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The patient is a 60-year-old female with significant loss of volume in her face. She has elected to undergo facial rejuvenation surgery to improve the volume and remove excess and sagging areas of skin. She underwent a rhytidectomy, SMAS, platysmaplasty with fat grafting to the periorbital, perioral, and cheek areas. CO2 laser was done around the eyes in order to improve areas of fine lines.