CASE DESCRIPTION: This is a 47-year-old resident of Santa Rosa, California who presented to the Novato office in Marin County, California for evaluation for a lower facelift. She underwent a lower facelift with SMAS plication to improve the fullness of her face and platysma, or neck muscle. tightening. Her procedures were performed at Marin Cosmetic Surgery Center in Marin County, California. The photographs are seen approximately one year after her facelift surgery.