09/04/2026
The best measure of a surgical result is not the side by side. It is what happens when you take the before photo away and look at the after on its own. If someone would never guess anything was done, that is the result we were after.
This patient came to us wanting full facial rejuvenation. Her words were that she looked tired and wanted a natural glow up. She had a previous upper blepharoplasty performed at another practice.
Examination showed skin changes consistent with advanced sun exposure and age related wrinkling. Her brow position was stable, but she had continued moderate upper eyelid drooping with excess nasal fat. Volume loss was significant throughout the midface, temples, and perioral area, and there was moderate jowling alongside visible platysmal banding in the neck.
Dr. Buckingham addressed this with a multi layered surgical plan under IV sedation. A revision upper eyelid lift cleared the remaining excess skin and nasal fat. A limited incision facelift tightened the jawline and neck. Fat transfer restored volume across the midface, temples, brow, and forehead. Full face CO2 laser resurfacing improved texture and radiance, and she received pre surgical Botox® to create a smoother surface for the laser to work on.
A note on the neck. What reads as heavy cervical laxity is largely skin, and she also has a somewhat low hyoid bone position, which sets a natural ceiling on how sharp the cervicomental angle can become. The neck is tight. It stays slightly obtuse because of anatomy, not because anything was left undone.
Recovery ran roughly three weeks, driven mainly by the fat transfer and laser. At her three month follow up she was very pleased with both her result and the recovery, and she will maintain it with consistent neuromodulator treatments going forward.
🥼 Dr. Edward Buckingham
📍 Buckingham Center in Austin, TX
💻 https://buckinghamfacialplastics.com/contact/
📲 512-401-2500