This 60 year old female wanted to improve her facial aesthetics. She was unhappy with the sagging skin of her neck, and she had always been unhappy with the appearance of her nose. Dr. Carpenter felt that she had excellent skin quality and minimal sagging of the mid-face. She had mild jowling and excess skin of the neck. Her nose had a wide base and fullness of the lower lateral cartilages and a prominent dorsal hump. She underwent Facelift, Rhinoplasty and placement of suspension sutures in the jowls and neck. Prior to surgery she felt that she looked 20 years older, but after surgery was very happy with her result.