The patient, a 56-year-old female, underwent an extended deep plane facelift combined with fat grafting and lower blepharoplasty. The post-operative images taken at the 12-month mark illustrate noticeable changes. The facelift has addressed sagging in the midface region, providing a more defined jawline. Fat grafting contributed to improved volume and contour, particularly in the cheeks. The lower blepharoplasty has reduced under-eye puffiness, resulting in a smoother appearance around the eyes. Overall, these procedures have collectively enhanced facial structure and minimized signs of aging. The photographs provide a clear depiction of the surgical outcomes achieved over this period without implying subjective assessments or guarantees.