A very fit 68-year-old female presented to our Beverly Hills office wishing to improve a stubborn pocket of loose skin beneath her neck. After a cosmetic consultation, we recommended a neck lift to address this laxity. While some patients have under neck fullness in addition to loose skin and are good candidates for liposuction, because her problem was related to simply extra skin, a surgical approach to remove this excess was ideal. Through a minimally invasive procedure, her extra skin was removed and neck muscles tightened, keeping all scars hidden behind her ears and in her hairline behind the ears. Just 10 days after her neck lift surgery, she is thrilled by her improved contour and her tight under-neck skin.