70 year old who had two previous facelifts in the Dallas metroplex and was very unhappy with the results. Her main complaints included a very unsatisfactory neck contour. On exam she also has residual jowls and drooping of the midface that was not corrected with the previous facelifts. Patient had two previous facelifts in the Dallas metroplex and was unhappy with her neck and face contours. She wished to have her neckline, jowls and the midface corrected and rejuvenated. A deep plane facelift was done that elevated the midface, addressed the jowls and the neckline. Unlike other facelift techniques, a deep plane facelift elevates the midface in addition to the lower face and provides better overall contours and a longer lasting result. Notice also that she looks natural without the pulled appearance. Although no fat was injected, the midface appears fuller after the procedure.