This 57 year old female felt that the appearance of her neck and chin made her look older. She felt that this was a “family trait”. She wanted facial rejuvenation without general anesthesia and with minimal down time. She had a very demanding job and needed to minimize time off work. She underwent SAFE Lift under local anesthesia, submental liposuction, placement of suspension sutures in her neck and fat grafting of her tear troughs. The fat grafts in the tear troughs improved the “tired” look of her eyes, while the SAFE Lift greatly improved the appearance of her neck and jaw line. She was pleased with her results and was back to work within 3 days.