Am I a Better Candidate for Chin Liposuction or Thermage?

I suggest beginning with an in-person consultation to discuss your options. 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. Also, #liposuction under the chin is also another option your doctor can discuss. If you are not a candidate for chin or neck rejuvenation at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. 
However, there may be additional options to improve the appearance of your concern to improve the overall balance of your face. Such can be best evaluated in-person. Consulting with a board-certified plastic surgeon who specializes in #face, #neck and #chin procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

It’s not usual for patients to have concerns about
the aesthetic appearance of their chin, jawline, and neck. These concerns are
usually related to skin laxity, neck fat, muscle abnormalities, and differences
of the underlying bones. The type of procedure performed to correct these
problems is entirely dependent upon the anatomic cause of the condition.

Your pictures suggest localized fat of the neck in
the presence of relatively tight neck skin. Under these circumstances, thermage
would minimally impact this problem. Liposuction of the neck would be the
treatment of choice in this situation. The procedure results in dramatic improvement
in the contour of the neck and jawline and is associated with high satisfaction
rates.

If you’re concerned about your neck contour,
consultation with a board-certified plastic surgeon is appropriate. This
surgeon should be able to formulate an appropriate treatment plan that will
address your concerns. 

I would rule out Thermage as you have noted, the results are not consistent.  Have an evaluation by a Board Certified Plastic Surgeon for other options available to you.

Thermage tightens the skin over a few months.  Liposuction removes fat and encourages adhesions that make the skin look tighter.  If you can afford it, get both.  Have thermage followed immediately or in a delayed fashion by submental liposuction.  The results can be life changing.

If you have excess fatty deposits in the submental area (chin) which does not respond to weight loss then you may be a great candidate for liposuction. Since you are young your skin will contract rather nicely in this area.  Thermage uses high frequency radio waves to tighten skin/collagen, it will not remove excess fat.

A board certified plastic surgeon can examine you and determine if you are a good candidate.

Best wishes,

Dr.Bruno