With age, the supporting structure in the face weakens. Cheek fat and skull bone atrophy while fat migrates downward due to gravity. Simultaneously, skin becomes laxer and gives way. This results in tissue accumulation in the lower third of the face (“jowls”), chin (“double chin”), and neck (“turkey neck”). To avoid extensive surgical incisions, combination procedures in the region can help. These typically include liposuction, subcutaneous RF (radiofrequency) skin tightening, and RF microneedling treatment.