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This attractive woman was unhappy with her profile and sagging lower face and neck tissue. In our office, under local anesthesia and oral sedation with valium, we comfortably performed a chin augmentation with a modified lower facelift (minilift). Her results were quite impressive with re-establishment of her facial harmony. The patient felt that the two procedures removed over 15 years of age on her face. As significant as her procedures were, she still appears natural and equally beautiful.