Before & After: Deep Plane Facelift

Before & After

Procedures:

  • Full Facelift
  • Revision Upper Eyelid Surgery & Ptosis Correction
  • Open-structure Rhinoplasty

Patient Profile:

  • Female, 46 years old
  • Concerns before surgery : High eyelid crease, droopy eyes, deep nasolabial folds and marionette lines, sagging cheeks, undefined jawline

Procedures:

  • Full Facelift
  • V-Neck Lift (Anterior neck lift)
  • Upper Lip Lift

Patient Profile:

  • Female, 74 years old
  • Concerns before surgery : Facial sagging, drooping outer eyelids, jowling, elongated and wrinkled upper lip, sagging neck (Turkey neck)

Procedures:

  • Full Facelift
  • V-Neck Lift (to address sagging neck and jowls)
  • Lower Eyelid Correction with ligament Tightening, fat transposition, release tear trough ligaments , SOOF lift
  • Endoscopic Brow Lift

Patient Profile:

  • Female, 66 years old
  • Concerns before surgery : Drooping outer eyes and brows, deep nasolabial folds and marionette lines, sagging jawline, loose neck skin, under-eye bags and wrinkles, tired facial expression

Procedures:

  • Full Facelift with SMAS lift
  • Lateral Neck Lift
  • Ptosis Correction (Tired-looking eyes)
  • Lower Eyelid Surgery with SOOF Lift and Ligament Tightening

Patient Profile:

  • Female, 68 years old
  • Traveled from California
  • Concerns before surgery: Tired-looking eyes due to ptosis, droopy outer eyes, prominent under-eye bags, deep nasolabial folds and Marionette’s lines, sagging cheeks with jowls, undefined jawline, and severe neck laxity

Procedures:

  • Full Facelift with SMAS lift
  • Lateral Neck Lift
  • Ptosis Correction (Tired-looking eyes)
  • Lower Eyelid Surgery with SOOF Lift and Ligament Tightening

Patient Profile:

  • Female, 68 years old
  • Traveled from California
  • Concerns before surgery: Tired-looking eyes due to ptosis, droopy outer eyes, prominent under-eye bags, deep nasolabial folds and Marionette’s lines, sagging cheeks with jowls, undefined jawline, and severe neck laxity

Procedures:

  • Full Facelift
  • Endoscopic Brow Lift with Endotine
  • V-Neck Lift (Anterior Neck Lift)
  • Lower Eyelid Surgery with Ligament Tightening

Patient Profile:

  • Female, 63 years old
  • Flew in from Denmark for facial rejuvenation
  • Concerns before surgery: Drooping outer eyes and brows, sagging cheeks, deep nasolabial folds and marionette lines, jowling, undefined jawline, under-eye bags and wrinkles, and prominent neck laxity (“Turkey neck”)

Procedures:

  • Full Facelift
  • V-Neck Lift (Anterior Neck Lift)
  • Lower Eyelid Surgery with Ligament Tightening

Patient Profile:

  • Female, 68 years old
  • Flew in from the United States
  • Concerns before surgery: Drooping outer eyes, deep under-eye wrinkles, prominent nasolabial folds and marionette lines, jowling, undefined jawline, and a sagging neck

Procedures:

  • Full Facelift
  • Lower Eyelid Surgery with Ligament Tightening and Fat Repositioning

Patient Profile:

  • Female, 54 years old
  • Concerns before surgery: Drooping upper eyelids, deep nasolabial folds, sagging cheeks, undefined jawline, tired-looking eyes

Procedures:

  • Full Facelift

Patient Profile

Female, 65 years oldConcerns before surgery: Drooping upper eyelids, deep nasolabial folds, pronounced marionette lines, sagging neck skin, and an undefined jawline.

Procedures:

  • Revision Full Facelift (Deep Plane Facelift)

Patient Profile

Female, 56 years oldPreoperative Concerns: Early deepening of the nasolabial folds, undefined jawline, downturned mouth corners leading to a stern facial appearance.

Procedures:

  • Revision Full Facelift with Liquid Silicone Removal
  • Submental & Jowl Liposuction
  • Deep Cervical Fat Removal
  • Corset Platysmaplasty (Platysma Muscle Tightening)
  • Submandibular Gland Reshaving

Patient Profile

Female, 56 years oldPreoperative Concerns: Deep nasolabial folds, undefined jawline, downturned mouth corners that created a stern or tired appearance.

Procedures:

  • Full Facelift
  • Lower Eyelid Revision Surgery
  • Excision of Excess Lower Eyelid Skin
  • Orbital Fat Transposition
  • Tear Trough Deformity Correction
  • SOOF Lift (Sub-Orbicularis Oculi Fat Lift)
  • Lower Eyelid Muscle Suspension
  • Lateral Canthopexy
  • Endoscopic Browlift (Endosculpt technique)
  • Corrugator Muscle Release / Frown Line Release
  • Release of Periosteal and Brow Ligament Attachments
  • Brow Fixation with Medical Implant (Fixtine / Endotine)

Patient Profile

Female, 48 years oldPreoperative Concerns: Deep nasolabial folds, hidden upper eyelid crease, drooping lateral canthus, brow ptosis, habitual frowning, undefined jawline, presence of jowl fat, lower eyelid wrinkles, and a deep tear trough deformity.

Procedures:

  • Facial Rejuvenation
  • Lower Eyelid Rejuvenation
  • Neck & Jawline Contouring — V-Neck Lift Program

Patient Profile

Female, 66 years oldPreoperative Concerns:

  • Drooping outer corners of the eyes, giving a sad appearance
  • Deep nasolabial folds, sagging cheeks, and hollow midface
  • Deep marionette lines, downturned mouth corners, and an undefined jawline
  • Prominent under-eye bags with wrinkles, creating a tired look
  • Significant neck laxity and visible submental fullness

Procedures:

  • Full Facelift
  • V-Neck Lift Program for Severe Neck Laxity

Patient Profile

Female, 57 years oldPreoperative Concerns:

  • Drooping outer corners of the eyes, giving a sad facial expression
  • Deep nasolabial folds and sagging cheeks with hollow midface
  • Deep marionette lines, downturned mouth corners, and an undefined jawline
  • Significant neck laxity and prominent double chin visible from both the front and side profile

Procedures:

Full Facelift to reposition deeper facial structures, lift sagging tissues, soften nasolabial folds and marionette lines, and redefine the jawline

Patient Profile

Ms. Chu, 64 years old, traveled from the United States 🇺🇸 (Seattle) to undergo facial rejuvenation surgery with me.

Procedures:

  • Full Facelift
  • Lower eyelid revision surgery
  • Excision of excess lower eyelid skin
  • Orbital fat transposition
  • Tear trough deformity correction
  • SOOF lift (Sub-Orbicularis Oculi Fat lift)

  • Lower eyelid muscle suspension
  • Lateral canthopexy
  • V-Neck Lift Program to correct submental and neck laxity
  • Submental and jowl liposuction
  • Deep fat removal
  • Corset platysmaplasty
  • Submandibular gland reshaving

Patient Profile

Ms. Yupin, 71 years old, traveled from the United States 🇺🇸 (Florida).
 She previously underwent a facelift approximately 25 years ago, along with upper and lower eyelid surgery performed at the same time. At that stage of her life, the results were satisfactory and helped restore her confidence.

Procedures:

  • Full Facelift
  • Lower eyelid surgery
  • Excision of excess lower eyelid skin
  • Orbital fat transposition
  • Tear trough deformity correction
  • SOOF lift (Sub-Orbicularis Oculi Fat lift)
  • Lower eyelid muscle suspension
  • Lateral canthopexy

Patient Profile

Ms. Boonnak, 60 years old, traveled from Germany 🇩🇪 (Frankfurt).
Over time, she experienced progressive facial and periorbital sagging related to aging, particularly involving the eyes, midface, and jawline.

Procedures:

  • Full Facelift
  • Lower eyelid surgery
  • Endoscopic Brow Lift (Endosculpt Browlift)
  • V-Neck Lift Program

Patient Profile

Ms. May, 64 years old. Prior to this surgery, Ms. May experienced progressive facial and neck sagging that became increasingly noticeable with age—particularly around the eyes, forehead, midface, and neck. These changes caused her overall appearance to look tired, tense, and fatigued, which did not reflect how she truly felt inside.

Procedures:

  • Upper Face Lift
  • Midface Lift
  • Endoscopic Brow Lift (Endosculpt Browlift)

Patient Profile

Ms. Ann, 55 years old. Traveled from the United States 🇺🇸 (Texas)

Prior to this surgery, Ms. Ann experienced progressive changes in her upper and midface that became more noticeable with age—particularly involving the brows, eyes, and cheeks. These changes caused her overall appearance to look stern, tense, and more severe than how she truly felt.

Procedures:

  • Full Facelift
  • Upper Facial Proportion & Periorbital Rejuvenation
  • V-Neck Lift Program – Advanced Neck Contouring

Patient Profile

Ms. Jeab, 50 years old. Traveled all the way from Ireland (Dublin) to undergo surgery with me ✈️🇮🇪

Previously, Ms. Jeab had undergone upper eyelid surgery twice due to hidden eyelid folds and drooping outer eye corners.

Procedures:

  • Full Facelift
  • Neck Contouring

Patient Profile

Ms. Lay, 52 years old. Traveled from Australia (Melbourne) to undergo facelift surgery with me ✈️🇦🇺

Ms. Lay previously underwent upper eyelid surgery approximately 10 years ago due to hidden eyelid folds and asymmetry of the eyelids and brows.

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Renewed Confidence

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Ms. Nuch Case Study

Case Summary:

Ms. Nuch previously underwent upper eyelid surgery but was left with overly high eyelid creases and droopier eyes. She also had a nose surgery using the closed technique 20 years ago, which resulted in nasal retraction and distortion over time. In addition, she experienced facial sagging, visible folds around the nose and mouth, an undefined jawline, and sagging under the chin. Despite trying Ulthera, she felt the results were insufficient. Upon a friend’s recommendation, she decided to consult Dr. Jay.

After a thorough consultation and joint planning with Dr. Jay, three main procedures were selected to comprehensively address her concerns:

  • Open-structure rhinoplasty to reconstruct and refine her nasal framework
  • Revision upper eyelid surgery with ptosis correction to restore eye balance and natural expression
  • Full facelift using deep-plane SMAS lifting and scar-concealing techniques to lift and tighten the overall face

Post-Operative Result:

Ms. Nuch feels significantly more youthful and refreshed. The previously sagging areas are now firm and lifted, with visibly reduced folds around the nose and mouth.

What the patient says:

Im truly impressed with the results. I feel like I look much younger, and thats even changed the way I dress to match my rejuvenated face. Everything is lifted, yet still looks natural. Friends and people around me keep saying I look younger!”

Mrs. Phen Case Study

Case Summary:

Mrs. Phen, a 74-year-old former hairdresser with a lifelong appreciation for beauty and aesthetics, had undergone multiple cosmetic surgeries in the past including a full facelift, double eyelid surgery, forehead reduction, and closed rhinoplasty approximately 20 years ago.

Over time, she began to notice significant facial sagging. Being naturally slender, she experienced pronounced jowls, undefined jawlines, and visible jowl fat. Her upper lip had become longer with fine lines, and the appearance of a “turkey neck” particularly bothered her.

Motivated by a desire to restore her youthful appearance, Mrs. Phen consulted with Dr. Jay. Together, they selected three key procedures to rejuvenate her face and neck:

  • Full Facelift to lift sagging facial structures and redefine contours
  • V-Neck Lift to correct jowls and tighten the neck area
  • Upper Lip Lift to shorten and rejuvenate the upper lip for a more balanced, youthful profile

Post-Operative Result (2 Months):

Just two months after surgery, the transformation is striking. Mrs. Phen’s face appears refreshed and lifted turning back the clock by approximately 10–15 years. Nasolabial folds and marionette lines are softened, the turkey neck is gone, and her upper lip is shorter and firmer, harmonizing beautifully with her chin.

Mrs. Cindy Case Study

Case Summary:

Mrs. Cindy, a 66-year-old patient from California, came in with multiple facial aging concerns. One of her main issues was the short distance between her brows and eyes, which led her to subconsciously raise her brows all the time. This habit caused forehead wrinkles and made her appear angry or tense even when her face was at rest affecting her confidence, especially in photos.

She was also concerned about droopy outer eyes and brows, deep glabellar lines, sagging cheeks, pronounced folds around her mouth and nose, undefined jawline, visible jowls, and fine wrinkles and puffiness under her eyes that made her look perpetually tired.

After a detailed consultation with Dr. Jay, Mrs. Cindy underwent a combination of four surgical procedures to address these issues comprehensively:

  • Full Facelift to lift sagging facial tissues, smooth deep folds, and restore youthful facial contours
  • V-Neck Lift to redefine the neck angle (achieving an ideal 95–100 degrees from the side) and eliminate sagging under the chin
  • Lower Eyelid Surgery with Ligament Tightening to remove excess skin, reposition fat, release tear troughs, and support the lower lid structure
  • Endoscopic Brow Lift with Endotine Anchoring to raise the brows, open up the eye area, and smooth glabellar lines — all with hidden incisions

Post-Operative Result:

Mrs. Cindy’s face looks noticeably more refreshed and vibrant. The sagging has been lifted in a way that maintains a natural look — no signs of “overdone” surgery. Her expression appears softer, more approachable, and less tired.

What the patient says:

I feel so refreshed. My face looks brighter and its now much easier to apply makeup. I love how I look in photos from every angle — no more worrying about bad angles. I’m so thankful I trusted my instincts and chose to have surgery with Dr. Jay. Thank you, Dr. Jay, for making this beauty transformation possible!”

 

Mrs. Piam Case Study

Case Summary:

Mrs. Piam, age 68, flew in from California with a number of aging-related concerns that had long affected her confidence. She described feeling like she always looked sleepy due to her drooping eyelids and tired eyes. Her entire face, from the upper to lower thirds, exhibited signs of sagging including deep smile lines, heavy jowls, and a poorly defined jawline. Her neck also showed advanced laxity.

“I felt like Id tried everything — countless treatments at different clinics and spent hundreds of thousands of baht — but nothing really worked. Nothing gave me the result I was looking for.”

After an in-depth consultation and joint planning with Dr. Jay, the decision was made to proceed with a comprehensive surgical rejuvenation approach:

  • Full Facelift with Deep SMAS Technique to lift and firm the entire face
  • Lateral Neck Lift to tighten and reshape the neck and jawline
  • Ptosis Correction to address upper eyelid drooping and brighten the eyes
  • Lower Eyelid Surgery with fat repositioning, tear trough release, SOOF lift, and ligament tightening to remove under-eye bags and restore a more youthful midface

Post-Operative Result:

Just 14 days after surgery, the transformation is striking. Mrs.Piam’s face appears significantly firmer, her jawline more defined, and her eyes visibly brighter and more open. The overall impression is of a naturally refreshed and younger version of herself.

What the patient says:

Im absolutely thrilled with the results — just two weeks post-op and friends are already noticing! My face looks lifted, smooth, and youthful again. I feel like Ive gone back in time to my early 50s. Best of all, it still looks natural, and the scars are nearly invisible. Im so glad I made this decision with Dr. Jay.”

Mrs. Piam Case Study

Case Summary:

Mrs. Piam, age 68, flew in from California with a number of aging-related concerns that had long affected her confidence. She described feeling like she always looked sleepy due to her drooping eyelids and tired eyes. Her entire face, from the upper to lower thirds, exhibited signs of sagging including deep smile lines, heavy jowls, and a poorly defined jawline. Her neck also showed advanced laxity.

“I felt like Id tried everything — countless treatments at different clinics and spent hundreds of thousands of baht — but nothing really worked. Nothing gave me the result I was looking for.”

After an in-depth consultation and joint planning with Dr. Jay, the decision was made to proceed with a comprehensive surgical rejuvenation approach:

  • Full Facelift with Deep SMAS Technique to lift and firm the entire face
  • Lateral Neck Lift to tighten and reshape the neck and jawline
  • Ptosis Correction to address upper eyelid drooping and brighten the eyes
  • Lower Eyelid Surgery with fat repositioning, tear trough release, SOOF lift, and ligament tightening to remove under-eye bags and restore a more youthful midface

Post-Operative Result:

Just 14 days after surgery, the transformation is striking. Mrs. Piam’s face appears significantly firmer, her jawline more defined, and her eyes visibly brighter and more open. The overall impression is of a naturally refreshed and younger version of herself.

What the patient says:

Im absolutely thrilled with the results — just two weeks post-op and friends are already noticing! My face looks lifted, smooth, and youthful again. I feel like Ive gone back in time to my early 50s. Best of all, it still looks natural, and the scars are nearly invisible. Im so glad I made this decision with Dr. Jay.”

Mrs. Ae Case Study

Case Summary:

Mrs. Ae is a patient I truly remember with admiration. She has a naturally beautiful facial structure — an elegant oval-shaped face that many people desire. However, as time passed, gravity took its toll: the skin, fat, and muscles began to descend with age. She noticed deepening smile lines, sagging mouth corners, and most prominently — the visible separation of neck muscles, commonly referred to as a Turkey neck.

With a clear goal to restore her youthful appearance while staying true to herself, Mrs. Ae made the long journey from Denmark to consult with me. After an in-depth evaluation, I carefully planned a combination of four surgical procedures to rejuvenate her face and neck holistically:

  • Full Facelift – To lift and tighten facial tissues, correct sagging cheeks, smooth nasolabial folds, Marionette’s lines, and elevate the outer eye area
  • Endoscopic Brow Lift with Endotine – To open up the outer eye region and refresh the expression through a minimally invasive brow elevation
  • V-Neck Lift (Anterior Neck Lift) – To address neck laxity by tightening the central platysma muscles and removing excess fat, achieving a smooth and elegant neck contour
  • Lower Eyelid Surgery – To remove under-eye bags, smooth fine lines, and create a more rested, youthful appearance

3-Month Post-Op Result:

Today marks three months since her surgery. Khun Ae returned for a follow-up with a beaming smile — her facial contours are noticeably softer and more harmonious, the corners of her mouth lifted, and the entire face radiates a youthful glow. Most strikingly, her personality appears more vibrant and confident, like someone in her early 40s glowing from within.

What the doctor says:

Thank you, Mrs. Ae, for trusting me with your face — and for traveling such a great distance to embrace change in the most natural and graceful way possible. 🙏🏻✈️

Mrs. Tim Case Study

Case Summary:

Mrs. Tim is a particularly memorable case for me. At 68 years old, she flew all the way from the United States to undergo facial rejuvenation surgery with me. Her primary concern was her midface, especially the deep smile lines, sagging cheeks, and downturned mouth corners — features that made her look older and more stern than she felt inside. She also had visible jowls that blurred her jawline, and a noticeable double chin with neck laxity.

After a thorough consultation, we agreed on a combination of three surgical procedures to address these concerns in one comprehensive treatment plan:

  • Full Facelift – To lift and tighten facial skin and the deeper SMAS layer, correcting sagging cheeks, deep nasolabial folds, marionette lines, and drooping outer corners of the eyes
  • V-Neck Lift (Anterior Neck Lift) – To contour the neck by removing deep fat, tightening the central neck muscles, and creating a well-defined “V-angle” from chin to neck, making the lower face appear more sculpted and youthful
  • Lower Eyelid Surgery – To remove under-eye bags and smooth wrinkles, resulting in a refreshed and rested appearance

Post-Operative Result:

After surgery, Mrs. Tim expressed how she felt like she had reclaimed her younger self. Her face appeared noticeably firmer, the deep folds she once worried about had nearly vanished, and her overall appearance was softer and more radiant. Most importantly, her results looked natural and harmonious — no signs of overcorrection or “overdone” surgery.

What the patient says:

Im incredibly impressed with the results. I look so much younger and feel more confident in myself. Everything is lifted, but still looks completely natural. Friends keep telling me I look years younger!”

Ms. Yord Case Study

Case Summary:

Ms. Yord came to me after years of trying various non-surgical treatments, such as thread lifting and fillers, in hopes of improving her sagging cheeks, deep smile lines, and blurred jawline. While these methods provided temporary or limited results, they didn’t truly address the root cause — the deeper tissue laxity that comes with age.

After an in-depth consultation and planning session, we agreed to perform two procedures:

  • Full Facelift – To correct sagging cheeks, smooth out nasolabial folds and marionette lines, lift the mouth corners, and redefine the jawline — also helping indirectly improve the drooping upper eyelids by lifting the midface
🔹 Lower Eyelid Surgery – To correct lower eyelid laxity, reduce puffiness and wrinkles by tightening the ligaments and repositioning the fat for a smoother, more youthful eye area

Post-Operative Result:

Following surgery, Ms.Yord felt like a more youthful version of herself. Her facial contours were more defined, and the heaviness in her mid and lower face had been visibly lifted. The deep folds softened, and her eyes looked brighter and more rested.

What the patient says:

I’m truly impressed with the results. My jawline looks sharper, and I feel more confident when taking photos or applying makeup. It’s even changed how I dress — now I want my style to match my refreshed face. Everything was lifted beautifully, yet still looks natural. Friends keep saying I look so much younger!”

Ms. Tim Case Study

Case Summary:

Ms. Tim presented with progressive facial aging, including upper eyelid drooping, deepening nasolabial folds, marionette lines, and a loss of definition along the jawline and neck. Over the years, she had tried several non-surgical treatments — such as thread lifting and fillers — but these methods provided only temporary or minimal improvement.

Seeking a more definitive correction, she consulted with Dr. Jay to address concerns that had accumulated over time. After a detailed discussion and personalized surgical planning, Full Facelift surgery was chosen to effectively correct:

  • Upper eyelid heaviness caused by midface descent
  • Sagging cheeks and deep smile lines
  • Prominent marionette lines
  • Downturned mouth corners
  • Blurred jawline
  • Laxity along the neck

The goal was to restore natural facial harmony and create a firmer, more youthful contour while maintaining her authentic appearance.

Post-Operative Result:

Following surgery, Ms. Tim experienced significant rejuvenation. Her facial structure appeared firmer and more uplifted, the deep folds were softened, and the jawline regained clarity. The improvement in the midface also helped reduce the heaviness around the upper eyelids, resulting in a fresher and more awake appearance.

Patient Testimonial:

“My face looks brighter and much firmer. I didn’t expect it to lift this well while still looking like myself. Dr. Jay truly exceeded my expectations.”

Ms. Sally Case Study

Case Summary:

Ms. Sally traveled all the way from Hawaii to undergo revision facelift surgery with me. She previously had a facelift around 20 years ago, and over the years also tried thread lifting and filler injections. However, her face gradually began to sag again, with the nasolabial folds becoming deeper, marionette lines starting to form, the jawline losing definition, and the mouth corners turning downward.

To effectively correct these age-related changes and restore facial support at the foundational layer, we proceeded with a Deep Plane Facelift technique.

Post-Operative Result

Following surgery, Ms. Sally reported significant improvement in her facial contours. Her jawline appeared more defined, makeup application became easier, and her overall appearance remained natural.

Patient Testimonial:

“My facial contours are so much sharper now. Makeup is so much easier to do, and everything still looks natural. People around me keep saying I look younger — the compliments haven’t stopped!”

Ms. Fon Case Study

Case Summary:

Ms. Fon traveled from Boston, USA, to undergo revision facelift surgery with me. Over the past two decades, she had undergone multiple cosmetic procedures, including liquid silicone injections—a treatment that was once popular but is now known for long-term complications.

The silicone injected into her cheeks did not dissolve and progressively contributed to worsening cheek ptosis, deep nasolabial folds, and prominent marionette lines as she aged. Fortunately, she never experienced a silicone-related infection.

Approximately 12 years ago, she underwent her first facelift to remove part of the silicone, followed by a temporal lift one year before meeting me.

Patients with a history of liquid silicone injections typically present with significant challenges. Silicone often infiltrates multiple tissue layers and can be associated with mycobacterial contamination, intermittent low-grade infections, skin redness, or abscess formation. These processes lead to dense fibrosis and abnormal tissue adherence, making surgical dissection substantially more complex.

In this case, the fibrosis was extensive and the silicone deposits were located across several facial planes. I had to carefully remove the infiltrated material layer by layer. Given the heavy volume and structural distortion, a deep plane facelift—working beneath the SMAS—was essential to achieve a stable and natural result.

To address her severe neck laxity, she also underwent my signature V-Neck Lift Program, which combines:

  • Submental & jowl liposuction
  • Deep cervical fat removal
  • Corset platysmaplasty
  • Submandibular gland reshaving

This comprehensive approach allowed us to redefine her neck contour and restore the youthful cervicomental angle.

Post-Operative Result

At her one-month follow-up before returning to the United States, Ms. Fon showed significant improvement in facial harmony and neck definition. She expressed renewed confidence and was ready to fly home with a refreshed, yet natural appearance.

Patient Testimonial:

“Dr. Jay made everything look so smooth and natural. No one can tell I had surgery — they just say I look brighter and more confident.”

Ms. Poo Case Study

Case Summary:

Ms. Poo traveled from Las Vegas, USA, to undergo comprehensive facial rejuvenation surgery with me. Her previous surgical history included only rhinoplasty, but as she approached her 50s, she began noticing multiple age-related changes that affected her confidence.

She reported increasing brow ptosis, a hidden eyelid crease, and drooping lateral canthus, which collectively made her eyes appear sad and less vibrant. She also experienced deepening nasolabial folds, sagging cheeks, jowl formation, loss of jawline definition, and prominent lower eyelid wrinkles and hollowness, contributing to a consistently tired appearance.

After a detailed consultation, we planned a multi-layered surgical approach to address both the midface and periorbital aging:

Upper Face & Brow–Eyelid Complex

  • Endoscopic browlift with ligament release and fixation
  • Corrugator/frown muscle release
  • Lower eyelid skin excision, fat repositioning, muscle suspension, and lateral canthopexy

Midface & Lower Face

  • Full facelift to lift the cheeks, soften the nasolabial folds, reduce jowl fat, and redefine the jawline
  • SOOF lift to restore midface volume and correct eye-area hollowness

This combined strategy aimed to restore youthful facial harmony while maintaining a natural and balanced expression.

Post-Operative Result

After surgery, Ms. Poo achieved significant rejuvenation across the upper, mid, and lower face. Her eyes appeared brighter, the brow position more youthful, and her facial contours noticeably firmer and smoother.

Patient Testimonial:

“The lifting result is amazing. The corners of my mouth, which used to turn downward, now look naturally elevated. I feel softer, fresher, and more like the best version of myself. Thank you, Dr. Jay.”

Ms. Ya Case Study

Case Summary:

Ms. Ya traveled from Hat Yai to undergo comprehensive facial rejuvenation surgery with me. Fifteen years ago, she previously underwent thread lifting but did not notice meaningful improvement. She later had a lateral neck lift around two years ago due to persistent concerns about neck laxity and her jawline. Unfortunately, the results were still unsatisfactory, prompting her to seek a more definitive and corrective approach.

Upon facial analysis, her concerns included:

  • Droopy outer eyelids that made the face appear sad
  • Deep nasolabial folds and sagging cheeks that contributed to an aged appearance
  • Hollow midface and prominent marionette lines
  • Downturned mouth corners and blurred jawline
  • Under-eye bags with wrinkles, making her look constantly tired
  • Neck laxity and double chin, particularly noticeable in side-profile photographs

After a thorough consultation, we planned a multi-layered surgical approach addressing the upper, mid, and lower face as well as the neck in a single comprehensive procedure. This included a full facelift, lower eyelid surgery, SOOF lift, and a complete V-Neck Lift program to redefine the jawline and restore the cervicomental angle.

Post-Operative Result

At her two-month follow-up, Ms. Ya returned with significantly more confidence and a bright smile. She shared that people around her—friends at the market, her hairdresser, and even casual acquaintances—kept asking what she had done because she looked so refreshed and youthful. This brought great joy to me and my entire team.

She also mentioned that she plans to return for a brow lift in the near future.

Patient Testimonial:

“The results look beautifully natural. My nasolabial folds and jawline are so much more defined, and I look younger without losing my identity. Thank you so much, Dr. Jay, for truly changing my life.”

Ms. Jeab Case Study

Ms. Jeab, 57 years old, traveled all the way from Alaska to undergo facial rejuvenation surgery with me. She had previously undergone several procedures over the years, including upper and lower eyelid surgery, rhinoplasty, thread lifting, and filler injections. However, as she approached her 60s, the most significant concern remained unresolved: the persistent sagging of her lower face and the pronounced double chin, which non-surgical treatments could never fully correct.

During consultation, several key issues became evident:

  • Drooping lateral canthus and a sad overall facial appearance
  • Deep nasolabial folds, sagging cheeks, and hollow midface
  • Prominent marionette lines and downturned mouth corners
  • Poor jawline definition
  • Noticeable submental and neck laxity from every angle

After a thorough facial analysis and treatment planning, we decided on a combined surgical approach focusing on both lifting and contouring:

  • Full Facelift to reposition the deeper structures, lift sagging cheeks, improve nasolabial folds and marionette lines, and redefine the jawline
  • V-Neck Lift Program to eliminate neck laxity through liposuction, deep fat removal, and corset platysmaplasty

Post-Operative Result

At just 7 days post-surgery, her swelling and bruising were remarkably minimal. Although final results typically refine over 2–4 weeks, her early outcome already showed a significantly fresher, more uplifted appearance.

Ms. Jeab had only a short stay in Thailand before returning to work, but during her follow-up visit at day 7, her expression and demeanor told the whole story — the heaviness under her chin was gone, her facial contours were more refined, and her confidence radiated through her eyes.

Patient Testimonial:

“It feels like not only my face was lifted, but my entire personality too. I used to avoid photos, but now taking pictures is fun. I feel more confident in how I dress as well. Thank you, Dr. Jay.”

Ms. Chu Case Study

Case Summary:

Ms. Chu, 64 years old, traveled from the United States 🇺🇸 (Seattle) to undergo facial rejuvenation surgery with me.

She had consistently taken care of her appearance through various non-surgical treatments and skin care over the years. However, as she progressed into his 60s, age-related structural facial sagging became increasingly evident, reaching a point where non-surgical approaches were no longer sufficient to address his concerns.

During our consultation, several key issues became apparent:

  • Drooping lateral canthus, resulting in a sad and fatigued facial expression
  • Deep nasolabial folds with sagging cheeks and midface volume loss
  • Pronounced Marionette lines with downturned mouth corners
  • Poor jawline definition
  • Significant submental and neck laxity, visible from both frontal and lateral views

After a comprehensive facial analysis and detailed treatment planning, we agreed on a surgical approach that focused on correcting the underlying structural causes while preserving a natural, age-appropriate appearance:

Full Facelift to reposition deeper facial structures, lift sagging tissues, soften nasolabial folds and marionette lines, and redefine the jawline

  • Endoscopic Brow Lift (Endosculpt Browlift) to elevate the brows and restore a more open, refreshed eye appearance
  • Glabellar frown line correction to soften a stern or tense look
  • Release of retaining ligaments along the brow margin and orbital rim to allow proper repositioning
  • Brow fixation using medical-grade devices (Fixtine / Endotine) for long-term stability and durability
  • Post-Operative Result


At just 7 days post-surgery, swelling and bruising were minimal. While final refinement typically continues over the following weeks, her early results already demonstrated a noticeably brighter, more refreshed appearance. The eyes appeared more open and approachable, facial contours were sharper, and submental fullness was significantly reduced.

Although Ms. Chu had limited recovery time in Thailand before returning to the United States, her postoperative visit at day 7 revealed the most meaningful outcome — not only visible facial improvement, but a renewed sense of confidence clearly reflected through his expression and demeanor.

Patient Testimonial:

“I used to feel uncomfortable taking photos. Now my face looks much brighter, and my overall appearance feels naturally improved. Thank you very much, Dr. Jay.”

Ms. Yupin Case Study

Case Summary:

Ms. Yupin, 71 years old, traveled from the United States 🇺🇸 (Florida).
 She previously underwent a facelift approximately 25 years ago, along with upper and lower eyelid surgery performed at the same time. At that stage of her life, the results were satisfactory and helped restore her confidence.

However, with the natural aging process over the years, age-related structural laxity gradually returned, particularly involving the eyes, midface, jawline, and neck. These changes began to significantly affect her confidence, prompting her to seek a comprehensive evaluation and long-term solution.

🔍 Preoperative concerns
– Drooping lateral canthus, resulting in a sad and fatigued facial appearance 😔
– Deep tear troughs with under-eye wrinkling and laxity 👁️
– Deep nasolabial folds with sagging cheeks and midface hollowing 📉
– Prominent marionette lines with downturned mouth corners and poor jawline definition 😕
– Significant submental and neck laxity, visible from both frontal and lateral views ⬇️

Following an in-depth consultation, facial analysis, and careful consideration of her previous surgical history 🧠📐,
I designed a Revision & Advanced Facelift plan focused on addressing the true structural causes of aging while prioritizing safety and achieving a natural, age-appropriate outcome.

🛠️ Procedures performed in this case

  • Full Facelift
  • Lower eyelid revision surgery
  • Excision of excess lower eyelid skin
  • Orbital fat transposition
  • Tear trough deformity correction
  • SOOF lift (Sub-Orbicularis Oculi Fat lift)

  • Lower eyelid muscle suspension
  • Lateral canthopexy
  • V-Neck Lift Program to correct submental and neck laxity
  • Submental and jowl liposuction
  • Deep fat removal
  • Corset platysmaplasty
  • Submandibular gland reshaving

Post-Operative Result


Despite this being a revision case involving multiple procedures, postoperative swelling and bruising were well controlled 👍.
Facial and neck contours became noticeably more defined, the eyes appeared more open, refreshed, and gentle ✨, and the overall facial balance looked significantly improved while remaining natural 📸.

At her follow-up visit, the most remarkable change was not only the physical improvement, but the return of confidence and relaxed expression that had been missing for years 😊.

Patient Testimonial:

“My face looks much brighter and less tired than before.
Both my eyes and neck look naturally improved.
Thank you very much, Doctor.”

✨ Facelift surgery
is not simply about reversing age,
but about restructuring and redesigning the face
to align with facial anatomy, skin quality, and quality of life
at each stage of aging.

Ms. Yupin Case Study

Case Summary:

Ms. Boonnak, 60 years old, traveled from Germany 🇩🇪 (Frankfurt).
Over time, she experienced progressive facial and periorbital sagging related to aging, particularly involving the eyes, midface, and jawline. These changes caused her overall appearance to look sad, tired, and less vibrant than she actually felt.
Despite consistent skin care, the underlying structural laxity could no longer be effectively addressed with non-surgical methods, leading her to seek a precise and comprehensive surgical solution.

🔍 Preoperative concerns
– Drooping lateral canthus and brow ptosis, resulting in a sad and fatigued facial expression 😔
– Deep tear troughs with under-eye wrinkles and prominent eye bags 👁️
– Deep nasolabial folds with sagging cheeks and midface descent 📉
– Pronounced marionette lines with downturned mouth corners and poor jawline definition 😕
– Significant submental laxity (double chin), visible from both frontal and lateral views ⬇️

After a detailed consultation and comprehensive facial structural analysis 🧠📐,
I designed a treatment plan focused on correcting the true structural causes of facial aging, aiming for results that are natural, harmonious, and appropriate for Ms. Toi’s age.

🛠️ Procedures performed in this case

  • Full Facelift
  • Lower eyelid surgery
  • Excision of excess lower eyelid skin
  • Orbital fat transposition
  • Tear trough deformity correction
  • SOOF lift (Sub-Orbicularis Oculi Fat lift)
  • Lower eyelid muscle suspension
  • Lateral canthopexy

Post-Operative Result

In the early postoperative period, swelling and bruising were well controlled 👍.
The eyes appeared more open, refreshed, and gentle ✨.
The midface was visibly lifted, facial contours became more defined, and submental fullness was significantly reduced 📸.

At follow-up, the most notable improvement was not only a fresher appearance,
but the return of confidence, reflected in a relaxed expression and natural smile 😊.

Patient Testimonial:

“Before surgery, my face always looked tired and sad, even when I didn’t feel that way.
After the procedure, my eyes look more open and my face feels brighter and more relaxed.
People tell me I look naturally refreshed — not tight or stiff, just comfortable and balanced.
I feel much more confident now.
Thank you so much, Dr. Jay.”

Ms. May Case Study

Ms. May, 64 years old

Prior to this surgery, Ms. May experienced progressive facial and neck sagging that became increasingly noticeable with age—particularly around the eyes, forehead, midface, and neck. These changes caused her overall appearance to look tired, tense, and fatigued, which did not reflect how she truly felt inside.

In the past, she had attempted multiple treatments, including minor aesthetic procedures, skin care, filler injections, and thread lifting. However, the results were not satisfactory or long-lasting. As aging progresses, all facial layers undergo descent simultaneously—including skin, fat, muscles, and even skeletal support—making superficial treatments insufficient for durable correction.
For this reason, Ms. May decided to seek a comprehensive evaluation and a definitive, structural solution.

🔍 Preoperative concerns

  • Brow ptosis, forehead wrinkles, prominent glabellar frown lines, and drooping lateral canthus, resulting in a tense and fatigued expression 😔
  • Deep tear troughs with under-eye wrinkles and prominent eye bags 👁️
  • Deep nasolabial folds with sagging cheeks and midface descent 📉
  • Pronounced marionette lines with downturned mouth corners and poor jawline definition 😕
  • Neck laxity with a central depression (Cobra neck deformity)
  • Significant submental laxity (double chin), visible from both frontal and lateral views ⬇️

After thorough consultation and detailed structural facial analysis 🧠📐,
I designed a Comprehensive Facial & Neck Rejuvenation plan, focusing on correcting the true underlying causes of laxity across all tissue layers, while maintaining a natural, harmonious, and age-appropriate result.

🛠️ Procedures performed in this case

  • Full Facelift
  • Lower eyelid surgery
    • Excision of excess lower eyelid skin
    • Orbital fat transposition
    • Tear trough deformity correction
    • SOOF lift (Sub-Orbicularis Oculi Fat lift)
    • Lower eyelid muscle suspension
    • Lateral canthopexy
  • Endoscopic Brow Lift (Endosculpt Browlift)
    • Glabellar frown line release
    • Release of retaining ligaments along the brow margin and orbital rim
    • Brow fixation using medical-grade devices (Fixtine / Endotine)
  • V-Neck Lift Program for neck and submental rejuvenation
    • Submental and jowl liposuction
    • Deep fat removal
    • Corset platysmaplasty
    • Submandibular gland reshaving

Post-Operative Result (4 Months)

At four months post-surgery, Ms. May’s results had nearly fully stabilized 👍.
Her eyes appeared more open, bright, and gentle ✨.
The midface was visibly lifted, jawline and neck contours became well defined, and the submental fullness she had long been concerned about was significantly improved 📸.

At follow-up, the most remarkable change was not only the refreshed appearance, but the return of confidence, reflected in a relaxed expression and natural facial harmony 😊.

💬 Patient Testimonial

Before surgery, my face looked tired and stressed all the time, even though I didnt feel that way inside. The bulging around my cheekbones when I smiled has also improved significantly. After surgery, my face feels more relaxed, my eyes are brighter and more open, and my jawline and neck look naturally defined. Nothing looks tight or artificial—it just looks comfortable and balanced. I feel much more confident now, both when looking in the mirror and when taking photos. Thank you so much, Dr. Jay, for taking such great care of me and designing a treatment plan that truly suited me.”

Ms. Ann Case Study

Case Summary:

Ms. Ann, 55 years old

Traveled from the United States 🇺🇸 (Texas)

Prior to this surgery, Ms. Ann experienced progressive changes in her upper and midface that became more noticeable with age—particularly involving the brows, eyes, and cheeks. These changes caused her overall appearance to look stern, tense, and more severe than how she truly felt.

In the past, she had undergone double eyelid surgery to address hidden eyelids. However, this resulted in the brows appearing closer to the eyes, which further accentuated a harsh and tense facial expression. She had also previously undergone lower eyelid surgery for eye bags, yet the results did not sufficiently restore brightness or balance to her eyes.

For these reasons, Ms. Ann decided to seek consultation with the goal of correcting the root structural causes of aging in the upper and midface, rather than focusing solely on the eyelids or superficial layers.

🔍 Preoperative concerns

  • Brow ptosis with lateral canthus drooping, creating a stern and tense facial appearance 😔
  • Hyperactive glabellar muscles, giving a constant worried or stressed expression
  • Early sagging of the cheeks, leading to imbalance in the midface 📉

After thorough consultation, facial structural analysis, and precise evaluation of brow–eye positioning 🧠📐, I designed a treatment plan focused on repositioning and rebalancing the upper and midface structures, aiming to soften harsh expressions and restore a gentle, refreshed appearance—naturally and in harmony with Ms. Ann’s age.

🛠️ Procedures performed in this case

  • Upper Face Lift
  • Midface Lift
  • Endoscopic Brow Lift (Endosculpt Browlift)
    • Glabellar frown line release to reduce a worried or tense expression
    • Release of retaining ligaments along the brow margin and orbital rim
    • Brow fixation using medical-grade devices (Fixtine / Endotine) for long-term stability

⏱️ Post-Operative Result – 1 Month

At one month post-surgery, the brows were positioned naturally and harmoniously. The eyes appeared more open, and her overall facial expression became noticeably softer and more relaxed ✨. The midface looked brighter and more balanced, without tightness or stiffness. Her expression transitioned from stern and tense to gentle, approachable, and comfortable 😊.

The most remarkable improvement at follow-up was not merely the change in brow or cheek position,
but the transformation of facial expression, which had a direct and meaningful impact on her confidence and overall presence.

💬 Patient Testimonial – Ms. Ann

Before surgery, my face always looked stern and stressed, even though thats not how I felt inside. After surgery, my face feels much more relaxed. My eyes are more open, my brows are in a very natural position, and my overall expression looks softer and friendlier. Most importantly, nothing looks tight or artificial. I feel much more confident now—both when I look in the mirror and when I talk to people. Thank you so much, Dr. Jay, for truly understanding my concerns and addressing them so precisely.”

✨ Facial rejuvenation surgery is not simply about looking younger, but about restoring balance to facial structure, so the face can once again reflect one’s true emotions, confidence, and authentic personality at every stage of life.

Ms. Jeab Case Study

Ms. Jeab, 50 years old

Traveled all the way from Ireland (Dublin) to undergo surgery with me ✈️🇮🇪

Previously, Ms. Jeab had undergone upper eyelid surgery twice due to hidden eyelid folds and drooping outer eye corners. She had also received thread lifting in the past because of concerns about sagging cheeks and loss of facial contour.

This visit was therefore a complete makeover. In addition to an extensive facelift procedure, Ms. Jeab also underwent abdominoplasty with liposuction during the same trip. Truly a comprehensive transformation completed in a single journey ✨

🔍 Preoperative Concerns

😔 A high forehead combined with brow and lateral canthal drooping, giving the face a constantly tense and fatigued appearance
👀 Prominent lower eyelid bags and deep tear troughs, causing the eyes to look tired
📉 Sagging cheeks with deep nasolabial folds and marionette lines, resulting in midface and lower-face imbalance
📐 Poorly defined jawline with neck laxity and submental fullness

After an in-depth consultation, facial structural analysis, and precise evaluation of the brow–eye–neck relationship 🧠📐, I developed a surgical plan focused on repositioning and restoring the facial structures of the upper, mid, and lower face, while simultaneously addressing periorbital and neck concerns.

The goal was to restore a softer, brighter, and more harmonious facial appearance, achieving results that look natural and are appropriate for Ms. Jeab’s age.

🛠️ Procedures Performed

Full Facelift

  • Upper face lift
  • Midface lift
  • Lower face lift

Upper Facial Proportion & Periorbital Rejuvenation

  • Forehead reduction
  • Lower eyelid surgery
  • Excision of excess lower eyelid skin
  • Orbital fat transposition
  • Tear trough deformity correction
  • Sub-Orbicularis Oculi Fat (SOOF) lift
  • Lower eyelid muscle suspension
  • Lateral canthopexy

V-Neck Lift Program – Advanced Neck Contouring

  • Submental and jowl liposuction
  • Deep fat removal
  • Corset platysmaplasty
  • Submandibular gland reshaving

⏱️ Postoperative Outcome

The brows, eyes, jawline, and neck are positioned naturally and harmoniously. The eyes appear more open and refreshed ✨ The midface and lower face are lifted and well-balanced without a tight or artificial look. The neck is smoother, and the jawline is significantly more defined.

The most remarkable improvement is not only the facial contour, but the transformation of facial expression.

From a previously tense, fatigued appearance, her face now conveys softness, relaxation, and approachability 😊

💬 Patient Testimonial – Ms. Jeab

“Before surgery, my face always looked tired and older than I felt. Even though I still felt youthful inside, it didn’t show on my face. After surgery, the change is very clear. My eyes look more open, my face no longer appears tense or harsh, and my neck and jawline look smooth and well-defined. Most importantly, everything looks very natural—not tight or artificial at all. I truly feel much more confident. Thank you so much, Dr. Jay, for understanding my concerns and taking such meticulous care of me.”

Ms. Lay Case Study

Case Summary:

Ms. Lay, 52 years old

Traveled from Australia (Melbourne) to undergo facelift surgery with me ✈️🇦🇺

Ms. Lay previously underwent upper eyelid surgery approximately 10 years ago due to hidden eyelid folds and asymmetry of the eyelids and brows.
However, she still felt that her eyes appeared small and that the brow position remained unbalanced.

As she entered her 50s, she began to notice increasing cheek sagging, deepening nasolabial folds, and more prominent marionette lines.
Her friends also commented that her jawline was no longer well-defined, and her face no longer looked as slim and V-shaped as it did when she was younger.
This led her to seek facelift surgery to restore facial slimness and achieve a more defined V-shaped contour.

🔍 Preoperative Concerns

😔 Sagging cheeks with midface laxity
📉 Deepening nasolabial folds and pronounced marionette lines, contributing to an aged appearance
📐 Poorly defined jawline, resulting in loss of facial slimness

After a thorough consultation, detailed facial structural analysis, and careful evaluation of facial and neck laxity 🧠📐, I developed a surgical plan focused on repositioning and restoring the facial structures of the upper, mid, and lower face, combined with lateral neck lifting, to enhance facial slimness, improve jawline definition, and achieve a natural V-shaped appearance appropriate for her age.

🛠️ Procedures Performed

Full Facelift

  • Upper face lift
  • Midface lift
  • Lower face lift

Neck Contouring

  • Lateral neck lift

⏱️ Postoperative Outcome

The midface and lower face appear naturally lifted and well-balanced. Nasolabial folds and marionette lines are visibly softened. The jawline is more defined, and the face appears slimmer with a clear V-shaped contour ✨ The neck appears firmer, complementing the improved facial contour seamlessly.

The most noticeable change is not only the facial shape, but the overall facial expression.

From a previously tired and aged appearance, her face now conveys freshness, confidence, and a naturally rejuvenated look 😊