At 65 years old, this patient came to Long Island Facelift looking to refresh her appearance in a way that still felt like her. She had noticed increasing laxity through her face and neck, as well as heaviness in her upper eyelids and puffiness beneath her eyes. Her goal was not to look different, but to look more rested, balanced, and in line with how she felt.
She expressed that her outer appearance no longer matched her energy. The drooping skin around her lower face and neck made her feel older than she felt. In addition, her eyelids gave her a tired look, even on her best days. She wanted to appear rejuvenated and alert without losing the natural softness of her features.
Building the Right Surgical Plan
During our consultation, she explained that she had been considering surgery for years, but wanted to make sure the result would be subtle and tasteful. We talked through her concerns in detail. The neck was a major focus. She disliked the skin under her chin and how her jawline no longer appeared clean or defined in photos.
Her eyelids were also a priority. Upper eyelid skin was beginning to hood over her lashes, affecting not only her appearance but also how she applied makeup. Meanwhile, puffiness beneath her eyes made her look fatigued even when well-rested.
After discussing all options, we created a combined plan that addressed her concerns in one surgical session. A facelift and neck lift would restore jawline definition and smooth the transition from chin to neck. Upper and lower blepharoplasty would bring clarity back to her eyes.
What We Addressed
Neck and Jawline Contour
Her neck showed visible laxity, along with muscle banding and skin sagging beneath the chin. Through a face and neck lift, the underlying tissues were repositioned, and excess skin was removed. This restored a defined jawline and a natural neck contour without pulling or tightness.
Lower Face and Jowls
Her lower face had developed soft jowling, which blurred the distinction between her cheek and jawline. By tightening the deeper SMAS layer and lifting the tissue vertically, we achieved a smoother facial silhouette that remained true to her original shape.
Upper Eyelids
Excess skin above the eyes was gently removed to open up her expression. The result is subtle but impactful. Her eyes appear more awake, without changing their natural character.
Lower Eyelids
Fat pads beneath the eyes were contributing to puffiness and shadowing. A transconjunctival blepharoplasty removed this fat internally, avoiding visible scarring. Her under-eye area is now much smoother and blends seamlessly into the cheeks.
A Balanced and Natural Result
The photos speak for themselves. Her cheeks look lifted and smooth. Her jawline is crisp and youthful. The neck appears longer and more defined. Most importantly, her eyes have regained their brightness without altering her expression.
There is no sense of being overdone or artificial. Instead, her result is elegant and refined. That subtlety is what defines a successful facial rejuvenation.
Why Combination Surgery Matters
By addressing the face, neck, and eyes in a single surgical plan, we were able to create harmony between all features. Treating one area in isolation can sometimes lead to imbalances. In this case, combining procedures allowed for a smoother recovery, fewer incisions, and a more unified outcome.
This case reflects the power of tailored facial surgery when it is done with artistry, precision, and a full understanding of patient goals.
If you are considering facial rejuvenation and want to look refreshed without looking “done,” we invite you to schedule a consultation with Long Island Facelift. Each plan is carefully crafted to fit your face, your lifestyle, and your vision of beauty.
