Patient is a lovely 67 year-old Caucasian female complaining of aging face with “turkey neck”. She had her first facelift surgery in 1995 with some resultant right-sided “nerve damage”. She also has chronic left eye pupillary dilatation from an old car accident and injury. She was also a smoker and all the risks, benefits and alternatives were discussed, and she underwent both preoperative and postoperative hyperbaric oxygen therapy to help augment skin-perfusion and overall healing. She underwent Secondary Full Face & Necklift as well as Upper Blepharoplasties (eyelifts).