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

  Hi, I have performed many chin
augmentations, using a chin implant, over the past 30 years.  From the
photos, your chin is weak creating an imbalance that makes the nose appear
larger, the lower face short and the mid face appear top heavy while de-emphasizing
the lips and allowing early "double chin" formation.  Chin
augmentation, using a chin implant, will add projection to the chin creating
harmony and balance to the lower face.  I have found placing a silastic
chin implant through a small, curved, incisions under the chin to be very safe,
quick, highly effective and far less invasive than a sliding genioplasty that
requires bone cuts with placement of screws and metal plates.  I perform chin implant surgery, in 30 minutes
or less, often using a local anesthetic alone.  I would combine liposuction and skin removal from under the chin as well.    While Chin Augmentation would add chin projection, reduce excess fat and skin, below the chin, the face does show signs of aging as described below that would not be improved with a chin implant surgery.  From the attached photos, the cheeks
are flat anteriorly (in the front), there is excess facial and neck fat along
with excess facial skin evidenced by jowls and nasolabial folds.  These
combine to create a rectangular shaped face.  Following the beauty principles
outlined in my book on face and body beauty, women look the most feminine,
youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks
that are full and round in the front.  Cheek augmentation using a dermal filler
(I prefer Restylane Lyft) or with cheek implants for a permanent enhancement
will create full, round cheeks anteriorly that will feminize the entire face.  Jowls are sagging facial tissues
and an indication for some form of a SMAS facelift.  The underlying SMAS
layer, of the face, must be dissected, lifted, trimmed and re-sutured.  The
excess skin is then removed and the facelift incisions closed.

My most popular facelift is the
minimally invasive, short incision facelift that has all the benefits of more
invasive facelifts (traditional, mid-face, deep plane and subperiosteal
facelifts) but with these added benefits:

•very small incisions

•minimal tissue dissection = less
bruising and swelling = rapid recovery

•can be performed in 90 minutes or
less, with or without anesthesia

•no incisions within the hair = no
hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be
augmented with dermal fillers (I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts
all over the world in as little as 3 days post-op  I tell potential facelift patients to think of creating a more beautiful or handsome face by working on three tissue levels.  The bony structure should be appropriate to make a woman’s face heart shaped and a man’s face chiseled and angular which is described below.  Next the fatty layer should be reduced or shaped allowing the shape to be seen and finally excess SMAS and skin (evidenced by the presence of jowls) should be removed from the face and neck.Hope this helps.