This is a 53-year-old woman who has presented for discussion of facial and neck rejuvenation. She has an upcoming family event and desires to have a dramatic improvement in the appearance of her face and neck. She was bothered by loose skin in the neck and by fat underneath the chin. Surgery: Neck lift platysmaplasty, neck liposuction and total face dermal chemical peel. Diagnosis: Facial aging and neck aging and neck lipodystrophy.