Why did this patient need more than one facial rejuvenation procedure?

In this case, the tired appearance came from several areas working together: brow descent, lower eyelid puffiness, early jowling, marionette lines, neck laxity, and a pre-jowl notch. Combining procedures allowed Dr. Shire to address the upper face, lower eyelids, lower face, and neck in a balanced way.

Why was a brow lift part of the plan if the patient was concerned about her eyes?

The evaluation found that the upper eyelids had very little excess skin. The heaviness around the eyes was related in part to descended brows, so brow repositioning helped address the source of the crowded upper-eye appearance.

What did lower eyelid surgery address in this case?

The lower eyelid portion of the plan addressed puffiness and bags beneath the eyes, which were contributing to the patient's fatigued appearance.

What did the lower facelift address?

The lower facelift was used to improve jawline definition, soften marionette lines, address early jowling, and tighten the neck. These details are specific to this patient's case.

Can another patient expect the same facial rejuvenation result?

No. This case reflects one patient's experience. Results vary based on anatomy, tissue quality, surgical plan, healing, and other individual factors.

How should someone decide whether facial rejuvenation is right for them?

A consultation with a qualified facial plastic surgeon can help determine which areas are contributing to a patient's concerns and whether surgical or nonsurgical options are appropriate.

dagmar, Author at Shire Facial Plastic Surgery

facial rejuvenation brow lift eyelid surgery

Case Study

Facial Rejuvenation Case Study: Addressing Tired Eyes, a Sagging Neck, and Loss of Facial Definition

dagmar / June 29, 2026

Facial Rejuvenation Case Study: Addressing Tired Eyes, a Sagging Neck, and Loss of Facial Definition This case study describes one

Case Study

Case Study: Lower Facelift and Neck Lift for a Refreshed, More Youthful Appearance

dagmar / June 29, 2026

Case Study: Lower Facelift and Neck Lift for a Refreshed, More Youthful Appearance This case study highlights the experience of

Case Study, General

Case Study: Addressing Jowls and Neck Laxity with a Lower Facelift

dagmar / June 29, 2026

Case Study: Addressing Jowls and Neck Laxity with a Lower Facelift This case study documents one patient’s experience with lower

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Refining a Dorsal Hump and Nasal Tip for a Natural Result: Rhinoplasty Case Study

dagmar / June 17, 2026

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Creating Better Facial Balance: Rhinoplasty and Chin Augmentation Case Study

dagmar / June 17, 2026

Creating Better Facial Balance: Rhinoplasty and Chin Augmentation Case Study This case study describes one Chattanooga patient’s facial balancing surgery