I have always said and taught other plastic surgeons that “the more beautiful the neck, the more graceful the face.” It is something I always remember when I perform facelifts and neck lifts. Indeed, the two go hand-in-glove. Aging of the neck begins to become visible, sadly, in the late 20’s. Often, it is just a glimpse of a slight pouch on the side of the mouth, a little fullness where, soon enough, a jowl will manifest itself. Sometimes, it is just a little puffiness below the chin, an early fold of skin or band of muscle in the neck. By the 30’s and 40’s, such changes advance, not helped by the inevitable injury caused by ultraviolet light. The fact that most of us forget to protect the skin of the neck and chest with sunscreen conspires to exacerbate the aging changes, with thicker, more sun-damaged skin, fine and medium wrinkles, brown and red spots, broken vessels and lack of elasticity. For too long, surgeons have concentrated on performing facelifts, but neglecting the importance of paying just as much attention to the neck and chest. Surgically as well as with lotions, potions and lasers to improve the condition of the skin.