This 58-year-old patient came to Dr. Harmon to address sagging cheeks and jowls, loose tissue in her neck, facial wrinkles, and a lengthened upper lip. An extended deep plane facelift, neck lift, and lip lift were performed. Lip filler was added to balance out her bottom lip with her top lip. Finally, the patient underwent treatment with a fractional CO2 laser in addition to nano-fat grafting of the wrinkles around her mouth. The patient is thrilled with her results only a few months after surgery.