Before & After Gallery

Catherine's Kelm Journey

BEFORE
AFTER

Meet Catherine, Age 67

At 67, Catherine is a beautiful example of how facial rejuvenation continues to improve with time.

She came to Clinic 5C Cosmetics wanting to look less tired, especially around the eyes and midface, while still looking completely like herself. Her goal was not dramatic change, but a refreshed, lighter appearance that reflected how she felt on the inside.

Now, six months into healing, her results have settled beautifully and will continue to refine over the next year.

Before Surgery: What Brought Catherine In

Like many patients in her age group, Catherine was experiencing changes that made her look fatigued even when she felt well rested. Heaviness in the brows and eyelids, under-eye fullness, and midface descent were creating a tired, weighed-down appearance.

She was not interested in short-term fixes or overcorrection. Instead, Catherine wanted a thoughtful, comprehensive approach that addressed the underlying structure of the face and supported long-term harmony.

Our Philosophy and Surgical Approach

Catherine’s surgical plan was designed by Dr. Ryan Kelm with a restorative mindset. The focus was on balance, structure, and natural aging rather than surface-level tightening or isolated treatments.

Each component of her plan worked together to support a cohesive, timeless result.

Key Areas Addressed

Brows and Upper Eyelids
Catherine’s brows and upper eyelids were heavy, with significant eyelid drooping, also known as ptosis, which made her eyes appear smaller and fatigued. There was also notable hollowness in her upper lids. Advanced techniques were used to restore openness and brightness while ensuring everything blended naturally. Extra attention in this area was essential for achieving a soft, refreshed look rather than a hollow or overcorrected result.

Lower Eyelids and Under-Eye AreaProminent lower eye bags contributed to a blunt transition between the lower eyelid and cheek. These were treated scarlessly using fat transposition, which smoothed the under-eye area while also supporting the midface. This helped eliminate the tired appearance without creating a flat or unnatural contour.

Midface
A midface lift restored Catherine’s youthful cheek position and softened the transitions beneath the eyes. This step was key in reestablishing natural facial flow and preventing the hollowed look that can occur when the midface is not addressed.

Face and Neck
A deep plane face and necklift reestablished natural facial structure and definition. This technique allows for repositioning of deeper tissues, resulting in a refreshed appearance without a tight or pulled look.

Lips
A subtle lip lift improved symmetry, balance, and youthful proportion around the mouth. The goal was refinement rather than exaggeration.

Skin Quality and Volume
Stem cell rich fat transfer and laser resurfacing were used to improve Catherine’s skin quality, tone, and overall radiance. At six months, the transferred fat is still maturing and will continue to settle over the next 6 to 12 months, further enhancing her results.

Six Months Post-Procedure

At six months out, Catherine’s skin tissue has settled beautifully. The result is refreshed, balanced, and timeless, with improvements that look natural and continue to age gracefully. Further refinement will continue as healing progresses over the coming months.

Final Thoughts

Catherine’s journey highlights the power of a comprehensive, structure-focused approach to facial rejuvenation. By addressing the true drivers of aging and respecting each patient’s natural anatomy, results can remain subtle, elegant, and long lasting. Ready to start your own journey towards matching your inner energy with your outward appearance. Start your journey with Clinic 5C today.

Ryan C. Kelm, MD
Fellowship Trained Cosmetic Surgeon

Ready To Start Your Journey?

Contact us
Spokane Clinic (Main Floor)
510 S Cowley St
Spokane, WA 99202
Phone: (509) 252-1299
Spokane Clinic (Downstairs)
511 S Pine St Suite A&D
Spokane, WA 99202
Phone: (509) 362-9937
Fax: (844) 961-3417
Coeur d’Alene Clinic
Opening Soon
Coeur d’Alene, ID 83814
We use cookies to improve your experience on our website. By clicking “Accept all’, you agree to the use of all cookies. More information