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65-Year-Old, One Year After High SMAS Facelift, Deep Plane Neck Lift, Fat Grafting, and Blepharoplasty

This 65-year-old patient was photographed approximately one year after undergoing a high SMAS facelift, deep plane neck lift, fat grafting, and upper and lower eyelid blepharoplasty. The results demonstrate how combining advanced facial rejuvenation techniques can restore youthful balance, volume, and definition with natural-looking results.

The high SMAS facelift shares similarities with the deep plane facelift—both involve repositioning deeper facial tissues to achieve long-lasting improvement in facial contour. However, the high SMAS technique differs in the extent of skin elevation and repositioning, making it particularly effective for certain facial structures and aging patterns.

In an aesthetic landscape where many surgeons perform only one type of facelift, Dr. Weinfeld offers both high SMAS and deep plane approaches, tailoring each to the patient’s unique anatomy. His comprehensive understanding of facial layers ensures results that look refined, natural, and harmoniously proportioned.

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This 44-year-old woman was tired of looking and feeling older than she actually was. She chose to do what more and more women in their 40s are choosing: comprehensive facial and neck rejuvenation.

She underwent a deep plane facelift and deep plane neck lift, including submandibular gland reduction, anterior belly of the digastric reduction, and platysmaplasty. To complement this foundational procedure, she also chose upper and lower blepharoplasty along with an endoscopic brow lift—essentially addressing the upper face, midface, lower face, and neck in a single operation.

Increasingly, patients are choosing this comprehensive approach because it creates harmonious, long-lasting results. Many women worry that doing “more” surgery will look less natural, but I believe this case demonstrates the opposite. By treating the face as a whole rather than as separate parts, the result is greater facial harmony while maintaining a natural appearance.

She is shown here six months after surgery.

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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.

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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.

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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.

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Improvement Focus: Dorsal Hump / Bump, Tip Shape, Uneven Dorsal Aesthetic Lines

Technique: Open Rhinoplasty

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

Graft Source: Septal Cartilage

Patient Story: This patient had injured his nose playing soccer. He wanted cosmetic improvements to his nose and also needed to breathe more efficiently through his nose. He underwent surgery where both issues were addressed.

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Liposuction and T-Z plasty in 65 year old man

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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.

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58-Year-Old, One Year After Facelift, Neck Lift, Fat Grafting, Blepharoplasty, Brow Lift, and Lip Lift

This 58-year-old woman was photographed approximately one year after a comprehensive facial rejuvenation that included a facelift, neck lift, anatomic fat grafting, upper and lower blepharoplasty, endoscopic brow lift, and lip lift.

By combining structural lifting with volume restoration and delicate eyelid and brow refinement, Dr. Weinfeld achieved a harmonious, natural-looking rejuvenation. The results showcase smoother skin, refined jawline definition, and refreshed eye and lip contours—demonstrating how a customized, multi-layered approach can beautifully reverse signs of facial aging.

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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.