Is chin/neck liposuction really necessary or would a chin implant be enough? (Photo)

Question

I definitely have a weak chin and not much jaw definition but could I get a pretty could result with only a chin implant or would by implant not be so noticeable due to the fat around chin/jaw? In some photos I'm looking down which makes my fat more noticeableOne surgeon suggested neck lift but I don't feel ready to do that..

Anna Chacon, MD, FAAD · Answer

Deciding between chin/neck liposuction and a chin implant, or a combination of both, depends on your specific anatomy and aesthetic goals. Here are some considerations to help you understand the options better:

Chin Implant
- **Purpose**: A chin implant primarily addresses a weak or recessed chin by enhancing the projection and definition of the chin.
- **Results**: If your primary concern is a weak chin and you have minimal excess fat, a chin implant alone might provide the enhancement you desire. It can improve the balance of your facial profile and create a more defined jawline.
- **Limitations**: If there is a significant amount of fat around your chin and neck, the implant might not be as noticeable because the excess fat can obscure the definition that the implant provides.

Chin/Neck Liposuction
- **Purpose**: Liposuction targets and removes excess fat under the chin and along the neck, creating a more defined jawline and slimmer neck.
- **Results**: This can be particularly beneficial if you have excess fat that is masking your jawline. Liposuction can significantly improve the contour of your neck and jaw, making any underlying structure, including a weak chin, more prominent.
- **Limitations**: Liposuction alone does not address bone structure, so if you have a significantly recessed chin, it might not fully achieve the desired aesthetic result without additional structural enhancement.

Combination of Both
- **Purpose**: Combining a chin implant with liposuction can address both structural deficiencies and excess fat, providing a more comprehensive improvement.
- **Results**: This approach can enhance the projection of your chin while also creating a more defined and slender neck and jawline. It is often recommended for individuals who have both a weak chin and excess fat in the chin/neck area.
- **Considerations**: This combined approach can provide the most balanced and noticeable improvement, but it is more invasive and requires a longer recovery period.

Neck Lift
- **Purpose**: A neck lift is a more extensive procedure that tightens and removes excess skin and fat, and may also involve tightening underlying muscles.
- **Results**: This can provide dramatic improvements in the contour and firmness of the neck and jawline. It is typically recommended for individuals with significant skin laxity and fat.
- **Considerations**: Since you mentioned not feeling ready for a neck lift, this might be a future consideration if less invasive options do not fully achieve your desired results.

Recommendations
1. **Consultation**: Schedule consultations with board-certified plastic surgeons who can assess your specific anatomy and discuss your goals in detail. They can provide personalized recommendations based on their evaluation.
2. **Photographic Analysis**: Bring photos showing various angles of your face and neck, including ones where you are looking down, to help the surgeon understand how your concerns vary with different positions.
3. **Consider Minimally Invasive Options**: If surgery feels too invasive at the moment, you might explore non-surgical options like injectable fillers to temporarily enhance the chin or non-surgical fat reduction techniques, though these may offer less dramatic results.

Ultimately, the best approach depends on your individual anatomy, aesthetic goals, and comfort with different procedures. A thorough consultation with a qualified plastic surgeon will help you make an informed decision.

Carey Nease, MD · Answer

Based on your photos I would absolutely do both chin/neck liposuction with a large extended anatomical silicone chin implant. The combination is very powerful and either alone will not be enough in my opinion. Hope that helps you!

Sam Naficy, MD, FACS · Answer

Agree that you definitely need a chin implant. Although the implant will improve your neck contour you do appear to have some extra tissue in the submental region. A better result would be achieved by either neck liposuction or performing a deep neck lift which is really more of a neck contouring procedure as opposed to a lifting procedure. A deep neck lift allows the surgeon to contour (remove) some of the deeper tissues in the submental area which cannot be addressed with liposuction alone

Michael P. Morrissette, DDS, FACS · Answer

The photos show a significantly recessed chin. In cases of recession of this magnitude, I recommend a sliding genioplasty over an implant. The implant works well with mild to moderate recession but tends to look masculine when the implant is large or extra-large. In either case, I would highly recommend simultaneous jawline and submental liposuction. Both surgeries are performed in our office with intravenous anesthesia and take about an hour. Most young patients return to work in 3-5 days. The surgery does not affect your bite or require braces.

Tanveer Janjua, MD · Answer

The best results I have been able to get in my patients in similar situations are from a combination of 3 things.
1. Chin Implant
2. Neck Liposuction
3. Neck Thermitight.

Regards
Dr. J

Eric M. Joseph, MD · Answer

Based on your photos, I suspect that both a chin implant and subcutaneous neck liposuction would have additive effects insofar as improving the appearance of your chin neck and jawline. I hope this helps. Sincerely, Dr Joseph

M. Mark Mofid, MD, FACS · Answer

Thank you for your question. I believe you are definitely a good candidate for both Liposuction of the neck as well as chin augmentation with an implant. By removing the pocket of fat between your neck and chin, you will have more definition between where your face ends, and your neck begins. The chin implant will give you a nice projection which will create balance and symmetry between your chin and your nose.

Thanapoom Boonipat, MD · Answer

Hi you have both a weak chin and excess fat in the neck. A genioplasty to move your chin bone forward, in addition to submental (chin) liposuction will help the most. A limited necklift with small incision under the chin, to remove the deep fat (that lipo cannot get to) will be even better if combined with the genioplasty. Chin implants might lead to long term issues.

William Portuese, MD · Answer

From these photographs, you have two issues present. The first one is that your mandible bone never grew far enough forward, and you have a recessive chin. To address that issue, you could perform a chin implant to simply augment the chin forward, which would offer better structural support for the soft tissues in your neck. Placement of chin. implant can be done under local anesthesia which takes about 30 minutes. The second issue you have fat deposits located both above and below the platysma muscle in your neck, which would require a surgical neck lift under general anesthesia, which takes about an hour and a half. You could always start with a chin implant first which is the least invasive, and then consider a neck lift down the road. For more information and many before and after examples, please see the link below.

Darryl J. Blinski, MD · Answer

Based on your nicely post of photos but still needing a virtual consultation I recommend the following a moderate to large chin implant with under chin, liposuction and a mini neck lift to correct all the problems plus draw capital HA fillers for syringes. Fee $15,000-$25,000. Best of virtual consult with.

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