Dear CJPARNELL in Manchester, Thank you for your inquiry about achieving a more defined jawline and neck contour through neck liposuction and a chin implant. Your submitted pictures have been helpful in assessing your needs. Neck Liposuction with VASER: Neck liposuction, particularly with the use of a VASER machine, appears to be a suitable option for you. This technique involves making a small incision behind the chin and applying ultrasonic energy to maximize skin contraction and achieve a tighter neck appearance. The potential to achieve a 90° neckline is promising, although the structure of your throat cartilage may somewhat limit it. Chin Implant for Enhanced Profile: A chin implant would complement the neck liposuction by strengthening your profile and further defining your jawline. Chin implants can be inserted either via a submental (under the chin) incision or through an intraoral (inside the mouth) approach, both of which can be performed under IV sedation or general anesthesia. Surgical Duration and Recovery: Anticipate the surgery to take approximately 1 to 2 hours, with a recovery period of 1 to 2 weeks. While initial swelling around the chin is expected post-implant, most of it should resolve within 6 to 8 weeks, revealing the final results. In summary, combining neck liposuction using VASER with a chin implant seems to be an effective approach to achieve the defined jawline and neck appearance you desire. I hope this information assists you in making an informed decision. Wishing you the best in your journey towards enhancing your facial contours. Sincerely, Dr. Katzen