I was seventy-years-old and very unhappy with my saggy neck and, to a lesser degree, my face. I spoke to two plastic surgeons and each of them offered a variety of set menus to choose from.
Doctor Del Vecchio was entirely different. He looked closely and carefully at my face saying, “You’ve lost a lot of weight.” True: six pounds a year for the last seven years until I was at last at my desired body weight except that my face was gaunt. His proposal: add some fat to my face.
Again he looked at my face and said that my overbite could be offset by a small chin implant, showing me before and after photographs of actual patients to provide a basis for comparison. The added fat and the chin implant would enhance the structure over which he would tighten my skin. His analysis made perfect sense to me, saying that even as he spoke the words.