Patient is a 55 year old woman who presented with complaints of facial aging. She complained of worsening jowling, loss of cheek fullness, and an overall tired look. She was seeking a natural correction with restoration of the age-related volume loss to her cheeks. She underwent a limited incision facelift (MACS lift) and facial fat grafting to the cheeks. The fat was harvested through limited liposuction of her abdomen and flanks. She is seen 6 months after surgery. Note the improvements in cheek fullness and neck contour.