A 62-year-old female presented wishing to tighten loose neck skin as well as smooth facial lines. Although she had kept up with multiple minimally invasive enhancements regularly, she was looking for more dramatic rejuvenation. After a cosmetic consultation at our Beverly Hills office, we recommended a combination of a neck lift and CO2 laser resurfacing. A neck lift surgery is minimally invasive, meaning it can be performed under local anesthesia for maximized safety. Small incisions are hidden behind the ears and into the scalp hair, so that results appear very natural and scarring is not noticeable. In addition to tightening the neck, neck lifts also improve the jowls and jawline contour, but do not significantly improve lines and wrinkles around the mouth or higher up on the face. The CO2 laser, however, can address both of these concerns well. By creating micro wounds in the skin, CO2 laser resurfacing helps stimulate collagen synthesis, which tightens lines and smoothes skin in a very natural fashion. Although improvement is noticed immediately post-procedure, final results are usually seen in 6 months as final tightening occurs. After approximately 3 months, this patient was thrilled by her improved neck contour and overall smooth facial skin. She continues to do regular dysport injections to help keep skin around her eyes and on her forehead smooth.