As one grows older there is often an accumulation of fat below the chin and also there will be an excess of skin and wrinkles developing in the neck. This makes the person very sensitive of this unwanted appearance – often referred to as ‘double chin’. This can be temporarily relieved by injection of medicine to lift up the sagging muscle and skin to make the neck wrinkles less obvious. If this fails then the ageing deformity can be improved by surgery with incision placed behind the ears. The excess skin is carefully dissected from the underlying structures and then removed to tighten to correct the sagging skin. At the same time the fat accumulated beneath the chin can be removed by liposuction and through a small incision below the chin the excess skin can be removed and tightened too.