Lack of jaw definition due to neck anatomy? How would I fix this? (photos)

Question

I have an odd side profile, as my neck seems to connect to my chin and not the hinge of my jaw. This was present even when I was at my lowest weight 3 years ago. I’m currently working on losing weight but unsure if that would improve much about my jaw and side profile.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

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

John L. Burns Jr., MD · Answer

Blunting of the cervicomental angle can be cause by fat or muscle. In younger patients it is generally fat. Neck liposuction would help to restore a more acute cervicomental angle and thus improve your profile

Daniel Barrett, MD · Answer

Dear Fabulous4775,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

William Portuese, MD · Answer

The photograph demonstrates recessive chin profile, and fat deposits in the neck located above and below the platysma muscle itself. Consider placement of a chin implant to augment the chin forward and a necklift procedure to remove the fat deposits located above and below the platysma  muscle itself, which also includes a platysma-plasty.

Mats Hagstrom, MD (license on probation) · Answer

You described this well when you said neck connected to the chin. I personally went in for a consultation for a facelift a while back and my surgeon told me that my face was melting onto my neck. That was another way of describing the lack of jaw  definition. The surgeon who describes my jaw line that way it was a guy who has since passed away was  Bruce Connell MD.

The primary reason for your individual look is that your mandible lacks size and forward projection compared to your image of someone who has what is considered ideal Jawline definition.

People who have an under developed mandible typically show an upper lip that has more forward projection than the lower lip on a profile picture. It’s also typically presents as having at least a mild dental overbite occlusion. The soft tissues are typically normal but may respond well to liposuction if augmenting the chin is not acceptable or possible.
Sometimes a combination of chin augmentation with Liposuction of the chin and neck give the best results.

I suggest having a few different in person consultations with local board-certified plastic surgeons. Plastic surgeons have different views on this topic and will put a different level of emphasis on bone structure, platysma muscle issues versus fat or skin. All of these tissue layers contribute to facial presentation.

Personally I believe bone structure is by far the most important and is the primary source of each individual persons identity look. That said soft tissue midget relation is usually the easiest treatment option. Chin and neck Liposuction can be done as an office-based procedures with local anesthesia and augmenting the chin can be as simple as injecting fillers with instantaneous results done in a few minutes.

More complex procedures are also possible like a sliding genioplasty or placing chin implants.

Best,

Mats Hagstrom MD

Lack of jaw definition due to neck anatomy? How would I fix this? (photos)

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