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CASE DESCRIPTION: This is a 55-year-old resident of San Francisco, California who presented to the San Francisco office at Union Square for evaluation for facial rejuvenation. He underwent a facelift, temporal brow lift and fat injections to his face and a pre-jowl chin implant. The facelift included 14 cc of fat on the left cheek region and 16 cc of fat on his right. His facelift included a SMASectomy procedure. His surgery was performed at Marin Cosmetic Surgery Center in Marin County, California.