I asked my PS for a necklift and he explained that it wouldn't work without a full face lift. From his brochure and explanations, I thought he meant a deep plane lift or a SMAS for the face and a platysmaplasty for the neck. When I noticed after 6 weeks that I was getting folds back next to my mouth, jowls and sagging skin at my neck I asked my PS and he told me he gave me a "modified MACS" and platysmaplasty & removed excess skin. I also had 2 large hematomas on my left cheek and neck.UPDATE 01/04/2018 - "before" photos added