Hi Knitwitch. You do look wonderful. I had a full facelift in July, 2009 from Dr. Koelliker and it was not so successful in terms of longevity. I was told recently that there was only a one year guarantee and if have you had lost a lot of weight in the past before surgery as I had the flaccidity of the skin is not good and things may sag. Sagging around the jowls and under the chin after 3 years is not positive after all the expense. Further I would not recommend anyone pay extra for dermabrasion of the lips if the goal is to remove lip lines. It doesn't work and it's painful. Other than my own reality I would say that Dr. Koelliker is a fine surgeon and the treatment and care at Case Marino first rate.