Can a neck lift fix my obtuse neck? Or is a low hyoid causing it? (photos)

An in person physical exam would be necessary to say definitively but I do think a deep neck lift and/or facelift could help obtain your desired look. From the pre and post X-rays you sent it looks like your surgery was successful and probably did help your jaw and neck line aesthetics. However, a deep neck lift would allow you to sculpt underneath the platysma in order to create an even higher, tighter jaw line. I do not think your hyoid is in a poor position so that shouldn't hold you back. Hope that helps!

Thank you for your enquiry, insightful comments and sharing your photographs.

3D imaging and computer simulation can guide you to understand whether you could obtain the change that you seek just with volume reduction (anterior necklift) or whether skin tightening would also be necessary.

Skin tightening in the form of a formal necklift or a combination of facelift and necklift can be considered but the primary element that would give you the changes you describe is sub- platysma volume reduction. This is carried out through an access incision under the chin and represents the deep plane neck contouring approach.

From the photographs presented, you could have fat deposits located both above and below your platysma muscle in your neck. A neck lift can accomplish removal of The Fat deposits above the muscle with liposuction, surgical extraction of the fact below the muscle, and a platysma plasty to significantly improve your jawline. The position of your hyoid bone is irrelevant. If you have loose and inelastic skin in your neck, then you're going to need a lower face and neck lift.