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This patient had undergone a facelift 12 years ago, but her melolabial folds or “marionette lines” were still bothering her. She was first looking for a non surgical option, but I recommended surgery as the best approach to address her concerns. I performed a deep plane facelift approach to address the residual soft tissue laxity and platysmaplasty to tighten the structures in the neck to obtain a better neck contour. These photos were taken 2 months after surgery.

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