65 year old patient from Portland Oregon came to Dr Lee to discuss her neck.  She felt that it did not fit the rest of her body and her face . She had a significant weight loss in the past. Her neck did have significant excess skin and marked looseness. She also had some hollowing of the mid cheek area and deep nasolabial folds and marionette lines. The patient wanted a very natural and age appropriate look. After consultation with Dr Lee she decided on a necklift. Dr Lee also did some fat transfers to different areas of the face. The patient is very happy with the results of her surgery.