Case Details: The patient is a 73 y. old female presenting with right breast cancer as well as lower lip lesion and desire for rejuvenation of the eyes. S/p right mastectomy and pre-pectoral implant reconstruction with fat grafting and nipple reconstruction and left breast lift. Also quad blepharoplasty (upper and lower eyelids) with fat re-draping and excision of lower lip lesion (several surgeries).