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Preop and 4 months post op photos. This is a 56 yo female who presented primarily with complaints of skin excess and laxity in her neck. Often times the degree of laxity and facial aging is consistent from the upper face to the neck and it is not advisable to do a necklift alone as a noticeable transition zone between the treated area and non-treated area will become apparent. However, in this patient her neck had shown signs of aging much faster and to a greater degree than her upper face. Therefore, she underwent an extended necklift with platysmaplasty (tightening of the muscle in the neck) and full re-draping of the neck and lower face skin.