Preoperative view ; patient presented with irregular, blotchy pigmentation, especially of the cheeks. Glabellar, lateral orbital, nasolabial, and geniomandibular rhytids are seen. Chin rugae are present, and the lower vermilion border is poorly demarcated. (Above, right) View 7 months postoperatively. There is vast improvement in all parameters: texture, tone, pigment, rhytids, and rugae. (Below, left) View 13 months postoperatively. There is slight lateral cheek rhytid recurrence. All other areas retain improvement. (Below, right) View 33 months postoperatively. Compare with above, left. The mouth, chin, and glabella retain improvement. Lateral cheek rhytids and crow’s feet show some recurrence.