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This wonderful patient presented to our Center with the complaints of not looking lively and healthy. After a thorough evaluation, we mutually decided to perform a lower facelift/neck lift with a chin augmentation and fat transfer to her cheeks and midface. All three procedures were safely performed on the same day in our Center under local anesthesia and oral sedation. The patient tolerated the procedure quite well and was without any significant swelling or bruising after just one week. Her results are quite significant in that her midface is much more full and balanced from the fat transfer, and her lower face is more defined due to the chin augmentation and tightening of the facial muscles and skin.