Necklift and facelift. Before surgery, note the deflated (sunken) appearance of the midface/cheek region and jowls. After surgery, the jawline and neck are much better defined (crisper). The cheek/midface region was lifted vertically to create a more youthful facial contour. Also notice the improvement in the wrinkles that used to be problematic immediately in front of her ear (known as pretragal wrinkles).