Do I need chin lipo or a neck lift? (Photo)

Question

35 year old male. Very fit at 5’8” and 145lbs, but no matter how much cardio, weight is so easily stored on my face. I just want my jawline to be visible, there’s pockets of fat that and I have a bit of submental fat. I’ve already booked a chin lipo + j plasma, but based on these pictures, do you think a neck lift is needed as well? Thanks in advance!

Manish H. Shah, MD, FACS · Answer

Hello,
Thanks for your questions. Your primary issue is the small size of your jaw. With this anatomy, it is more appropriate to consider liposuction, central platysmal muscle repair and lift (deep neck lift), and placement of a chin implant to "restore" chin volume. This would correct your issue. You may even consider reduction in your submandibular gland volume as it is easily seen when you turn your head 3/4's. I would recommend seeing a specialist in deep neck surgery to get the results that you really want. 
Liposuction and J-plasma alone simply won't cut it with your anatomy.
I hope this helps you in your journey.
Dr. Shah

Anna Chacon, MD, FAAD · Answer

Thank you for providing the details and photo. Given your age and fitness level, chin liposuction combined with J-Plasma is often an excellent choice for addressing submental fat and enhancing jawline definition. This combination can effectively reduce localized fat and tighten the skin, which may provide the results you’re looking for without the need for a more invasive procedure.

A neck lift is generally recommended for individuals with significant skin laxity or excess skin that liposuction alone may not fully address. From what you have described, it seems that your primary concern is the fat storage rather than skin laxity. Therefore, a neck lift might not be necessary in your case.

However, the ultimate decision should be made in consultation with your surgeon, who can assess your skin elasticity and overall facial structure more accurately in person. They can provide a personalized recommendation based on your specific anatomy and aesthetic goals.

Wishing you the best with your procedure!

Best regards,

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photographs.

Based on the images you provided, my impression is that you have very little fatty tissue under the skin, which is typically addressed by liposuction. The prominent contours below the level of the jawline appear to be related more to the digastric muscles as the main contributors, followed by the submandibular glands, and probably a small amount of deep-seated fatty tissue in the central segment.

Considering these factors, an anterior neck lift intervention may be more appropriate for achieving the jawline definition you aspire to. This procedure can reduce the volume situated deep to the platysmal muscles, including fatty tissue, digastric muscles, and the lower part of the submandibular glands.

Since there is no excess skin, an anterior neck lift would involve an incision under the chin but would not require any skin tightening. This approach is more likely to produce the desired contour and definition along your jawline.

Luis A. Mejia, MD · Answer

Dear gurgigino, thanks for sharing your pictures and concern, Chin liposuction seemed to be a good option. Better pictures and/on in person consultation will defined the better approach. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to be skinny, and you also appear to have an underprojected chin appearance. A chin implant may be the best way to improve the appearance of your jawline. It's difficult to tell from the photo if the bulge under your jawline is simply your submandibular salivary gland, or if it is fat. If it is fat, delicate liposuction could be considered along with chin augmentation. I hope this is helpful. Sincerely, Dr Joseph

Do I need chin lipo or a neck lift? (Photo)

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Do I need chin lipo or a neck lift? (Photo)

Answers (6)

Answer: My Recomendation

Answer: My Recomendation

Answer: Would you consider chin implant surgery?

Answer: Would you consider chin implant surgery?

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Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.