Cosmetic Concern: 58-year old man who is concerned about looking fresher and younger. Diagnosis Forehead wrinkles. Severe eyebrow ptosis. Herniated lower eyelid orbital fat Midface ptosis. Facial wrinkles. Neck cords. Treatment: Endoscopic forehead lift. Midface lift over hand carved orbital rim... implant. Full-face chemical peel. Discussion: Note that his surgical results are very natural. He did not get all of his surgeries at once but rather had them over a period of 2 years to avoid calling attention to the fact that he was getting cosmetic surgery. He was able to ease into his new, fresher look without others being aware of what he was doing.