This 72 year-old woman was very unhappy with the appearance of her eyes, face and neck. Although she is very active and energetic, she felt that some pronounced eye bags and skin laxity made her look tired. In addition, she felt that her chin was receded and her neck had very loose skin. A complete, facial rejuvenation was planned. During one single operative session, she underwent an endoscopic browlift, upper and lower blepharoplasty and full face, cheek and necklift. In addition, a chin augmentation with a silicone implant was performed in order to improve facial balance and proportion. In order to restore the natural youthful curvature of the cheek, fat transfer from the abdomen was precisely positioned throughout the eyes, cheeks, and facial folds. Her result is pictured at 1 year, showing excellent longevity of the fat transfer and surgical techniques.