This is a 57 year old woman with a history of facial aging and concerns about her lower neck and eyes. Specifically she was unhappy about how full her neck was and how her neck lacked definition. In addition she felt the excess skin of her upper and lower lids made her tired. On exam, her lower face demonstrated both skin laxity and soft tissue descent of the lower face and neck with excess fat of the central neck. Her upper and lower lids demonstrated an excess of skin without excess fat. She underwent a lower face and neck lift with neck liposuction and upper and lower lid blepharoplasty. She did very well after surgery with minimal bruising and swelling. At 2 weeks after surgery, her bruising and swelling are nearly resolved. She has a nice correction of her neck laxity with improved definition of her neck. In addition, she is happy with how bright her eyes look.