The patient is a woman who is dissatisfied with her brow position and the laxity in her neck. She has minimal jowls and has tight skin overlying her face. She is best served with an anterior hairline brow lift to ease her central tense look and a platysmaplasty via an incision hidden beneath her chin to redrape her neck skin and musculature. With later aging, she plans a facelift to address her jowl and eventual greater skin laxity.