This patient in her early 60s was seeking a comprehensive facial rejuvenation to address visible signs of aging and sun damage. In consultation, Dr. Buckingham noted on examination, her fair skin shows significant wrinkling and uneven pigment. Additonally, her upper eyelids had heavy, sagging skin and bulging fat near the nose and her lower eyelids showed "bags" and a hollow groove that made her look tired. She had lost facial volume, resulting in jowling and sagging skin along her jawline and neck. Beneath her chin was a noticeable pocket of fat. To provide her full facial rejuvenation, Dr. Buckingham performed an upper blepharoplasty to remove excess skin and a lower blepharoplasty to address the appearance of "bags" and eliminate the shadowing it created under the eye. To address the lower portion of her face, she underwent a facelift and neck lift to tighten the jawline and neck muscles, and liposuction to slim the area under the chin. To restore a youthful shape, fat harvested from her abdomen was transferred to her face to replace lost volume. Finally, a full-face TCA chemical peel resurfaced her skin to improve texture and smooth the wrinkling. To mainatin her excellent results she has consistently seen nurse injector Rene' for BOTOX® to smooth out deep lines between the brows, across her forehead and crow's feet area. Rene' also uses hyalouronic fillers to maintain the volume around the mouth for a polished, natural result. She receives yearly BBL®/HALO® combination laser treatments to refine wrinkling, keep skin tone even and free from pigmentation, and boost her natural collagen production. This patient has been enjoying her beautiful, more youthful appearance for years and has enjoyed living with a more refreshed and rejuvenated appearance.
