This 53-year-old woman had four procedures performed at a single operative setting: an extended deep plane facelift, upper blepharoplasty, rhinoplasty, and fat grafting. The extended deep plane approach works at a deeper tissue level than a standard facelift, repositioning the underlying structures rather than relying on skin tension to produce the change. That distinction matters for how the face and neck settle over time. Fat grafting added volume across the face where it was needed, and rhinoplasty addressed the nose during the same session. What you're seeing in the after photo is the 12-month result, after swelling has fully resolved and the tissues have had time to settle into their final position. Individual results vary.