Elbert Vaca

Upper & Lower Blepharoplasty + Fat Grafting 🎨

6 months post-op.

I couldn’t be happier for this beautiful patient and her natural-appearing result.

Notice the improvement in her upper eyelid symmetry. I intentionally removed slightly more skin from her left upper eyelid to create a more balanced eyeshadow space between the two sides.

For her lower eyelids, I carefully sculpted the prominent lower eyelid fat and complemented the result with fat grafting to restore volume along the tear trough and high cheekbone.

Slide 4: Notice the restoration of volume along the high cheekbone and how it creates a smoother, more youthful transition between the lower eyelid and cheek.

Small details matter; especially around the eyes.

Face & neck lift surgery is truly an art and a labor of love ✨

This beautiful patient in her 40s was bothered by jowling, neck fullness, and skin laxity. Now 3 months after surgery, she is thrilled with her result and was kind enough to allow us to share her beautiful transformation.

We turned back the clock while preserving a natural appearance, revealing a beautifully sculpted neck contour and enhanced jawline definition.

Achieving this result requires careful release of the facial retaining ligaments, followed by lifting and repositioning of the deeper fascial layers of the face and neck (SMAS and platysma). We also sculpted the superficial and deep structures of the neck - often referred to as a “deep neck lift” - to reduce unwanted fullness and create a more refined contour.

Upper ✨

This beautiful patient in her 40s is looking fantastic at only 6 weeks after surgery.

While upper blepharoplasty may seem simple, achieving a refined and elegant result requires careful attention to the smallest details.

Note the beautiful, crisp, and youthful arc of her upper lid crease, the enhanced eyelid show (pretarsal space), and the reduction in fullness along the inner aspect of her upper lids.

She still has some mild swelling, and her result will continue to refine over the next few weeks 👌

Grateful for this incredible review from a patient of mine who traveled all the way from Hawaii to Florida for her face & neck lift. 🙏🏼

Perhaps the greatest compliment I can receive is hearing that a patient feels refreshed and younger, while still looking completely like herself.

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.

✨ 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.