I'm considering a chin implant - what else would make my neck look better? (Photo)

Question

Hello! I am on my early 30s and have noticed that my neck looks fuller despite staying the same size. I know I have a weak chin and am considering a chin implant but what else can I do so the neck looks better? I don’t like how it looks like it attaches directly to my chin.

Michael P. Morrissette, DDS, FACS · Answer

A sliding genioplasty moves your natural chin forward, giving it greater projection. The surgery provides a similar result to a chin implant. In this case, the chin is moved forward and held in position with a mini plate and screws. Both procedures are performed in the office with sedation anesthesia. In addition, I would recommend jawline and chin liposuction. Both procedures can be performed simultaneously.

Carl Truesdale, MD · Answer

Adding a chin implant is a great way to sharpen the jawline visually, and combining it with neck work can be transformative in the right patient. But the 'right' add-on depends on what specifically is making your neck look fuller.
First, identify what's driving your neck fullness:
Submental fat (fat under the chin/neck): can be addressed with liposuction or Kybella.
Loose skin (envelope laxity): liposuction will make this worse, not better &mdash; needs a neck lift.
Platysmal bands (vertical neck cords): need platysmaplasty (corset technique).
Subplatysmal fat (deeper fat below the muscle): requires open neck lift dissection, not standard lipo.
Low hyoid bone position: anatomic limitation that no surgery can fully fix.
Combination strategy by neck type:
Chin implant + submental liposuction (most common combo):Good for patients with isolated fat fullness, tight skin envelope, no platysmal banding. Same surgical session. Recovery 7 to 10 days. Combined cost typically 12 to 25K.
This is the highest-ROI combo for the right candidate &mdash; the chin projection brings the jawline forward, the lipo cleans up the underside, and the result looks dramatically different from either procedure alone.
Chin implant + neck lift:For patients with loose skin, platysmal banding, or both. Adds the platysmaplasty + skin redraping component. Recovery 10 to 14 days. Combined cost typically 20 to 40K.
This is the right move if you can pinch significant excess neck skin or see vertical bands when you turn your head.
Chin implant + Kybella (non-surgical adjunct):For patients with mild submental fullness who don't want surgical lipo. Multiple sessions of Kybella over months. Lower commitment but slower results.
What I'd avoid:
Chin implant alone if your neck has obvious laxity &mdash; the new chin projection makes the neck redundancy MORE visible, not less.
Neck lipo alone if your skin is loose &mdash; worsens the problem.
Kybella in patients with obvious loose skin &mdash; same issue.
How to know which combo you need:
In a mirror, do these two tests:
Pinch the skin under your chin. If you can grab significant excess skin and it doesn't snap back quickly, you have laxity &mdash; you need a neck lift, not just lipo.
Turn your head to the side and look at your profile. If you see vertical bands running down your neck, you have platysmal banding &mdash; platysmaplasty is needed.
Best move: see a facial plastic surgeon or board-certified plastic surgeon who does both chin implants AND neck procedures. They should examine your skin elasticity, palpate for platysmal bands, and assess your fat compartments. An honest assessment gives you the right combination.

Gary M. Horndeski, MD · Answer

You would benefit from a chin implant, liposuction of the neck and possible neck lift.  However, you are young so I would start with the chin implant and liposuction of the neck.

Best Wishes,

Gary Horndeski, M.D.

Timothy Osborn, MD · Answer

Chin implants work for some patients, however genioplasty is a more predictable procedure. Implants can move, and/or bury themselves into your chin bone (which makes a potential removal difficult). A genioplasty uses your own chin segment, which is moved forward/downward (up to you), and secured with titanium hardware - a non- conductive metal. It generally results in a very natural look. 
For your neck - genioplasty would help alone, but adding a potential submental liposuction or even a neck lift could give your much better results. 
Let us know if you'd like to schedule a virtual consultation, we'd love to discuss your goals, treatment options and work through some photos and simulations.

Zoran Potparic, MD · Answer

Beside chin augmentation you will need anterior neck lift with liposuction. This will significantly improve neck/jaw angle which can not be achieved with chin implant and liposuction. Good luck.

I'm considering a chin implant - what else would make my neck look better? (Photo)

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