Before & After Gallery

Annie's Nia Journey

BEFORE
AFTER

Meet Annie, Age 64

Two months after her surgery, Annie said she felt (and looked) like a version of herself from twenty years ago.

What stood out most to her was not just the physical transformation, but the confidence that came with it.

“I used to hate getting on Zoom… now I log in early just to admire how good I look.”

Annie’s Journey Before Surgery

At 64, Annie wanted her outer appearance to better reflect how young and vibrant she felt inside.

Her biggest concerns were the heaviness of her eyelids and the sagging of her neck and lower face. Y

ears of volume loss, scarring from previous procedures, and filler that no longer served her goals had left her feeling less like herself.

Her lower eyelids, in particular, were structurally weakened and scarred, making them one of the most technically complex aspects of her case.

Annie knew she needed an advanced, comprehensive approach to address these concerns while preserving her natural look.

Prepping for Surgery: Comprehensive Rejuvenation

After careful consultation with Dr. John Nia, Annie felt confident moving forward with a full facial rejuvenation plan.

She wanted a result that was more than just the sum of its parts. She wanted a complete refresh that restored harmony across her entire face.

What gave Annie confidence was knowing that Dr. Nia’s approach would be both invisible and scarless wherever possible, allowing her to achieve dramatic yet natural results without visible signs of surgery.

Watch Annie's 5-Month Recovery Update on Instagram Reels

Our Surgical Plan

Annie’s comprehensive plan combined multiple advanced procedures:

  • Invisible Access Temporal Brow Lift to reset her brow position and open her eyes
  • Upper Eyelid Surgery (Blepharoplasty) with volume restoration for brightness and smoothness
  • Scarless Ptosis Repair to correct subtle eyelid drooping
  • Revision Scarless Lower Eyelid Surgery with lower lid tightening (canthopexy) to rebuild stability and create a smooth eyelid–cheek transition
  • Deep Plane Lip Lift with Corner Lift to refine the mouth area, a challenge given prior lip tattooing
  • Preservation Deep Plane Facelift and Neck Lift with deep neck contouring and gland reduction to tighten and redefine the lower face and neck
  • Manual Filler Removal from the upper lip, lower lids, and mid cheeks
  • Stem Cell Rich Fat Transfer to restore natural volume and support regenerative healing
  • Fractional Ablative Laser Resurfacing to improve skin texture and quality

Together, these elements provided a truly comprehensive approach to facial rejuvenation.

The Results So Far

The transformation was clear even at the two-month mark.

Annie’s eyelids were brighter and smoother, her cheek–lid junction flowed seamlessly, and her neck looked firm and youthful.

Despite the challenges posed by prior scarring, the results were natural and balanced, achieved without any external incisions.

At five months, Annie’s confidence was undeniable. She described the process as life-changing, sharing: “You took such good care of me… I don’t think you would’ve treated me better if I were family. This process was actually fun, and the results have truly changed my life.”

Her healing was further supported by the optimized recovery program at Clinic 5C Functional Medicine, where she used modalities such as hyperbaric oxygen therapy, red light, and PEMF to accelerate her recovery.

Annie’s journey is a testament to the power of precision surgery combined with regenerative support: a result that is greater than the sum of its parts, and one that reflects her youthful, energetic spirit.

John Nia, MD
Mohs Surgeon, Board-Certified Dermatologist, Cosmetic Surgeon

Ready To Start Your Journey?

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510 S Cowley St
Spokane, WA 99202
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511 S Pine St Suite A&D
Spokane, WA 99202
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1334 N Whitman Ln, Suite 200
Liberty Lake, WA 99019
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