As we age, in addition to the facial tissues sagging, our faces tend to lose natural-appearing fat which is often found in the youthful face. This 51 year-old female was unhappy with the appearance of her face and brow. Being very athletic, the additional loss of natural fat was very troubling to her. Restoration of this fat volume was performed with precise fat transfer to the cheeks, jowls and facial folds. In addition, a facelift, necklift and endoscopic browlift was utilized to resuspend the facial tissues to a more youthful position. Her results at 8 months show barely perceptible scars and beautiful contour.