This is a very attractive 55-year-old who wanted correction of the sagging skin under her neck. She felt that this was a “family trait”. Her examination showed very little aging changes of her forehead and mid-face, but sagging skin in the jowls and below the neck. In addition, she had a very under-projected chin, leading to a look of strain to hold up her lower lip. Her neck aging changes were more pronounced than in the rest of her face, primarily due to the short chin. Her facelift included removal of the fatty tissue and tightening of the muscle and skin layers under the neck. The chin projection was increased with a chin implant. This restored a look of balance to her face, allowed the muscles of the chin to relax and allowed for more definition of the jaw line.