This 89 year old female had a history of a previous mid-face lift and wanted to refresh the appearance of her face. She did not want to look like a 25 year old but wanted to improve the appearance of jowling and her neck. She did not want general anesthesia or a “full facelift”. She underwent SAFE Lift under local anesthesia. The SAFE Lift decreased the appearance of jowling and made a big difference in her neck and jaw line. She was very pleased with her results, which did not require general anesthesia or a long recovery.