Why don't I have neck/chin definition? (Photo)

Thanks for your question.  Your chin/neck/profile is genetically determined for the most part.  Weight loss and gain can certainly alter the appearance to a certain degree.  For a patient like you in my practice I would recommend placing a chin implant to bring your chin forward and liposuction for the neck.  At your age, a neck lift would not be needed.  Best of luck to you.  

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

One simple answer: genetics. It’s nothing that you are doing; it’s simply what your chromosomes have dictated. That said, there are several different approaches you can take. 1)Do nothing. It might sound strange coming from a plastic surgeon, but you have not asked about having surgery or doing anything to alter your looks! It is crucial to listen to patients, so – unless you wished to change your profile – I would not recommend anything for you. If you wished to change your profile, you could 2)Try an injectable. You could opt for minimally invasive procedures such as Kybella into the submental (neck area under the chin) region to dissolve the fat, as well as a filler such as a Radiesse to add projection to your chin. (The Kybella treatment is permanent but is comprised of a series of injections, usually 3 to 4, spaced about one month apart. The Radiesse is not permanent and usually dissolves after a few years.) 3)Have surgery. With most procedures in plastic surgery, the more invasive a procedure, the more transformative the results. A chin implant and liposuction of the neck would give you permanent results and would address your under-projected chin, and the excess fat of your submental region.

Thank you for adding your photo to your question. It appears that you have two issues: 1. Small chin and 2. Excess fat under your chin.  The traditional treatment option would be laser liposuction and chin enhancement with either chin implant or fat grafting. 

Thanks for sending  in your question.  You would potentially benefit from a chin implant combined with neck liposuction.  This would enhance your neck contour and improve chin projection.  Non surgical options would include Kybella, Coolsculpting and chin filler. 

Chin/neck definition is something that is influenced by genetics, bone structure and soft tissue. Weight loss and gain can change the amount of fat in the surrounding areas and affect the appearance also. Depending on your x-rays, sometimes bone surgery can move around the maxilla or mandible to get an improvement if needed. Surgical options also include chin implants and liposuction for the neck.  
However, in my practice a lot of patients can be treated not surgically with just filler injections like Juvederm. This avoids surgery and usually the patients are very happy. These procedures can be done safely in the office and the results are often very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully  address your specific concerns and determine the right treatment plan.
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