This is a facelift and neck lift case for a woman in her early sixties, performed 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 to achieve the result. That approach distributes the work across a deeper anatomical plane, which is why it's commonly chosen for patients at this stage of facial change. The after photo was taken six months post-op, a point at which residual swelling has resolved and the tissues have fully settled into their new position. Results vary from patient to patient.