his 67 year old woman presented with complaints of lower face and neck aging. She wanted improvement of her jawline and her neck laxity. Dr. Amadi recommended a deep plane face and neck lift, the gold standard for improvement of the lower face and neck. In addition, he recommended an upper lip “bullhorn” lip lift designed to decrease the length of the upper lip to rotate the vermillion border, increasing upper lip show. This procedure transforms the balance of the lower face creating a more aesthetically result. The patient was thrilled with her results.e.