Patient is a 62 year old woman who was unhappy with the appearance of her face and neck. She complained of loss of cheek volume, laxity of facial and neck skin, upper and lower eyelid heaviness, and fine wrinkling of the face and mouth. A plan for comprehensive facial rejuvenation was designed to address her concerns. Prior to surgery, she was started on an Obagi TM skin care regimen. She underwent facelift and neck lift, upper and lower blepharoplasties, facial fat grafting to the cheeks, and then later skin resurfacing with a fractional CO2 laser. She is seen 4 months after surgery and is very pleased with her results.