“…With age, the SMAS and platysma typically descend as a single musculofascial unit and, along with the jowl fat pads, obscure the inferior mandibular border and neck-face junction. However, the morphologic process of aging is also multifactorial and affects patients heterogeneously [5,13] . For example, all other characteristics being equal, patients with shorter, heavier necks with lesser skeletal support typically develop signs of aging, in particular fullness of the neck, sooner than those with longer, thinner necks with greater skeletal support [4,11,14] .…”