65-75 yo female who was not happy with her heavy neck and jowls. She underwent a face and neck lift with fat transfer to her cheeks, nasolabial and marionette lines. She was very happy with her after results. She has regained the youthful heart shape face with a beautiful neck profile. Her face looks less tired from the softening of the nasolabial and marioette lines and the filling in of her cheeks and tear trough area which has the added benefit of softening the dark circles under her eyes. This procedure takes about 2 hours without general anesthesia.