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A 39 year-old lady troubled by her side profile (excessively projected nose and poorly defined neck contour) underwent a combination of procedures including chin a short scar neck lift, ultrasonic rhinoplasty and fat grafting to the chin to improve facial harmony and feminise the side profile. At 4 months, the increased neck and jaw contour definition is readily apparent as well as the more feminine nasal profile delivering an overall improvement in facial balance.