63 year old woman, Del Mar, CA wants big jowls and sagging neck improved, mainly because she doesn’t like her appearance in photographs. She emphatically requests “no pulled appearance,” minimal change, a smooth jawline, no more hanging jowls, and still wants to “look like herself” after surgery. She does not want lower eyelid rejuvenation, despite the potential for improvement in this area.  She had conservative lower facelift, necklift, and chin implant. Photograph six months after procedure.
