This is a 63 year old female who had a traditional open facelift done elsewhere two years prior. She was dissatisfied with her neck. She requested another facelift to tighten her more. Because her skin is thin and she has a significant amount of fat atrophy, a repeated open traditional facelift with pulling of the skin to the side will undoubtedly caused her to have the 'lateral sweep' look or the 'wind tunnel" look. Note that she also had aggressive removal of fat pads around her eyes which made her look hollowed out and gaunt. Fat was placed in her brow, upper eyelids, cheeks and lips to support the skin, then a cautious open facelift was performed to resect the remaining skin laxity.
The post-operative photos were taken 1 year after the operation.