What are my options for a sharper neck angle and stronger jawline? (photos)

I had chin lipo done in the hope it would give me a sharper neck angle however it didn't do as much as I had hoped. I hate how from looking at my side profile that my neck merges upto my neck . I would love a sharper angle . Since I had chin lipo I have a firm hard area right behind my chin and when I smile it looks botched ! My chin sticks down and looks awful ! Please help me make light of this ! Thank you

Doctor Answers 5

Options for a stronger neckline?

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation

Jawline Augmentation

You have a skeletally short lower jaw/chin for which liposuction can not make it look stronger or more defined. This is a flawed concept. The jaw needs to be augmented. Whether this is only a chin augmentation, a chin augmentation with jaw angle implants or a complete jawline augmentation using a custom one-piece implant remains to be determined. This can be done using computer imaging of these various jawline changes.

Jawline definition

You have a deficient lower jaw in several dimensions; so you need to augment the jawline in the 'back, middle and chin' areas so you can define it properly and 'blend' the entire jawline together. Your situation is quite common. (see website); but manageable. Lipo cannot 'augment' the jaw, but only tries to 'thin' tissues below the jawline - a less ideal approach. Always focus on the cause of the issue.

Gerald Wittenberg, MSc, DMD
Vancouver Oral & Maxillofacial Surgeon
5.0 out of 5 stars 16 reviews

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Options for a sharper neck angle and stronger jawline

From the limited side photographs, it appears that there is a weak and recessive chin profile in addition to residual fatty deposits in the neck. In the neck, there are deposits of fat located both above and below the platysma muscle. Liposuction can accomplish removal of the deposits above the muscle, however surgery is required to remove the fat underneath the muscle. After fatty deposits have been removed underneath the muscle, a platysma plastic procedure is required. The platysma plasty significantly accentuates the jawline and gives a sharper neck angle. This procedure is considered a neck lift. No skin removal is required to be tightened. For more information and many before-and-after examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Options for a sharper neck angle and stronger jawline?

Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years. Following the beauty principles outlined in my book on face and body beauty, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat anteriorly (in the front), the chin is weak as are the mandibular angles and there is excess facial fat in front and below the cheeks.  This combines to create an elongated oval shaped face.  The following procedures would create a more ruggedly handsome face.

  • Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  This would be combined with liposuction to reduce the excess facial fat to further define the cheek shape.
  • Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 
     I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.
  • Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.

Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.