48yo, weak chin, jowls. What do I need done for balance and stronger jawline? Thx! (photos)

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

In general, the treatment for jowls is a facelift procedure to re-suspend the cheeks, nasolabial folds, and jawline. The photos indicate a recessive chin so a chin implant would provide nice balance to your lower face. The procedures are usually done simultaneously.

Your pictures show there are great benefits for chin augmentation and lower necklift/facelift which far exceed any changes that would be done to the nose.

The limited photographs demonstrate a recessive chin profile, jowls and fat deposits in the neck along with inelasticity of the neck skin. Placement of a chin implant can augment the chin forward for better facial balance and proportions, and a lower face and neck lift can accomplish lifting the jowls, removing fat deposits in the neck, and tightening loose facial and neck skin, and tightening loose facial and neck muscles to significantly improve the jawline.

Agree you could benefit from mini Face/Neck Lift with SMAS plication, large chin implant, rhinoplasty. Expect fees in the $25,000 ranges.

Always focus on the underlying 'structure/support' and then manage any 'soft tissue' issues. So a genioplasty and possible jawline augmentation first. A facelift type of approach secondarily if desired