The most challenging part of facial rejuvenation in Plastic surgery is restoring a natural youthful appearance to the junction of lower eyelids and cheeks. My belief is that my technique of combining fat grafting, SMAS composite face and neck lift with fat transposition lower lid blepharoplasty and lateral internal cheek lift is the most superior way to do to this. This case is an example of that success. (Combined brow lift, blepharoplasty, face and neck lift and fat grafting) A beautiful transformation! She looks 20 years younger!