61-year-old male patient underwent liposuction of neck and jowls and Precision Tx laser treatment of the neck and lower cheeks. 16 cc of fat was aspirated from the submental area; 5 cc of fat was aspirated from each jowl. Each side of neck received 3200 joules of laser energy. The lower cheeks received 1000 joules on each side. Patient is shown before and 5 months after treatment.