This beautiful patient was bothered by generalized facial aging, she pointed out laxity in her lower face and stated she felt tired and droopy. After a thorough consultation with Dr. Pennington, it was noted she had been using filler (placed by another provider) to try to reverse the signs of aging but noted minimal improvement. Dr. Pennington suggested considering surgical intervention when filler provides minimal improvement. She suggested a lip lift, which is a procedure that involves removing a small strip of skin from beneath the nose to shorten the distance between the nose and upper lip, which lengthens as we age and cause the upper lip to turn in and appear smaller. The lengthened upper lip can contribute an aged face. The perioral area is commonly ignored by surgeons and over filled by injectors, leading to an unnatural and disproportionate look, due to its difficult nature to address. The filler placed above her lip previously to disquiet wrinkles, causing her to appear disproportionate was dissolved by Dr. Pennington. She then underwent a lower face lift and lip lift. The patient now has fantastic upper lip show without any need for filler less fullness above the lip that can cause that “Bart Simpson” look and great improvement to her lower face proportions: she looks natural, balanced, and refreshed!