This patient in her early 60s was bothered by her jowls and her nose. She underwent a rhinoplasty with Dr. Guy involving removal of a slight hump, narrowed the tip of the nose with inter and intradomal sutures, deprojected the nose, cephalic trim, and lateral osteotomies. She also underwent a cheek and neck lift with platysmal myectomy of the front of her neck. In the after photos you can see how her nose is more proportional to her face and how her jawline is cleaned up and more defined.