This 70 year old female had a previous face and neck lift many years ago, and developed recurrent neck laxity and jowling. She also disliked the hollow appearance of her cheeks. She was treated with a revision face and neck lift with autologous fat grafting to the cheeks and under-eye area. She is eight months post-op from her procedure with Sound Plastic Surgery and is pleased with her more youthful and natural appearance.