Loss of neck shape and sagging skin and soft tissues are hallmarks of aging in the lower facial area. Liposuction, open short-scar facelifts (such as MACS-lifting), and percutaneous suspension procedures are the three main categories of minimally invasive treatments for neck rejuvenation. The value of volumetric rejuvenation was solidified in the minds of plastic surgeons in the late 1990s. This was a fundamental change in perspective, as plastic surgeons began to believe that volume restoration and skin tightening are often required to achieve rejuvenation. Ramirez demonstrated that submental incisions can separate the platysma and lip depressors subperiostally; tugging upwards in the midface can be communicated to the lower face. After making incisions under the skin and behind the ear, Giampapa removed the platysma, undermining soft tissue and permanently fixing interlocking sutures to the mastoid fascia on both sides. The fixation material was an angle loop suture placed close to the mandible’s angle. Anatomic suction-assisted lipectomy, platysma imbrication, and controlled tension of interlocking sutures were all necessary. Since volumetric correction seemed more crucial, the following step was to achieve similar outcomes using these methods with even more minor punctures or incisions.