What are my options to achieve a defined jaw and neck? Cost? Is Lipo the answer? (photos)

Thank you for your picture. Your neck/jaw angle is pretty decent. It may not be as sharp as it once was when you were younger but is not bad at this point. In my opinion it doesn't require any treatment of any kind at this point.Good luck.Earl Stephenson Jr MD DDS FACS

To improve the shape of you neck you might consider a "neck lift" procedure. In your situation, the procedure would entail making a small incision under the chin, tightening up platysma muscle and may be taking out some deep neck fat to get rid of the slope at the angle of your neck.  The cost of this procedure varies greatly between surgeons, but is usually not as expensive as a facelift.Good luck!

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

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 . During an in-person 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.The contributing factors to the #cost of a #neck lift include the surgeon’s fee, facility fee, medication cost and the anesthesia fee. Estimated fees may also be found here on Real Self, and the American Society of Aesthetic Plastic Surgery website, Surgery.org, or PlasticSurgery.org.  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. Selecting the best neck #lift surgeon will evaluate both your anatomical features and aesthetic goals to determine which neck lift procedure best suits your individual needs. In some cases your plastic surgeon may give you more than one option to choose from. A board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from. If you are not a candidate at the time of your #consultation, your board surgeon can recommend non-surgical alternatives to address your concern. 

For most  of my patients in your age group and from your photo, I have been able to use a mini lift such as the MACS lift, Lite Lift and others will improve both the lower face(jawline) as well as the neck. A necklift mainly focuses on the neck. The best value and quickest recovery time in my experienced is from a mini-lift procedure. The cost depends on the experience of the surgeon and if board certified in Plastic Surgery, if the procedure is done by local anesthesia and oral sedation, vs IV sedation vs general anesthesia, if in the doctors office, independent surgery center or hospital (most expensive), and geographic location.An exam is always needed to determine how the specific causes of your undesired neck appearance. In particular there are 4 main factors that need to be evaluated:1. the amount of redundant skin, excess fat below the chin, (requires neck or facelift)2. banding of your neck mid-line neck muscles (platysmal bands) - requires platysmal plication (neck tightening)3. elasticity of your skin. - requires laser or peels, thermage, ultherapy4. a weak chin (supports the skin structure) - requires chin augmentationEach of these components are dealt with in a different manner. For example, excess fat requires direct removal or liposuction (more common), widely spread playtsmal bands are brought together (neck tightening), and excess skin is removed with a lower facelift or neck lift (this can be done with minimal scars). Certain lasers and peels can help with elasticity problems and your photo seems to indicate adequate chin projection.Traditional liposuction removes excess fat superficial to the platysmal muscle. A neck lift is able to remove fat both above and below the platysmal muscle and tighten it; this will give a more defined jaw/neck line. .The lax skin in your upper neck can be approached directly by a less invasive facelift in the mini-face lift such as the MAC or Lite Lift procedures. The least invasive would be one of these procedures which corrects the upper neck loose skin extremely well.. My own personal preference and in my hands the one with the least invasive approach is a Lite Lift which is performed in my office under local anesthesia with some oral sedation without the need for IV sedation or general anesthesia.

would be your best way forward. You do not have 'enough' fat to warrant liposuction and risk an overly skeletonised appearance. A small chin implant would elongate your jawline on profile and improve the neck chin angle. Energy based treatments for this indication, in my experience would be a waste of money.

Liposuction is the 1 procedure which will make such a great improvement and is easy to undergo for roughly $2500 on special under local anesthesia with only 1 day downtime for the neck/jawline. Sincerely, David Hansen,MD

Better jawline for early aging neck. Liposuction is NOT for your neck! If the small amount of fat is removed it will "skeletonize" your neck. You have early skin sagging and a slightly receded chin. Hat a small implant now and save your money for a mini lift in the future. I have not found skin "shrinking" procedures to be satisfying for patients. 

Defining the jaw line can be achieved many ways. Liposuction of the neck can help but usually is not satisfactory. A chin implant will improve the overall projection but not the fullness of the neck. A sliding genioplasty to advance the lower chin will improve the anterior projection as well as pull the underlying musculature which would also improve the neck. I would consider combining liposuction with a chin implant or genioplasty. 

To give a  significant improvement in the jaw and neck, a neck lift could be performed. This involves removal of fat above and below the muscle, and a platysma- plasty.   There is no skin removal.  A facelift in addition to a neck lift is required on patient's over 50 years of age. Adding a small chin implant will also give better definition of the jawline and the illusion of having a longer mandible. For many examples of this combination and our price list, please see the link and the video  below  to our neck lift/ chin implant Photo Gallery