Dr. George A. Toledo is a renowned plastic surgeon in Dallas, Texas specializing in all aspects of facial rejuvenation surgery. This 50 year old female from Houston, Texas presented with the primary concern of tightening her anterior neck skin. After a thorough consultation with Dr. Toledo, he recommended not only a lower face neck lift, but also rejuvenation of her entire face by primarily adding fat. The facelift pulled the skin up from the nasolabial folds and jowls but was primarily used for exposure so to add fat to the lower eyelid/cheek junction to fill her upper cheek area. An anterior hairline forehead brow lift not only raised the brows but also gave us exposure to augment the brow temporal area with fat grafts. She also underwent dermal fat grafting to enlarge her very thin lips. She did not need eyelid surgery. As you can see from the before and after pictures, she obtained a very natural result. The forehead and upper face greatly benefited from the addition of the fat as well as from the minor forehead brow lift. Fat transfer to the midface is now frequently incorporated into the total facial rejuvenations performed by Dr. Toledo at the Highland Park Plastic Surgery Center in Dallas, Texas.