Will a lower facelift with chin lipo fix double chin/jawline? (Photos)

A lower facelift combined with an anterior neck lift would be one of the most effective approaches in this case to improve jawline definition and address longstanding submental fullness. Chin liposuction alone is often insufficient when there is underlying muscle laxity or skin redundancy, as it only removes fat without correcting the structural causes of a poorly defined neck and jawline. A lower facelift repositions descended tissues in the lower face, while an anterior neck lift addresses the platysma muscle bands in the midline, tightening the neck and enhancing the cervicomental angle. When performed together, these procedures can produce a more youthful, sculpted, and balanced contour, both in profile and frontal view. A detailed in-person evaluation is necessary to finalize the surgical plan, but based on the concerns described, this combined approach would likely offer the most comprehensive and lasting result.

Thank you for your question. Based on your photos, I believe you would benefit most from a deep neck lift combined with limited incisions around the ears to address both the fullness under your chin and any mild excess skin. While you don’t appear to have a large amount of loose skin, at age 40 the skin’s elasticity isn’t what it was in your 20s, so leaving the skin untreated could result in sagging.

It’s also important to note that much of the fullness in this area often lies beneath the platysma muscle, where liposuction alone cannot reach. Through a small incision under the chin, your surgeon can directly remove this deeper fat for a more defined contour. The incisions around the ears are sometimes referred to as a “mini lift,” though definitions of this term vary among surgeons.

I would recommend scheduling a consultation with a facial plastic surgeon who performs these procedures regularly so you can review your goals and discuss the best approach for your anatomy.

That sounds like a reasonable approach by your plastic surgeon. I agree that liposuction alone may not be enough. You also have a prominent soft tissue chin "pad" that may benefit from reduction from the chin crease. I call it a chin tuck.

You may benefit from a chin implant as well as liposuction of the neck. This will be less invasive than a mini face lift.

Best Wishes,

Gary Horndeski, M.D.

You are young and the skin is in excellent shape. Yes, a minifacelift and chin liposuction will help a lot. However if you wanted to avoid the surgery for now you could undergo Chin Liposuction and Thermitight.
Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
Click on the video link below
Regards
Dr. J

You would look so great with a lower face/neck lift under local with IV sedation for complete comfort. It is easy and painless and fast recovery. Lipo and morpheus are done at the same time for best results.

Based on these photos it appears that anterior neck lift may be quite appropriate procedure for you. No doubt that lower face/ neck lift would address the same issue but that is more complex procedure that you may not need. Good luck.

Thank you for a detailed text question and photo posting. Based on the photos, I would recommend a mini face neck lift with the muscle plication in combination with chin Lipo and added Endo laser for more tightening. Expect fees to range from $8000-$12,000. Best to virtual consult with them for more details good luck.

A neck lift is going to potentially give a more dramatic result than Liposuction alone.
It’s simply more surgery.
Adding the facelift scars also comes with significant drawback.
I’m not a big fan of many procedures. In a paragraph for that reason, I usually tell people to either get a proper facelift or don’t do it.
In your case, you could have a very good result with Liposuction alone, but this is completely dependent on finding a plastic surgeon who approached master of the Liposuction.
Most plastic surgeons do average Liposuction work. Average Liposuction results aren’t always very good.
It really takes a significant amount of experience to do chin and neck Liposuction really well.
It’s not just removing fat.
To find the right provider or choose the correct procedure I suggest scheduling in person consultations.
Always bring a complete set of facial pictures to use as a reference during the consultation.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of the before, and after pictures of previous patients who had similar facial characteristics for whatever operation they recommend.
A sufficiently experience provider should have no shortage of before, and after pictures to show you.
This means being able to see the outcomes of 10 to 20 cases at minimum.
Plastic surgeons were not good at Liposuction well often be quick to recommend a procedure where they know they can get better results.
This can be true for the abdomen recommending a tummy tuck instead of Liposuction.
It can be true for the neck recommending a facelift instead of Liposuction as well.
Potentially a face lift with Liposuction will always be able to give a better result, but in the end, the result is based on provider selection, regardless of what combination of procedures you choose.
In the hands of the right provider you’ll also be guided correctly.
A plastic surgeon who has sufficient skill and experience to do quality Liposuction will have the results to prove it.
Start looking at lots of before, and after pictures online of previous patients who had Liposuction alone who had similar facial characteristics to your own.
When reviewing before, and after pictures, you should always have a picture of yourself to use as a reference.
Patient candidacy and provider selection are the two variables to determine outcomes.
You have pretty good skin and I can see some pinchable fat so I think Liposuction can create a pretty nice outcome in your case.
You can always add a facelift a little later in life when it’s more appropriate.
If the Liposuction isn’t done well, you’ll be left with disappointment.
I suppose this is true for any procedure, but I see more variation in Liposuction results than just about any other operation.
Unfortunately, too many plastic surgeons think of Liposuction as a simplistic procedure that doesn’t have much finesse.
Approaching mastery of Liposuction is more difficult than most people realize.
The number of plastic surgeons who approach mastery of this procedure is in reality quite small.
Finding someone who is truly exceptional at neck, Liposuction may take some looking around.
It may require having quite a few more consultations.
It’s your responsibility to vet providers.
Doing so isn’t easier straightforward but you’ll need to do the best you can.
Ask providers to show you more examples.
If they don’t have lots of pictures to show you then that is a big red flag.
It either means they haven’t done the procedure very much or they’re embarrassed of their average outcomes.
The goal is not to see the best result of a providers career, but to get a good understanding of what average results look like for patients who had similar characteristics.
Best,
Mats Hagstrom MD