This 56 year old female disliked the sagging and heavy appearance of her neck and lower face. She was treated with a face and neck lift using a SMAS-based tensioning of the cheek and platysma-based tensioning of the neck. The skin redraped nicely over the improved facial shape. The surgical scars are almost invisible just 6 months after surgery. Her surgery was completed by Dr. Scott Sattler of Seattle WA.