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The patient is a 71-year-old wanting to undergo facial rejuvenation to improve the puffiness around her eyes, jowling, and excess skin on her neck, and fine lines throughout her face. Lower lid blepharoplasty was performed with removal of fatty tissue from the herniated pockets. A rhytidectomy, SMAS, platysmaplasty was also done and approximately 15-20 cc of fat was injected into her cheeks. The upper and lower lips were augmented with approximately 4 cc of fat.