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The neck changes as we age, and whether it's related to age, whether it's to fitness, obviously it's genetics that really can cause the changes to someone as they age. We really want to focus on the deep layer structures to re-shape the deep layer. We need to look at the platysma, which is the muscle underneath the skin and then the fat overlying the platysma to remove or add to those areas, and then re-draping the skin envelope.
Someone with a lot of extra skin in the neck, they really need to focus on the deep layer support in the neck and in the face, so that the skin can be re-draped very nicely without distortions. That can be seen with people particularly as they get older after a facelift with the lines and distortions that can occur as the skin volume decreases.
It really requires a detailed approached to contouring the fat there, re-supporting the structure of the neck and the face, and then re-draping the skin so that the hairline, the ears, the jawline all look natural in all points of movements. Whether you're looking down, to the side, looking up, that the face looks beautiful.