This beautiful 54 year old woman is just shy of 1 year out from a traditional deep plane face and neck lift surgery without any submental work. The digastric muscles, submandibular glands and deep fat pads make up a large portion of the bulk under the chin seen on the lateral views. These are normal structures. A face and neck lift can be done by lifting the platysma and SMAS up around these structures to create smoother contours and a fully natural neck line without a sculpted look. Add a lip lift and a little CO2 laser resurfacing and you can see the improved skin of the upper lip and chin with a softer lifted upper lip. All subtle and natural giving a radiant result for this beautiful woman.