This 37 year-old lady underwent was bothered by fullness under the neck and an obtuse neck contour – an issue throughout her life that was independent of weight fluctuations. A deep neck lift was performed to create a more youthful neck contour. Through this approach a reduction of the deep tissues including the submandibular glands, anterior belly of digastrics and deep seated fat was achieved through a small submental (under the chin) incision. In addition, an incision behind the ear enabled the platysma muscle to be tightened and suspended giving an extra sharp and youthful contour. An improvement in jawline definition has also been achieved without having to perform a facelift – just through platysma suspension. At 8 months, she was thrilled with the change and improved confidence.