This patient in her mid 50s was bothered by her neck and jowls. She didn’t realize her chin was small which was creating some of her neck problems. This was demonstrated to her at her consultation. She underwent a cheek and neck lift with a platysmaplasty and a chin implant under local anesthesia in the office. In the after photos, taken 3 months after surgery, you can see the better neck line and cheek lines. For her chin it is still feminine but creates a much better balance for the rest of the face.