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

I'm only 22 but have no neck/chin definition from side on. Front on I look normal and I'm not overweight. What might be the reason I have no definition?

Doctor Answers 15

Age 22 with lack of neck/chin definition

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.  

The Woodlands General Surgeon
5.0 out of 5 stars 22 reviews

Why don't I have neck/chin definition?

Thank you for your question. There are 3 factors contributing to the lack of definition of your jawline and neck on the side view.

First your chin is small and condition called microgenia.

Second, the Hyoid bone in your neck just above the Adam's apple is lower than normal and is pulling the muscles attached to your chin downward which prevents your having a nice 90° angle between the jaw and neck. This normally cannot be corrected.

Third there is fat beneath the skin which is pushing the skin of your neck outward and obscuring a 90° angle between your jaw and neck.

In my experience a combination of a chin implant and laser liposuction to remove the fat under the skin of the neck and tightness skin can give a very nice result.

You do not need nor should you even consider a neck lift at your age.

For more information and to see photographic results of this technique please see the link below:

Neck chin definition

It appears you might have a small (recessed, or weak, as it's called sometimes), and you might also have some submental (under chin) fullness (meaning fatty tissue).  There are good treatments for this, surgical and non-surgical.  Be sure to discuss with your own surgeon about how this applies to you, and whether they have any special concerns in your case.

Reza Momeni, MD FACS
Summit Plastic Surgeon
5.0 out of 5 stars 44 reviews

Sliding genioplasty

Because your chin is short, thus do consider advancing the chin forwardly.

Being an option, chin implants have serious disadvantages, specially in the mid and long term, patients are rarely happy with them after 5-6 years, all are out by then or later.

Consider the chin advancement by means of sliding genioplasty, the advantages are:
-lifetime procedure, no more revision or renewal procedures
-more natural than implants
-no visibility of implant edges during gestures
-improves the double chin effect at the sub-mental muscles (floor of mouth) hammock caused by lack of tension there; also improves the shape and tension of perioral muscles; implants do no offer this feature
-horse-shoe enhancement, covering the chin and also the jaw sides of it
-no future displacements or neuritis of mental nerves
-practically zero infections and 100% healing of bones
-no need for complex plates and screws that may need future removal; just steel wires synthesis may suffice, they stay buried into bone callus

The cons are:
-expensive, but cheap if you consider the lifetime pros
-technically demanding, few surgeons are experienced or comfortable (though I personally perform 100% of the chin augmentations by this osseous method, always after offering the patients both options)
-scary for the patient (though not so much if you explain well the stuff around it)

You'll find in this website dozens of negative experiences with chin implants in the short and mid term, do read my profile's Q&A and you'll find them too. I am doing sliding genioplaties for 15 years with the highest success and no one patient regreted, totall the opposite, I did many chin implant removals and one staged sliding genioplasties to replace them.

Alejandro Nogueira, MD
Spain Plastic Surgeon
4.9 out of 5 stars 45 reviews

Why don't I have neck/chin definition?

The reason for your lack of definition on your neck could be due to genetic or physical structures. Please consult with a board certified Facial Plastic Surgeon for your options.

Hope this helps,
Dr. Gus Diaz

Gustavo A. Diaz, MD
Charlotte Facial Plastic Surgeon
4.7 out of 5 stars 15 reviews

Neck anatomy challenges

Thank you for the question. Others have suggested that this is fat excess. If so, Kybella or liposuction would be great options. However, since you say that this has always been your neck shape, please consider that this may be related to the anatomy of your neck structures. In some patients, the voice box is very anterior -- this leads to a more obtuse neck angle and limits the efficacy of treatments like facelift, neck lift, liposuction, etc. Finally, in your case, it appears that your chin is somewhat small. A chin implant could do a lot to change the angle of the neck.

You need to have an in-person examination with a board certified specialist to determine candidacy for procedures. Best of luck moving forward!

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 113 reviews

22 Years Old - Lack of Neck Definition

Two anatomical factors play a role in your situation: weak chin and excess under-the-chin fat. 
Therefore, chin enhancement and surgical neck sculpting will provide you with significant and long-lasting benefits.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 49 reviews

Jaw definition in a young patient

The lack of definition can be just genetic. You may be a good candidate for laser liposuction to define your jawline. Consult a board certified plastic surgeon in your area with experience in laser for a clinical evaluation.

Patricia Yugueros, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 22 reviews

Why don't I have neck/chin definition?

  Hi, based upon the attached photo your chin is very weak.  Chin augmentation, with a chin implant, would add forward projection to the chin creating harmony and balance to the lower face.  At 22 years of age you would not be a candidate for any form of a neck lift surgery.  The excess skin and tissue, under the neck, would be reduced by projecting the chin forward.  Hope this helps.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Why don't I have neck/chin definition?

Thank you for your question and images. A personal consultation would be the best way to detail your options about improving your neck and chin definition. From the images you have provided you do have a weak chin. I see many patients with the same facial profile and the first issue to assess is your occlusion. Your occlusion essentially means the way the upper and lower teeth meet. If you lower teeth are a long way behind the upper teeth you may be a candidate for jaw surgery. If your occlusion is satisfactory then a genioplasty would likely be the best solution. This can either be done using an implant or a sliding genioplasty. Given your age I would recommend a sliding genioplasty, this will maximise your neck lengthening and is the procedure of choice for longevity. I would also combine this procedure with submental liposuction to further contour your neck. Good luck.
Dr Guy Watts

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.