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.