Six months after a facelift and neck lift, you're looking at the result for a woman in her mid-seventies. The procedure used an SMAS technique, which works at the level of the muscle and connective tissue layer beneath the skin rather than relying on skin tension alone. Addressing that deeper layer allows for repositioning of facial tissue with less strain on the skin surface. In the after photo, the jawline and neck contour are visibly cleaner, and the skin across the lower face sits more smoothly. The cheek area shows fuller projection compared to the before image. Swelling and redness visible in the six-month photo are consistent with ongoing healing at that stage.