A 65-75 yo female c/o looking old and tired. She felt quite energetic and was not happy with her falling neck when she looked in the mirror. She also c/o heavy upper eyelid skin. She underwent a upper eyelid blepharoplasty with a face and neck lift. She was very happy with her well defined neck and jawline after the procedure and her eyes are more open. Her face has changed from an older square shape face to a more youthful heart shaped contour.