Congratulations on your remarkable achievement of losing 100 pounds! I have noted in the images that you have shared: • Moderate volume in the mid-face with some laxity. • Laxity along the jawlines. • Visibility of the nasolabial and marionette lines. • Volume excess and laxity under the chin. A combination of a deep plane facelift and a deep plane neck lift can effectively address these concerns. This approach offers a comprehensive solution by targeting the deeper structures of the face and neck. Here’s how these procedures can help: 1. Deep Plane Facelift: This technique repositions the deeper tissues of the mid-face, reducing volume along the jawline and laxity. It can improve the appearance of nasolabial folds and marionette lines by lifting and tightening the underlying muscles and tissues. This results in a more youthful and rejuvenated appearance. 2. Deep Plane Neck Lift: This procedure involves the reduction of deeper structures, including fat, muscle, and submandibular glands, under the chin. It addresses the volume excess and laxity, providing a more defined and contoured neck and jawline. By combining these two procedures, the volume reduction under the chin and along the jawline can be achieved, along with the repositioning and tightening of tissues. This comprehensive approach can reverse the majority of the issues you are concerned about, providing significant improvement in the overall contour and appearance of your lower face and neck. I recommend discussing these options with a qualified surgeon who specialises in deep plane techniques to explore the best course of action for your desired outcome. They can provide detailed insights into the procedures and tailor a treatment plan specifically for you.