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This patient is a 66 - year - old female who presented with concerns of facial aging, including midface ptosis, jowling , neck laxity, brow descent, and upper lip elongation. She reported minimal benefit from prior injectables and sought more lasting surgical solutions. Dr. Zachary Borab performed a deep plane facelift with neck lift, selective facial fat grafting, brow lif t, and upper lip lift to address these concerns. The procedures were tailored to achieve natural, rejuvenated results in line with the patient’s aesthetic goals.