Deep Plane Facelift and Necklift Before & After Case 114

This patient came to Dilworth Facial Plastic Surgery for a combination of procedures addressing several visible signs of facial aging. The work included a deep plane facelift and necklift, facial fat grafting, lower blepharoplasty, and CO2 laser resurfacing of the face.

The before photos show jowling along the jawline, laxity in the neck, puffiness and hollowing in the lower eyelid area, and surface-level wrinkling across the face. In the after photos, the jawline appears more defined, the neck contour is smoother, the lower eyelids show less puffiness, and skin texture appears more even. Volume in the mid-face looks fuller relative to the before images, consistent with the fat grafting performed.

For those researching a deep plane facelift and necklift in Charlotte, this case illustrates the kind of combined approach often used when laxity involves not just the skin but the deeper facial structures. Lower blepharoplasty addresses the under-eye area, while CO2 laser resurfacing targets surface texture and tone. Fat grafting works alongside the lifting procedures to restore volume where it has diminished.

Joshua Surowitz MD & Andrea Garcia MD, along with Dr. Garcia, performed all procedures in this case. The photos reflect what this patient's face looked like before and after this combination of surgical and laser treatments.