Description:

Five Months After a Deep Plane Facelift, Neck Lift, and Upper & Lower Blepharoplasty

At just 40 years old, this patient underwent a comprehensive facial rejuvenation that included a deep plane facelift, neck lift, and upper and lower eyelid (blepharoplasty) procedures. Only five months post-surgery, her results appear natural, balanced, and refined—with smoother skin, lifted cheeks, and a more defined jawline.

The neck lines and nasolabial folds are significantly softened, while the skin shows fewer shadows and contour irregularities. Her scars are barely visible, reflecting the precision of modern facelift techniques.

Today, facelifts in younger women are becoming increasingly popular. Advanced deep plane facelift techniques are carefully adapted to the unique anatomy of younger patients—enhancing facial definition and restoring youthful contours without the appearance of tightness or distortion.  In younger women, the emphasis is as much on shaping as it is on lifting.  Dr. Weinfeld developed the TriMax facelift with shape in mind.  The technique uses four key support sutures to enhance facial shape while also resulting in a powerful, natural lift.

Description:

About 7 months following rhinoplasty and chin augmentation with implant.
Notice how on the front view the chin implant provides more support for the lower lip and her mouth. Rhinoplasty surgery (nose job) is often combined with other procedures to improve overall facial balance. These additional procedures include chin augmentation (chin implant), chin reduction (genioplasty), eyelid surgery (blepharoplasty), fat grafting, brow-lift, neck liposuction, and buccal fat reduction.

Description:

Description:

Improvement Focus: Dorsal Hump, Dorsal Width, Tip Shape, Nostril Shape

Technique: Open Rhinoplasty

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Costal Cartilage (Rib)

Patient Story: This patient is a young Woman from north Austin. She had suffered a cheerleading injury that resulted in altered nasal shape and deviated nasal septum. She underwent a septoplasty by prior  to coming to see Dr. Weinfeld. While this surgery improved her breathing somewhat, it was not normal and the shape was still problematic. She underwent a rhinoplasty by Dr. Weinfeld. Costal cartilage was used as graft source for the procedure due to the fact that septal cartilage was not available (prior septoplasty). This patient was extremely pleased. It is interesting to note that here recovery was so rapid that she was able to walk as a runway model in a fashion show the day her splint was removed (her brother is a fashion designer and was participating in a charity fashion show). This case highlights the important fact that if you are going to undergo a septoplasty, but believe you may later want to undergo a rhinoplasty, find a surgeon like Dr. Weinfeld who is experienced with both, board certified, a member of the American Society of Plastic Surgeons, a member of the American Society of Aesthetic Plastic Surgeons, and The Rhinonplasty Society.

Description:

Chin augmentation with porous, polyethylene, implant, and submental liposuction

Description:

Early follow-up (2 months) from endoscopic brow lift, upper lid blepharoplasty, lower lid blepharoplasty, and fat grafting. Great combination of procedures for this woman in her early thirties who wants to look more awake and “slow down” the aging process.

The brow lift was what is best described and Turbo Powered Endoscopic Brow Lift. Why turbo powered? First endoscopic brow lifts are performed through small incisions made in the scalp and an endoscope, which is a thin surgical camera, is inserted beneath the skin in order to dissect it down to the brows so that they can be freed and repositioned at a higher location. Most endoscopic brow lifts are done through three such incisions. However the “Turbo Powered” version involves two additional small incisions further off to the side in the scalp part of the temple. When you add these two additional incisions it allows you to dissect further down on the face down to the cheekbones and allows you to reposition and elevate the skin surrounding the lateral portion of the eyelid and Peri orbital region. By doing so you’re able to elevate additional tissues in the temple region and even the upper cheep turning a routine brow lift into what is better described as an upper facelift. This was paired with a very minimal upper lid blepharoplasty to remove any residual excess skin in the upper eyelid to give a really smooth look to the upper eyelids and reduce lateral hooding. It’s important to keep in mind with any upper lid blepharoplasty that there needs to be some residual skin left behind in order to prevent an issue where the eyelids wont close. A transconjunctival lower lid blepharoplasty is where the incision to address the lower eyelids performed on the inside of the lower eyelid. This allows you to liberate and reposition the fat pad in the lower eyelid to drape it over the bone and blend the lid cheek junction. This can help reduce the tear trough and create a smooth transition from the lower eyelid to the upper cheek that mimics the anatomy seen in much younger people. When we look at these photos we must bear in mind that lower eyelid procedures often have a longer recovery time as it relates to swelling. For that reason her lower eyelids do you look somewhat puffy but it is a good demonstration of a reduced tear trough. Fat grafting was performed in the upper cheek to further reduce the tear trough and to further blend the lead cheek junction.

Description:

48-Year-Old, One Year After Comprehensive Facial Rejuvenation Surgery

This 48-year-old patient was photographed one year after a complete facial rejuvenation, sometimes referred to as age-reversing surgery of the face and neck. Her transformation was achieved through a combination of advanced procedures, including a TriMax deep plane facelift, deep plane neck lift, upper and lower blepharoplasty, and an endoscopic brow lift.

Together, these procedures addressed every layer of facial aging—from the underlying muscle and connective tissue to the delicate skin around the eyes and forehead. The result is a refreshed, natural-looking appearance that restores youthful contours, smooths the neckline, and brightens the eyes—all without an over-tightened or operated look.

Description:

Description:

Special Note: Cleft Rhinoplasty
Technique:
Stage 1 – Iliac Crest Bone Graft to Pyriform Aperture and Skin Graft to lining of Left Ala (nostril)
Grafts – Pyriform Aperture, Alar Lining
Source – Iliac Crest
Stage 2 – Revision Rhinoplasty with Costal (Rib) Graft
Graft Types – Bilateral Spreader, Columellar Strut , Lower Lateral Crus Batten, Bilateral Alar Rim
Graft Source – Costal Cartilage (Rib)

Patient Story

This patient is a mid-Forties school teacher from Austin Texas who was referred to Dr. Weinfeld by an ENT colleague who refers Dr. Weinfeld patients with complex nasal breathing problems and rhinoplasty challenges. She had difficulty breasting due to collapse of the left side of her nose and septal deviation and desired improvement in the appearance. Her case was complex due to the face that she had a nasal deformity related to her past history of cleft lip and had a prior rhinoplasty by another Plastic Surgeon. Owing to his experience in advanced pediatric and adolescent cleft nose surgery at Dell Children’s Medical Center, Dr. Weinfeld felt that the best a way to achieve the patient’s goals would involve a two stage approach. In the first stage an iliac crest bone graft placed at the left side of the pyriform aperture was used to support the left ala bringing it more forward and a skin graft was placed in the left ala lining to help release the scarred and contracted tissues. In the second stage the patient’s rib own cartilage was used in an open revision rhinoplasty to rebuild the structure of the nose improving the function and appearance. Of special note to restore more normal contours to the cleft (left) side a lower lateral crus batten graft constructed from rib cartilage was used to strengthen the native cartilage that was abnormal due to the cleft and damaged due to the prior rhinoplasty. She has been very happy with her results.

Description:

48-Year-Old, One Year After Comprehensive Facial Rejuvenation Surgery

This 48-year-old patient was photographed one year after a complete facial rejuvenation, sometimes referred to as age-reversing surgery of the face and neck. Her transformation was achieved through a combination of advanced procedures, including a TriMax deep plane facelift, deep plane neck lift, upper and lower blepharoplasty, and an endoscopic brow lift.

Together, these procedures addressed every layer of facial aging—from the underlying muscle and connective tissue to the delicate skin around the eyes and forehead. The result is a refreshed, natural-looking appearance that restores youthful contours, smooths the neckline, and brightens the eyes—all without an over-tightened or operated look.

Description:

Liposuction and T-Z plasty in 65 year old man

Description:

47-Year-Old, 11 Weeks After a TriMax Deep Plane Facelift, Neck Lift, and Osteoplastic Genioplasty

At just 11 weeks post-procedure, this 47-year-old patient demonstrates the transformative results of a TriMax deep plane facelift, neck lift, and osteoplastic genioplasty. The outcome highlights a critical principle of modern facial rejuvenation: beauty is not just skin deep.

True facial harmony depends not only on tightening skin but also on enhancing the underlying bony structure. A successful facelift doesn’t simply lift—it reshapes and restores balance. In some cases, achieving ideal facial proportions involves structural modification of the bone through osteotomy or facial implants, providing long-term support and natural contour to the overlying soft tissues.

With extensive experience in facial trauma reconstruction and facial feminization surgery, Dr. Weinfeld is uniquely qualified to integrate advanced bony contouring techniques with deep plane facelift surgery. His comprehensive approach ensures results that are both natural and enduring—enhancing not only the skin, but the foundation beneath it.