The face is the window of the person to the surrounding world and the eyes are the avenue to his soul. Having started with this concept that we have in craniofacial surgery, we can look then at the patients in our daily practice and see how this part of the body presents the most important aesthetic unit that needs to be corrected especially after bariatric surgery and massive weight loss. As more patients become aware of the obesity issues, they will seek more help to put them. Their psyche and their bodies on track by cutting off the fat, they have accumulated over the years some from teen years. After the loss of adipose tissue, patients focus on the remaining excessive skin they have developed over the obese years. The part that people look at especially in a conservative society is the face and secondarily the neck when they are well dressed and mingling with friends and acquaintances. The face is divided into the upper components and the lower components engulfing the neck and jaws. The face is the first to show the reflection of obesity and the last to show the effect of changes in body fat composition. Contouring the face is part of the plastic surgery principles to complete the changes after the patient departs from the obesity stigma. Complications are minimal when the surgeon abides by the basic principles and rules of plastic surgery.