Would I benefit from chin liposuction or do I need jawline fillers/ a chin implant? Weird sort of saggy neck (photos)

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Dear Plucky128448,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The appearance of the lower 1/3 of the face and neck is primarily determined by the shape and size of the mandible especially in the relationship to the Maxilla.

Those who have insufficient projection of the body of the mandible often have a dental overbite occlusion and a profile picture will see their upper lip project forward more than the lower lip.

The tip or chin of the man in the bowl can either project or not and this can make the assessment confusing.

In other words it’s possible to have a Mandible who is body is small and Lacs projection creating an overbite at the same time have a pointed which is chin type of that mandible.

If the front of the mandible has an overall pointed appearance that is projecting in this typically causes a sulcus below the lower lip or what is sometimes called a deep labiomental angle.

When that’s the case augmenting the chin in an anterior or forward projection will simply deepen or worsen the labiomental angle.

The platysma muscle drapes all of the anterior neck and is what gives the neck contour in those with relatively tight skin and thin layers of subcutaneous fat.

When the origin of the Plutisma muscle is extended like those who have a large or projecting man the ball than the platysma muscle drapes the neck and what most people would probably call a aesthetically more attractive manner.

Making an accurate assessment taking all the different tissue variables into consideration is complex and varies substantially depending who you talk to.

To me your neck looks fine especially considering that you’re pointing your head down in the picture.

If you really wanna get an assessment then you should talk to oral surgeons or local board certified plastic surgeons.

Be careful with simply augmenting the chin if it already projects since this will worse in the Labiomental
angle.

Best,

Mats Hagstrom MD