Elbert Vaca
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07/28/2026
6-month update on this beautiful patient in her early 40s following a lower face and neck lift, upper blepharoplasty, facial fat grafting, and buccal fat reduction.
The goal was never to change her appearance, but to restore youthful facial balance while preserving her natural identity. Her jawline and neck contour are more defined, and the midface has been rejuvenated through repositioning of the malar fat pad, restoring a softer, more youthful facial silhouette (see Slide 2 - note the high point of her cheek contour ✨)
Equally important are the details that often go unnoticed. Her scars have healed beautifully, the earlobes remain in a natural position, and the pretragal contour has been carefully reconstructed to help conceal the incisions.
Natural results are often defined as much by what isn’t seen as by what is.
Facelift Incision Finesse 🧑🎨
Beautifully hidden scars require planning, finesse, and seeing the small details before entering the operating room to deliver a great result ✨
07/08/2026
✨ A subtle transformation can make a remarkable difference.
This patient’s refreshed, brighter appearance was achieved by combining a brow lift with an upper blepharoplasty - two procedures that complement each other beautifully.
The brow lift helped to:
• Restore a softer, more youthful, feminine brow contour
• Improve upper eyelid hooding
• Enhance brow symmetry
The upper blepharoplasty helped to:
• Further improve eyelid hooding
• Reveal a more elegant upper eyelid (eyeshadow) space
• Improve eyelid symmetry, particularly on the left side, which was naturally more hooded
One of my favorite parts of this result is shown in the last video: a close-up of her brow lift incisions. With meticulous planning and precise surgical technique, they have faded beautifully and are now virtually imperceptible.
A brow lift and upper blepharoplasty remain one of my favorite procedure combinations because they work synergistically. Together, they restore a more youthful and brighter appearance - not an operated look.
Facial rejuvenation isn’t about making someone look different. It’s about restoring youthful anatomy while preserving each patients unique features.
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.
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.
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.
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Boca Raton, FL