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

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

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,

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.

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.

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

Did you have an in person consultation before scheduling your procedure?
I hope you didn’t make your own assessment and prescribe your own treatment plan.
You don’t have a fat distribution issue.
Liposuction isn’t going to do much for you because you have little fat to remove.
Facial aesthetics are primarily determined by bone structure.
Individuals who have small mandible are prone to having issues in this part of the face and soft tissue solutions are going to give partial improvements at best.
J plasma is not going to tighten your skin.
What you’re signed up for is bound to leave you disappointed.
Before even thinking about scheduling surgery, I recommend all people start the process by first having multiple in person consultations with senior board, certified plastic surgeons, and in your case also consult with oral surgeons.
First step is always to have a clear understanding of what the primary problem or ideology is.
In your case, I’m not sure you actually have a problem other than Simply being unhappy with your personal genetic make up.Some situations simply don’t have a good treatment option, and this is often the case with facial aesthetics. Especially when the primary problem is based on bone structure rather than issues directly related to soft tissues.
Before scheduling surgery insist on being shown an impressive collection of before, and after pictures of previous patients who had very similar facial characteristics to your own.
This means they should be of approximately the same age, similar gender, same amounts of subcutaneous fat , same facial proportions etc., etc., etc.
A highly experienced plastic surgeon should have access to 100 or preferably thousands of before, and after pictures to choose from.
You do not look like a good candidate for chin and neck liposuction and my personal first hand experience with Renuvion a.k.a. J plasma is that it totally fails to deliver any noticeable skin tightening.
If you rushed into the decision of having surgery, especially if you didn’t have multiple in person consultations with several different providers first then I suggest slowing down the train and holding off on surgery.
I personally would not recommend liposuction or Renuvion in your case.
Well done, liposuction of the chin and neck can deliver very high-quality outcomes.
This first and foremost requires that patient be a Good candidates for the procedure.
This generally means having a thick layer of subcutaneous fat to work with.
Delivering consistent high-quality Liposuction results is more difficult than most people realize.
The number of plastic surgeons who approach mastery of this procedure is in reality very small.
I would say less than 5% of plastic surgeons are good to excellent at Liposuction.
Most Plastic surgeons think they are better at Liposuction then they actually are.
Never assume somebody is talented as something that has permanent and irreversible repercussions.
I wish you the best of luck with whatever you decide to do.
I’m sorry to come across as being pessimistic.
I’m trying to prevent you from disappointment or worse,
This response was dictated so I should also apologize for grammatical errors.
Best,
Mats Hagstrom MD