63 year old patient from Portland Oregon came to see Dr John Lee for a consult regarding her neck appearance and wished to improve her neck contour. She did have signifcant laxity of skin in the mid and lower face and heavy jowls causing deepening of the marionette lines.  There was a loss of neck angle with a line going straight from her chin down to the lower neck area. Dr Lee performed a necklift with fat transfers to the tear troughs, upper cheeks, nasolabial folds and chin depression. Patient looks fantastic and is very happy with her results especially her new neck contour.