Patient, female, 50 years old. She would like to remove her neck wrinkles and double chin so she may look younger and more attractive. These four photos show how an acupuncturist removed neck wrinkles and double chin with cosmetic acupuncture. (1) It shows the client had neck wrinkles and double chin before any treatment of cosmetic acupuncture; (2) It shows slightly less neck wrinkles and smaller double chin after the first treatment of cosmetic acupuncture; (3) It shows much less neck wrinkles and even smaller double chin after the second treatment of cosmetic acupuncture; (4) It shows both neck wrinkles and double chin were removed after the third treatment of cosmetic acupuncture. This case shows that a skilled acupuncturist is capable of reducing or removing wrinkles and double chin using cosmetic acupuncture without any injection or surgery.