Should I get a necklift and chin implant or will just a necklift fix my double chin? (Photo)

It's best to begin by consulting with a surgeon in-person to discuss your options. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck. Neck lifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your neck lift look as natural as possible, simply turning back the clock a few years.  #Liposuction is often used during the neck lift if necessary.During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

As a cosmetic oculofacial plastic surgeon practicing in Manhattan and
Long Island for over 20 years, I do a lot of facelifts, neck lifts and neck
liposuctions and even facial implants including chin and submalar cheek
implants.



A necklift is a procedure with an incision that is made slightly in
front and behind of the ear to lift excess, redundant and sagging skin and to also deal with platysmal bands. The muscle that is
underneath the skin contributes to the appearance of bands and sagging skin, so
a necklift is the procedure for that type situation. I would first evaluate and
see if you have extra skin or if it is a manifestation of other anatomic issues
related to the hyoid bone. The hyoid bone defines the neck angle: for some it’s
low and forward or high and back. The hyoid bone is important in determining
whether or not a lift will help you. If you’re hyoid bone is very low or it’s
very forward, then you have a very short distance between the bone and the
chin, so when you pull up the skin you don't get much differentiation. This is
important for people who have facial aging because there is a downward decent
of migration of the hyoid bone. In a consultation, I typically lift the skin to
show the patient their maximal potential benefit.



The choice of a chin implant or adding projection to the chin is also
not a straightforward procedure. The chin may be back because it is relatively
short, or there is a misalignment in the position of the mandible or the jaw
bone relative to the upper jaw bone composed of the mandible and the maxilla.
Sometimes, people have the perception of a weak chin because their teeth are
relatively misaligned. By doing a simple examination in the mouth, you can see
if someone has a relative overbite and the chin is posterior. If that’s the
case, if they were to get a chin implant, they would get deepening of an area
called the labial-mental crease which is a crease between the lip and the chin.
In some people, it can be adjusted and the chin implant can be positioned.
Patients should choose a size that would fit the face if they’re not interested
in doing some kind of oral-maxilla type of procedure.



In your situation, you might be a candidate for a chin implant. You may
also want to consider neck liposuction. This procedure reduces fat along the
under part of the jawline as well as below the chin if there’s extra fat. However,
we also have to be conscious of not taking too much fat away. Most of the time,
plastic surgeons are very aggressive about removing fat. I have had patients
who needed to get fat transfers to restore the fat or I did something to
rehabilitate the skin. The thin layer of fat under the skin makes skin look
youthful. Last issue is your physical weight - if a younger person is over 10
pounds their ideal body weight, then a simple weight loss can actually help define
the jawline and the neck.



I suggest that you have a physical examination with qualified,
experienced cosmetic surgeons and explore your options. The photo is helpful
but to make a recommendation that is definitive would require an examination. Anatomic
features such as the position of the hyoid bone, physical weight, the position
of your mandible relative to the maxilla in terms of your bite or if you have an
underbite or a normal bite are all factors before making this decision. I hope
that was helpful, I wish you the best of luck, and thank you for your question.



This personalized
video answer to your question is posted on RealSelf and on YouTube. To provide
you with a personal and expert response, we use the image(s) you submitted on
RealSelf in the video, but with respect to your privacy, we only show the body
feature in question so you are not personally identifiable. If you prefer not
to have your video question visible on YouTube, please contact us.

You should have an improvement from a neck lift with neck liposuction.  It appears that your chin is slightly underdebeloped so it is likely a chin implant will be helpful as well.