Cosmetic Concern: 52-year old woman looking to refresh her appearance.

Diagnosis:

1. Upper eyelid ptosis.
2. Midface ptosis.
3. Laxity of the lower face.
4. Jowling.
5. Neck cords.

Treatment:

1. Bilateral ptosis surgery.
2. Lower neck and facelift.

Discussion: This patient was delighted with her result. She is a high level manager. When she returned to work after 8 days off, she reports that her co-workers told her that she must have had just an incredible vacation. No one was aware that she had cosmetic surgery.