A 55-65 yo female complaining of heavy jowling and loss of neck definition. I suggested she undergo a face and neck lift to improve her neck and jawline. I also advised that we augment her cheeks to rejuvenate her midfacial area with a fat transfer. She underwent a face and neck lift with a fat transfer to her cheeks and nasolabial areas. Her procedure took about 2 hours without general anesthesia. Her post op results show a wonderful improvement in her neck and jawline with a youthful elegant neck profile and softening of her nasolabial lines.