Awake facelift and awake lower blepharoplasty results for a female patient in her 60s. The areas of concern were the jowls, marionette lines, lower eyelids, and midface. A well-executed facelift can effectively improve the effects of aging: skin laxity (sagging, loose skin), lines, and volume loss in the lower face and midface. Dr. Kim performed a bloodless, deep plane facelift using only local anesthesia (without general anesthesia) which is the safest way to have surgery. His minimal bleeding technique significantly minimizes internal inflammation and blood vessel damage, which can compromise post-op recovery and long term results. Dr. Kim’s facelift repositions and re-elevates the lower and mid face without pulling, which can otherwise produce an unnatural appearance. The lower eyelid surgery smoothed and tightened the under-eye region. The patient was fully awake during her procedure. Note the transformation in the before-and-after (3 months post-op), where she achieved a sculpted, smooth jawline, elevated cheeks, and tightened under-eyes. The youthful glow and facial rejuvenation are highlighted in the after photos.