This patient has experienced significant skin aging. To achieve Total Facial Rejuvenation, Dr. Chernoff a face and neck lift to add volume back to her mid-face, correct sagging skin, improve jowls, and give her back neck definition. Additionally, Dr. Chernoff performed a series and multiple types of laser treatments to improve her skin tone and quality. The combination of fractional CO2 and MicroNeedle RF improved the skin tone and provide tightening to upper and lower eyelids. Dermal filler was used to make additional improvement for the lines around her mouth and on her mid face. This patient will maintain her skin quality with MicroNeedle Radiofrequency treatments along with other laser skin rejuvenation treatments, Botox, and dermal filler.