframammary crease and was small so the resulting scar was very difficult to see. The patient was very happy with her results and subsequently her sister has elected to undergo a primary rhinoplasty with Dr. Weinfeld.

Description:

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.