45-54 year old female who was concerned about looking older, specifically the sagging, extra tissue around the mouth (jowls) and below the jaw. Also, the patient was concerned about having a poorly defined jawline. The patient underwent a facelift and neck lift for facial rejuvenation. As you can see from the post-operative photos, the patient has improvement in the jowls and jawline aesthetics. The face resembles the shape of a heart rather than a boxy appearance as seen in the pre-operative photos. The neck line is tight and crisp.