This patient presented with the concerns of drooping lower facial skin along with neck laxity (looseness). She stated that she did not prefer the projection of her nose, however, did not want to have a rhinoplasty (nose job). Examination revealed significant laxity of the jawline and neck muscles and skin, along with a slightly undersized chin. We agreed that the ideal treatment would be to tighten both the skin and muscle of the neck and jawline, along with a conservative augmentation of her chin (with a silicone implant). Both procedures were performed comfortably and safely at the same time under local anesthesia in the office. Her results demonstrate a much-improved neckline (profile) and jawline, in addition to a better balance between her nose and chin. She was able to return to both work and the gym after 10 days.