This 61 year-old female requested facial rejuvenation. She described her skin and neck as being very lax and she was unhappy with the volume of her cheeks. In addition, she felt that the position of her eyebrows and excess skin around the eyes, made her look very tired. An endoscopic browlift with upper and lower blepharoplasty were performed in one stage, followed 3 months later by a full face and necklift with fat transfer. The result after 8 months shows fuller cheeks, with an improved appearance of skin around the eyes. In addition, her neckline is much tighter and there is excellent improvement of the jowls and marionette lines.