I see a lot of middle aged people in their 50s 60s 70s that commonly say can you get rid of this neck area my turkey gobbler appearance just treat that area. Well I can but commonly that’s not the right thing to do for them. I will explain to them why. Because when we just focus on the neck they seem to not appreciate the jaws, the descent of the soft tissues of the cheek and often with an excess amount of skin here with the turkey gobbler appearance. So quite commonly to maintain the balance I recommend a full facelift with the turkey gobbler neck in that eight group because to just straight the neck leaves out very important areas that then makes the face very strange. So I will say that in majority of patients for neck lifts specially in their 50 to 70 year old age group, they usually in facelift combined with the neck procedure.