This 36-year-old woman is shown before and 1 year after an extended deep-plane facelift, deep neck lift, and medium chin implant. Dr. Lam’s deep neck lift involves sculpting the deep neck structures including the deep fat compartment, digastric muscles, and partial shave of the submandibular glands. For individuals below 40 years of age, he can perform an isolated deep neck lift without the deep-plane facelift but this individual already showed early jowling, so he felt that it would be more preventative to perform a combined deep-plane facelift as well.