Description of the patient: In order to let you observe more intuitively, here are the front and side face photos. Front face photo: The skin of this candidate is still good, but the apple muscle is sunken, the natural lines are heavy, and the lines of the whole face are not smooth enough. Side view: There is obvious fat accumulation at the marionette lines and under the chin, and the jawline is not clear and smooth. Description: She was born with heavy lines and looked much older than her peers when she was in school, which made her very distressed. Design plan: Facial liposuction + five-layer face lift Specific plan: The skin tightness of the upper face is fine, but the aging symptoms are mainly in the middle and lower face. Middle face: The aging symptoms of this candidate’s middle face were obvious, such as sunken apple muscle, tear trough, and decrescent lines. The approximate peel area is shown in the figure. By making an incision in the frontal-temporal area, extensive peeling was done on the midface to lift, reset, and fix the sagging fat pad, fat, and muscle tissues to improve the decrement lines, apple muscle, and tear trough. In order to strengthen the lifting effect, two lifting bands will be implanted (considering the patient’s decrepit lines, the positioning of the lifting bands should be deeper than normal), in order to maintain the position of the lifting flap after the lifting. Lower face: The aging symptoms of this patient’s lower face are mainly blurring of the jawline, fat accumulation at the marionette line, and fat accumulation under the chin. The incision was made in front of the ear, which facilitated extensive debridement of the lower face. Because of the fat accumulation in the lower part of this patient, before the lift, a little liposuction was done and a little bit of microdermabrasion was done so that after the lift, the jawline would be clearer and the facial line would be softer and the improvement would last longer. Some candidates ask: Why do I need to make an incision in front of my ear? Will this wound affect the aesthetics? This is to enhance the lifting effect on the lower middle part of the face, like the jawline and marionette lines are in this area, so an incision is added in this area, and this small incision does not affect your appearance at all. This is the photo of the candidate after the five-layer facial lift: 1. you can see the apple muscle 2. the lines are gone 3. the accumulated fat at the jawline is gone 4. you can see a clear chin 5. the lines of the face are more smooth