Patient is a 62 year old woman who presented with complaints of facial aging, and upper and lower eyelid heaviness. She was unhappy with her “tired” appearance and eyelid bags, and she was seeking rejuvenation of her eyelids and face. She underwent upper and lower eyelid lifts and a limited incision, minimally invasive facelift (MACS lift). The MACS lift can achieve significant improvements in the neck, even though the surgery is largely limited to the cheeks. She is seen one year later. She remains pleased with her results, and in particular, the appearance of her neck.