Sagging skin and excess fat on the neck or a double chin can make a person appear to be older or heavier than they truly are. Neck sculpture optimizes the definition between the chin and neck by removing excess fat beneath the skin and tightening the sagging platysma neck muscle. Its success is dependent upon the neck skin having enough elasticity to retract and re-drape satisfactorily after sculpturing. This procedure is most appropriate for younger patients who have inherited a “double chin” or for those patients who, despite reasonable weight loss, retain a neckline that is still poorly defined. Skin and underlying tissue above the jaw are not affected. A chin implant to further improve the profile may be inserted during the same procedure.