Elbert Vaca

06/11/2026

Do I “need” a facelift?

The short answer is no.

No one needs a facelift. However, it is often the most effective option for improving jowling, neck laxity, and jawline definition.

My job is to help patients understand their options, what each procedure can realistically achieve, and what is involved in the recovery process.

Deciding if—and when—a facelift is right for you is a very personal decision. There is no “perfect age” or universal timeline. The right time is when your concerns, goals, and comfort level align.

The most important step is having an honest conversation about what bothers you and exploring the options available to help you achieve your goals.

06/11/2026

05/14/2026

Upper & Lower Blepharoplasty + Fat Grafting ✨

I softened her lower eyelids by restoring cheek volume and support to fill the under-eye hollows (via fat grafting), while the lower blepharoplasty reduced protruding fat bulges.

The video on the second slide nicely highlights the role of fat grafting. Note the improved cheek volume and projection 👌

Approximately 3 months after surgery

05/02/2026

This transformation combined a face & necklift, buccal fat reduction (left > right) and upper blepharoplasty to restore definition, brighten the eyes, and refresh the overall appearance.

Note the enhanced facial symmetry. A greater amount of skin was removed from the right upper eyelid, while more buccal fat was removed from her left cheek.

3 months after surgery - the slight red discoloration of her scars will continue to fade beautifully

04/29/2026

Refreshed, never overdone ✨

This beautiful transformation was achieved by combining an upper + lower blepharoplasty with fat grafting to help blend the under-eye hollows. The goal was to restore a well-rested, elegant look while preserving the features that make her uniquely her.

The elegance and nuance of her case was to refine and brighten her appearance while still making it appear natural.

04/20/2026

Sculpted and refreshingly natural ✨

This before & after highlights refined improvement in the neck and jawline — reducing jowls, restoring neckline definition, and creating a more youthful contour without looking “overdone.”

Precision matters. Every incision is thoughtfully placed to keep scars discreet and virtually undetectable, so the result looks effortless.

The goal isn’t to look different—it’s to look like you, just refreshed.