This gentleman in his mid-50s came for a discussion about rejuvenating the neck region, which he felt was becoming increasingly heavy with age. He had a history of Bell’s palsy, which had left him with some loss of movement on the left side and tightness. His pattern of hair loss made it vital to carefully conceal the incisions. He underwent a combination of rejuvenation procedures including a deep plane face and neck lift, gliding browlift, upper and lower blepharoplasty. In addition, a selective neurectomy of the cervical branch of the facial nerve was performed to reduce tightness in the neck – notice how the left platysma band has disappeared after surgery. At 1 year follow-up, he was thrilled with the change.