This is a 60 year old women who felt her neck has begun to age prematurely in comparison to the remainder of her facial features. She had a detailed consulation with Dr. Neaman about facial rejuvenation and elected to proceed with a full face and neck left to address her concerns. He under went a SMAS flap rhytidectomy with neck lift and platysmal plication. She is shown 3 months post-operatively.