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Chin Liposuction, Neck Lift, or Both for 33 Year Old Male?

At 33 and I have recently noticed some bad changes in the my neck. My jaw is not as defined and angular as it use to be and I no longer have the really nice sharp and strong contour I had in my chin when I was in my early 20's. I am not sure if I should get neck and chin liposuction or a neck lift or both to fix the problems with my chin and jaw?

Asked 33 months ago by canadaben in Toronto, Canada

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Neither

I think it's important to understand when and when not to consider surgery. You have a nice jaw line that is very appropriate for a 33 year old. You will never have the same jaw as you did in your early 20's. The key is to look as good as you can at your current age. I don't see any indication in your photo for either liposuction or a neck lift.

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Neck lift or liposuction will not help the look of this neck.

Based on the pictures that were presented, there is no excess fat in the jawline. There are also no muscle issues of anterior platysmal bands. Neck lift or liposuction will not help the look of this neck.

William Portuese, MD

Seattle Facial Plastic Surgeon

Facial shaping of using microfat grafting or injectable fillers

Dear Ben, I noticed that you have posted 2 questions about facial shaping. It is sometimes difficult to assess photos online. Facial shape can be changed by taking away volume or tightening and by adding volume- microfat grafting or injectable fillers. A stronger jawline/chin can be nicely achieved with the latter 2.

Trevor M. Born, MD

Toronto Plastic Surgeon

ASAPS

Liposuction will give you a very minimal benefit

Given what I see in your photo, my advice would be to hold off on any surgical procedure for now unless you are only interested in a very minimal improvement. If a small improvement is what you are looking for (a little bit of fat removed, a little skin tightening and perhaps a small improvement to the profile of your neck) then liposuction will work fine. Otherwise, wait for now.

Shahram Salemy, MD

Seattle Plastic Surgeon

ASPS

There is not enough to warrant surgery yet

Hello, I see very little that surgery will correct in your image. You look pretty good. Not all aging changes are amenable to an operative correction. I frequently tell my patients you that you need to have enough wrong for surgery to be an answer. I would follow by saying that any doctor to whom you went who said you were a good candidate for surgery is likely thinking more about his financial gain than your well being.

John P. Di Saia, MD

Orange Plastic Surgeon

You do not have a problem

You need to look at yourself in a positive way. You do not a problem that can be fixed with surgery. You have a great jaw line and neck.

Kamran Khoobehi, MD

New Orleans Plastic Surgeon

ASAPS ASPS

Too young for surgery

I answered your other question. In a few years, you will benefit by a small chin implant and a neck lift. Liposuction will not help you. Don't do any thing now, except possibly the chin implant. Your view of your self does not seem accurate. You look very young.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

The best candidates for liposuction have good skin elasticity

With your apparently good skin quality and moderate amount of fat, liposuction would be your first choice. The best candidates for liposuction have good skin elasticity allowing it to "shrink wrap" after the excess fat has been removed. Your photo appears to show that quality. A neck lift would be required for lax skin.

Ricardo Izquierdo, MD

Chicago Plastic Surgeon

ASAPS ASPS

Maybe liposuction and maybe just weight loss

Your neck and jawline don't look too bad. Liposuction would make a small difference, but means surgery and risk. Get your body fat measured and get it down to less than 10%. See how your jaw looks then. If it's still puffy, get the lipo.

G. Gregory Gallico III, MD

Boston Plastic Surgeon

ASAPS ASPS

Neckline changes

Liposuction removes excess fat. Necklifts performed through an under the chin incision tighten the muscle (platysma) Chin implants improve projection of the chin and help with the cervicomental angle (neck angle). An experienced surgeon can guide you after an examination which of these will benefit you most.

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Liposuction For Men?

Thank you for the question. I would probably suggest that you have NEITHER Bible suction or neck lifting surgery performed. Unfortunately, it is not possible to give you good advice without direct examination. Generally, a good candidate for liposuction of the neck and chin area will be a relatively young patient with isolated “excess” adipose tissue with limited redundant/loose skin. The quality of overlying skin elasticity is of... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Laser Neck Lift not Surgical Neck Lift is best solution for younger people with double chin or neck skin or fat excess

At 33 yerars old your neck and chin area shows only mild skin laxity and submental (beneath the chin ) fat. A surgical neck lift would be a bad choice for you. The significant Neck Lift scarring would detract from your facial appearance around the ears and the benefits or results would be minimal. The new Laser Assisted Liposuction or Laser Neck Lift using SlimLipo would remove the small ammount of fat and tighten the skin and create a nice effect which you will see without the... more

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Neck lift or liposuction for the chin and neck

I would begin with chin liposuction as your skin seems resilient and you have minimal platysmal laxity.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Definition in the jawline

Your jaw ling looks pretty good to me. A neck lift would not do anything for you, and I do not think that you need liposuction. Perhaps the lack of definition may be because you have gotten a bit heavier than your previous weight?

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Conservative Neck or Jawline rejuvenation

For many patients I combine structural fat grafting of hollow areas of the jawline to restore contours with conservative liposuction of excessively full areas to produce a jawline contour that is as smooth and youthful as possible.

Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

Improving Chin and Neck Contour & Definition

Canadaben: Liposuction is best at removing localized excessive fat under the skin. You appear to have normal well-distributed subcutaneous fat, rather than excess amounts. Necklift is best at improving the effects of gravity and time on the skin and underlying tissues (muscle and fibrous support). It is also able to reduce excessive fat under the skin. You appear to have good healthy skin tone and adequate underlying structures. I would qualify my comments by saying an in-person exam is... more

Sutton Graham II, MD

Greenville Plastic Surgeon

ASAPS ASPS

Neck Liposculpture is great

I feel that you are an excellent candidate for neck/face Liposculpture. Your skin should shrink well and you will get a result similar to a neck lift. I have several examples of patients very similar to you on my web site.

S. Sean Younai, MD

Beverly Hills Plastic Surgeon

ASPS

Liposuction results depend on skin elasticity

In order for contouring to occur after a liposuction procedure the skin must have the elasticity to reveal the improved shape. Certainly at your present age the skin should contour well and liposuction to improve your neck line is the most appropriate choice. Best of luck, peterejohnsonmd

Peter E. Johnson, MD

Des Plaines Plastic Surgeon

ASAPS ASPS

Consider the cosmetic ladder

At your age, you should have excellent skin resiliency, and in my opinion based on this limited photographic exam, I would advise taking the cosmetic ladder and begin with the first rung i.e., start with liposuction. If you are concerned with a weak jawline, I would also consider the use of a chin implant or injectible agent to achieve greater chin projection and the illusion of a stronger jawline. Reserve the skin tightening procedures for when you get older.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Options for improving the neck

An examination would be required to give specific advice, but at your age and with relatively minimal fat it would be unusual to need a lift. Liposuction, with or without a tightening procedure such as Thermage or laser might be sufficient.