This 70 year old female from Youngtown, Arizona was displeased with the aging of her face, particularly the appearance of jowls and the deep folds between her nose and mouth, known as nasal labial folds. The facial filler Restylane was used to treat the vertical lines between the patient?s eyebrows, as well as the lines around her mouth. The filler Perlane was used to fill in the nasal labial folds. After the fillers were injected, the patient underwent a facelift. She is pleased with her results and is excited to have lost the jowls that made her so self-conscious.