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CASE DESCRIPTION: This is a 59-year-old, female resident of Novato, California who presented to the Novato office in Marin County for evaluation for facial rejuvenation. She had a secondary facelift procedure with a temporal eyebrow lift and a lower facelift and TCA chemical peel. She underwent a SMAS plication in the central area. The procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the fullness in the cheek and mid-face location due to the SMAS plication.