This healthy 54-year-old woman was dissatisfied with the appearance of her lower face and neck. She felt that skin laxity in these areas contributed to a more aged look and desired a refreshed, youthful appearance. She underwent a facelift (rhytidectomy) with neck muscle tightening (platysmaplasty). Following the procedure, she was much happier with the appearance of her lower face and neck, feeling she achieved her goal of a more youthful look. The after photos, taken twelve months post-procedure, showcase her progress.