Blepharoplasty 9

This is a 52-year-old established patient who has had multiple surgeries with us.   Now, the patient has lost quite bit of weight, and she noticed that her face is sagging. This patient is 5 feet 6 inches and 180 pounds.  She has face and neck laxity, heavy upper and lower eyelids, mid-facial fat hollowing and also flat lips, and neck lipodystrophy.  The patient is a Fitzpatrick type 2 skin, and her skin is very, very thin and wrinkly, and she has quite a bit of sun damage. The patient is a nature lover and outdoorsy.  Therefore, I have not offered her any lasering, but we have offered her face and neck lift, upper and lower bleph, fat to full face and lips, and liposuction of neck.