This 64 year old woman was happy with her upper eyelid and eyebrow positions but complained of general "facial sagging". Her surgical plan included a deep plane face and neck lift with an upper lip lift to achieve balance between the oral area and the newly contoured jaw and neckline. Her temporal hollows were restored with fat grafting from the abdomen to help soften the prominent bone structure. The lower eyelid fine lines and laxity were addressed with a lower blepharoplasty skin pinch and CO2 laser resurfacing. The 6-month photos demonstrate that it is possible to achieve a natural result while reversing the signs of aging.