This is a 65 year old white female whose only previous surgery included a partial thyroidectomy twenty years ago and a ruptured Achilles tendon. She is a non-smoker and a retired nurse. She is 5’6” and 134lbs. She had two areas of concern. First were her eyelids. She had significant hooding of the upper lids, while her brow was in a reasonable position. She did not have a great deal of excess fat. Upon examining her lower eyelids she had a little bit of puffiness and her snap test was acceptable. As far as her face was concerned she had significant jowl formation, loss of mid face volume, prominence of the nasolabial fold and laxity of the neck particularly with the development of long platisma bands. In order to correct her aging process she would need a standard four lid blepharoplasty with only a small amount of skin excision from the lower eyelids. As far as her face was concerned she would need an open corset platismaplasty for the vertical bands as well as a full facelift. Having discussed the risks and benefits of surgery at length she decided to proceed. She underwent the full facelift with a corset platismaplasty and SMAS plication as well as a four lid blepharoplasty and small amount of fat excision without any difficulty. Her postoperative course was uneventful and she was back to normal activities within two weeks. Photos obtained at three months show that she has achieved her desired result. Her face looks refreshed without an over operated appearance. Her eyes are more open in appearance with less redundant skin. The cheeks are in better position, the jowls are diminished and her vertical bands have been removed. She is quite pleased with her surgical outcome.