A 49-year-old female patient from the United States contacted our clinic to discuss facial rejuvenation surgery. Before traveling, we held an online consultation to understand her expectations, evaluate the areas she wished to improve, and plan a treatment approach tailored to her facial anatomy.
The surgical plan included a natural-looking brow lift, transconjunctival lower eyelid surgery, fat transfer to the midface, and a deep plane face and neck lift.
The aim of the procedure was to address several signs of facial aging while maintaining the patient’s natural facial identity. The brow lift was planned to create a subtle elevation without producing an overly lifted appearance. The transconjunctival lower eyelid approach was used to improve the appearance of the lower eyelid area through an incision placed inside the eyelid, helping avoid an external skin scar in this region.
Fat transfer was also performed to restore volume in the midface, where age-related volume loss can contribute to a tired or hollow appearance. In addition, the deep plane face and neck lift was used to reposition deeper facial tissues and improve the contour of the jawline and neck.
The photographs below show the patient’s 4-month postoperative result. At this stage, much of the early swelling has resolved, although facial tissues can continue to soften and settle over the following months.
Both the patient and our surgical team were very pleased with the progress at the four-month follow-up. The overall goal was to achieve a refreshed, balanced, and natural-looking facial appearance rather than an artificial or overly tightened result.
As with all facial rejuvenation procedures, healing and final outcomes vary between patients.

Op. Dr. Erman Ak is an internationally experienced specialist known for facial, breast, and body contouring surgeries in the field of aesthetic surgery. With his natural result–oriented surgical philosophy, modern techniques, and artistic vision, he is among the leading names in aesthetic surgery in Türkiye. A graduate of Hacettepe University Faculty of Medicine, Dr. Ak completed his residency at the Istanbul University Çapa Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.
During his training, he received advanced microsurgery education from Prof. Dr. Fu Chan Wei at the Taiwan Chang Gung Memorial Hospital and was awarded the European Aesthetic Plastic Surgery Qualification by the European Board of Plastic Surgery (EBOPRAS). He also conducted advanced studies on facial and breast aesthetics as an ISAPS fellow at the Villa Bella Clinic (Italy) with Prof. Dr. Giovanni and Chiara Botti.
Op. Dr. Erman Ak approaches aesthetic surgery as a personalized art, tailoring each patient’s treatment according to facial proportions, skin structure, and natural aesthetic harmony. His expertise includes deep-plane face and neck lift, lip lift, buccal fat removal (bichectomy), breast augmentation and lifting, abdominoplasty, liposuction, BBL, and mommy makeover. He currently provides safe, natural, and holistic aesthetic treatments using modern techniques in his private clinic in Istanbul.


