Patient who wants a change in facial appearance without looking overly pulled or lifted. Notice how the prejowl area is improved, the neck bands are improved and the face looks overall refreshed without looking surgical. This natural approach is created by Dr. Anil Shah in part by his muscle lifting technique which removes tension on the skin and allows for a more physiologic draping of the muscle on the face. All photographs have been unaltered, and are the original work of Dr. Anil Shah. Facelift 1 year result.