Jowl/chin recommendations needed (Photo)

You are correct in that there is no significant fat beneath your chin. Your chin projection looks good. Some things to consider. The angle of the mandible is less defined and jaw angle implants would give you a more contoured and defined jawline. As far as the saggy skin, sometimes a midline platysmaplasty works or an isolated necklift. An in person or Facetime consult would be needed.

From the limited photographs presented, it appears that you have loose and inelastic skin in the neck, early jowls, and platysma muscle cords in your neck. There's also a small amount of fat in the neck as well. In our practice, to address all these issues would require a lower face and neck lift which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, removing the fat deposits above and below the platysma muscle in your neck along with a platysma plasty to significantly improve the jawline.

Based on your nicely posted photos, I would recommend a mini necklace with muscle plication or the my elevate suture technique with J plasma as options. Fees from $8000. Best to virtual consult with.

What determines Mary facial aesthetics is typically based on bone structure.Soft tissue coverage tends to be fairly consistent from person a person and what differentiates each unique persons individual facial appearance and allows us to recognize individuals is primarily based on bone structure.Aesthetic issues related to the lower 1/3 of the phase and neck are primarily determined by the mandible since that is the foundation of that region. Assessing issues related to the mandible is not always easy or straightforward.And individual can very easily have chin that appears to be well protected, but the body of the mandible is lacking in length leading to an overbite dental occlusion, and this will caused the underlying Mattaa muscle to drink the neck in a certain way. Issues related to lack of projection of the mandible typically lead to loss of John line, definition, a double chin, premature jowls, and marionette lines.Individuals who have a strong or large mandible especially one that’s high in vertical height. Will have a strong solid foundation to support these tissues and are protected from showing facial aging in this region.None of the treatment options you’ve mentioned are going to do much for you.Honestly, I think your face looks very normal and typical for a 41-year-old so I think accepting we are and where you are in life has something to say about it. Assessments in this part of the face are complex because there are many tissue layers involved and plastic surgeons tend to be soft tissue oriented and often don’t focus on the primary issue which tends to be bone structure.Manipulating bone structure is also complex and beyond what most people are willing to go through. This inherently limits quality options. Best,Mats Hagstrom, MD