What is the best treatment for sloping neck/double chin? (photos)

Hello l2367,Thanks for your question.Looking at your photos, my feeling is that your best option would be combination of neck liposuction, platysma muscle tightening, and chin implant placement.I say this because of your particular anatomy showing a short jawline and a forward sitting Adam's apple.This combination of procedures is actually something I perform in an office setting using a combination of local anesthesia and oral sedation.  Patients recover more quickly with less bruising and less of a washed out feeling like you get with general anesthesia.Liposuction alone can be performed but it will treat only excess fat.  If the muscle is loose and the chin is a bit short, it is impossible to make a more angular neck.  Additionally, an in-person consultation to determine the amount of fat in your neck would be necessary to determine what type of change you might expect from liposuction alone.If you have further questions, you are welcome to come visit with us at my practice in Cherry Creek.Take care,Dr. Shah

Liposuction would be a good option as well as Kybella.  Liposuction is more invasive and does involve a compression.  Kybella is a simple office procedure which little to no downtime.  

Quick answer is chin implant and neck lift. Extended chin implant to correct small jaw bone and chin which will also improve the double chin look of your neck and neck lift to tighten the neck muscles and refine the neck.Best

Thank you for your question. From your pictures it does look like you would benefit from submental liposuction. Younger patients with a higher elastin content in the skin usually have a better result because the skin can is more likely tighten up around the structures in the neck to improve the definition of the jawline. I recommend that you have a consultation with a facial plastic surgeon who can go over your medical history,  do a complete evaluation of your neck with palpation of the underlying structures, and examine the quality of your skin to get an accurate assessment.

  The photographs demonstrate fatty deposits in the neck, a short platysma, and a weak chin profile which exacerbates the neck issue. Consider a chin implant to bring the projection of the chin forward  to help with facial  balance and proportions for structural support of the jawline. Liposuction in the neck will not be adequate due to the fact that there is most likely fat below the platysma muscle. A neck lift with fatty deposit removal above and below the platysma and the platysma plasty would be required. If there is excess, loose skin discovered at the time of the consultation, a lower face and neck lift is required. For many examples of both procedures, please see the video and the link below