Alexandra got mine back to me on Sunday and her assessment was basically "grind down your brow ridge and temporal ridge, and open the eyes with a minor orbit reduction. Hair transplants in the corners wouldn't hurt but it's minor so that one is optional." The nose tweak she did was merely to show how little effect it would have and that it was likely not going to be worth the pain. The lip lift was another optional that was demonstrated but she does not feel that it adds enough to be worth the pain or scar. (I definitely agree on the nose, but I kind of like the lip lift look. It might be a little too young of a look for somebody pushing 40 though)
So what we have here from left to right is the before (well, before with beard shadow removal for the front view because the one I sent her looked ROUGH as it was taken shortly after a laser treatment and I was inflamed) then hairline correction in the corners plus temporal ridge reduction and brow ridge reduction, then the same with a small lip lift and nose tip lift.
The really interesting thing for me is how she is very much against a hairline advancement for me, and after seeing these pictures I definitely agree. Dr. Dulin suggested doing one, but I think that's out of habit more than anything but I will insist on him not doing an advancement or I'll find another surgeon. I'm going to hold off on hair transplants in the corners as well as they are starting to fill in on their own already a little (remember these shots are from two months ago).