This patient underwent full facial rejuvenation with an endoscopic lateral brow lift, lower lid blepharoplasty, and a High SMAS face/neck lift. She also underwent SMAS grafting to her nasolabial folds. This can minimize the need for future fillers. Notice the resolution of shadowing around her lower eyelid and fullness in her cheek area. These are accomplished with the High SMAS facelift and orbicularis muscle suspension. Furthermore, she has resolution of jowls with a much more aesthetic neck and jaw line. The best time to pursue facial surgery is when the signs of aging are just beginning to show.