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Case 1: This young professional woman was starting to see the early signs of facial aging and wasn’t happy with the direction in which she was headed. In these photos, you can see how a lower face lift combined with facial fat transfer has erased the early jowling and sagging neck to restore her smooth, slim-lined neck and jawline, while volume restoration in her mid-face and cheeks gives her a youthful, beautiful, bright-eyed appearance. And, all of this is accomplished while maintaining a natural, unoperated appearance. A conservative rhinoplasty was also performed.
*Results May Vary
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Case 2: Obtaining a natural look is all about balancing individual features so that the overall facial aesthetic just looks right. You can see here that deprojecting the nose and augmenting the chin creates a profile that is stronger and substantially more balanced. Fat transfer to the under-eye area in this case contributes to a more youthful appearance. A scar under the right eye is also much improved with fat transfer alone.
*Results May Vary
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Case 3: This model was finding that her head shots were requiring touch up in certain angles because of the natural hollowing beneath her eyes. Tired of being asked if she was getting enough sleep, she underwent a facial fat transfer that improved the dark circles under her eyes, and gives her the more vibrant contour she was seeking.
*Results May Vary
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Case 4: A weak chin and jawline combined with heavier skin can tend to exacerbate aging changes even in younger people. In this case, a combination approach was taken including a chin implant, platysmaplasty or neck tightening, and fat transfer to the cheeks along with rhinoplasty to reverse the drawn and tired look. Instead, she now looks brighter and younger with far more balanced features.
*Results May Vary
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Case 5: Heaviness around the eyes and wrinkling were the major concerns for this patient. Often, a combination approach works best to achieve just the right change to accomplish a meaningful rejuvenation. This patient underwent a trichophytic brow lift, lower eyelid lift with fat transfer, neck liposuction, and a chemical peel to produce a spectacular softening of her appearance.
*Results May Vary
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Case 6: This patient had deep under eye hollows that gave her a very drawn and tired look. Fat transfer was combined with rhinoplasty to erase her dark circles under her eyes along with further softening and feminizing her cheeks. Sometimes, lightening of pigmented skin under the eye is a useful added approach to further enhance the result.
*Results May Vary
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Case 7: Lower eyelid skin laxity can lead to a drawn and tired look even when well rested. Here, traditional lower eyelid tightening is combined with subtle fat transfer to treat hollowness under the eye, creating a more youthful look around the eyes that transitions naturally into the cheek area.
*Results May Vary
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Case 8: This young woman underwent fat transfer to the lower eye area along with additional procedures to complete her facial rejuvenation. These included a revision rhinoplasty, conservative upper eyelid lift, and neck and jaw line liposuction. You can see how a series of small facial enhancements can really transform the look into one that is fresh and youthful without any signs of surgery.
*Results May Vary
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Case 9: Major concerns for this patient were widening of the tip with a marked lack of projection which made his nose feel flat and washed out. Nostril thickness and rounding was also something he wanted addressed. In this case, irradiated donor rib cartilage was used to project and support the tip along with alar base reduction removing a significant amount of nostril flare to create a natural tip and nostril contour that is ethnically appropriate. Fat transfer to the cheeks helps to balance out his flat mid-face to strengthen the cheek contour which can be seen nicely on the profile view.
*Results May Vary
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Case 10: This pretty former model was noticing some of the early signs of facial aging, including brow ptosis, heaviness around the eyes, cheek hollowing, and the beginnings of jowls and neck laxity. She underwent full facial rejuvenation with a trichophytic brow lift, upper and lower eyelid tightening, lower face and neck lift, and fat transfer to her sunken cheeks. The result is a remarkably softened appearance. You can see that, when tension is placed on the deep tissues and not the skin, the incisions heal virtually invisibly without stretching or pulling, and she is able to wear her hair however she likes.
*Results May Vary
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Case 11: Stretching of the eyelid skin over time leads to the earliest signs of a sagging and dull appearance around the eyes. Here we can see, in this young professional woman, how skin tightening along with subtle fat transfer really brightens the eyes and softens her overall appearance
*Results May Vary
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Case 12: This patient had sustained a nasal fracture that caused a significant deviation of her nose. The fracture was corrected along with a septoplasty to improve breathing. Loss of tip support after the injury made her hump look more prominent and her tip felt more droopy. The bump was smoothened and her tip angulation restored to create the softer, more feminine profile she wanted. At the same time, fat transfer to the cheek and under eye area and subtle neck liposuction substantially improved the flat cheek and mid-face contour that previously made her feel hollowed and tired looking without makeup.
*Results May Vary
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Case 13: Previous rhinoplasty had left this patient’s nose too short and over-rotated, calling attention to her nasal flare. The tip was also significantly twisted. She was also concerned that her under eye and cheek hollowing made her look tired. Revision rhinoplasty achieved much improved symmetry, lengthening, and reduction in nostril show. Facial fat transfer did beautifully to smoothen and rebalance her mid-face region.
*Results May Vary
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Case 14: This patient was seeing the early signs of facial aging including loss of skin tone and elasticity, early jowling, and heaviness under the chin. A lower facelift along with fat transfer to the under eye and cheek area substantially improved the contour and even apparent texture of her skin, making her look noticeably younger. In addition, the overall effect was completed with a rhinoplasty focused on reducing the width, rounding, and thickness of her tip and nostrils which is a challenge in the setting of thick skin.
*Results May Vary
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Case 15: Fat transfer was used here to improve under eye depth and symmetry, and to give more structure to the cheek mound to create a better highlight over the cheek bones. In addition, finesse rhinoplasty involving primarily the tip helped to reduce tip boxiness and asymmetry to give a more streamlined appearance.
*Results May Vary
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Case 16: To see how well our results last, see these photos of our patient 8 years after rhinoplasty and facial fat transfer! Her rhinoplasty involved softening her look and removing the convexity on the bridge that made her tip look downturned. Fat transfer under the eyes has stood the test of time and really helped to reduce her under eye hollows to noticeably brighten her appearance.
*Results May Vary
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Case 17: Deep hollowing under the eyes can give a drawn and tired appearance. And fat transfer can make that disappear! In the after photos, he looks smoother, less harsh, and more energized- and he still looks like himself, retaining a masculine contour.
*Results May Vary
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