This is a 60 year old woman who had a facelift by another surgeon about 4 years before coming to see me. She was not happy with her neck, as well as her incision placement and visible scars from her first surgery. She was treated with a facelift with better, more hidden incision placement, neck lift, and brow lift. Her pixie earlobe deformity was corrected as well. After pictures are 6 months postoperative.