The first year after surgery is a period of significant change, during which patients are highly concerned and sensitive about the outcomes. This study aimed to measure objectively the improvements and changes in the lower face and neck over the course of 1year after rhytidectomy in Asian. This study included a total of 50 patients, comprising 100 hemifaces, who underwent extended deep-plane rhytidectomy using a composite flap from January 2017 to December 2022. The patients' antero-posterior and lateral photographs at pre-surgery, between 2weeks and 1month, 3months, 6months, and 12months after surgery were analyzed retrospectively. Measurements for each period and site are revealed a general trend where the most significant decrease occurred between 2weeks and 1month after surgery. This was followed by a slight increase at 3months, with a subsequent decrease observed at 6 and 12months after surgery. Objective assessment of lower face and neck at each period is considered to be potentially valuable as an evaluation resource for both patients and surgeons. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.