This is a facelift and neck lift case performed on a 65-year-old woman using the SMAS technique. With an SMAS facelift, the surgeon works beneath the skin to reposition the deeper muscular and fascial layer of the face, rather than relying on skin tension alone. That approach addresses the mid-face and jawline more thoroughly than a skin-only lift would. The before photo shows a three-quarter oblique view; the after photo, taken at six months post-op, is shot from a similar angle and shows the neck contour and lower face with surgical swelling fully resolved. Six months out, you're seeing a settled result rather than an early one. The after photo documents where this patient's outcome stood at that point in her recovery.