Neck Lift or Chin Implant to Improve Profile?

I have always had a problem with my profile because while I am very in shape my neck line has always been really troubling. I feel like it slopes in a really ugly way. Would I need to get a Neck lift or a Chin implant?

Doctor Answers 15

Chin Implant Not Neck LIft Will Improve Your Profile

Thank you for your question.

You are young, fit and your photo does not show excess neck skin.

A chin Implant will lengthen the jaw line and improve your profile. From the photos I see no need for a Neck Lift.

Neck Lift or Chin Implant

I agree with most of the other reviewers. From what I can see, a chin implant would probably solve your problem. Of course, with a through examination and discussion with you, a different approach may be indicated.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 6 reviews

Neck profile improvement

There are several issues (which need to be determined by palpation and an exam) and ways to help. Two patients who look identical might require totally different procedures.

If the chin is weak, a chin implant helps. It definitely appears this would benefit you.

If there is extra fat, liposuction helps. This is likely to benefit you as well.

If the platysma is loose, a platysmaplasty helps. Our version of interlacing platysmaplasty is called the Neck-Lace. This is the procedure we use most often for the most dramatic result, and appears it would have the most benefit for you.

If the hyoid bone is low, the angle can only be improved to a point.

If there is loose skin, a facelift helps. It doesn't appear you fall into this category.

An experienced facelift surgeon can guide you through the decision making. The right answer will be very apparent when each of the above variables are explained to you. The toughest part of your surgery is not the chin implant but the neck work, hence the recommendation to see a plastic surgeon experienced with facelifts.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 178 reviews

Small Anatomic Implant

In my opinion a small anatomic implant is the only thing needed.  Do not get crazy and start going down a slippery slope of rejuvenation long before it is really needed. From what I can see liposuction is not even needed and can have some long term effect. 

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon
4.6 out of 5 stars 19 reviews

Chin implants can improve your profile

Based on this photograph, you are probably best served with a chin implant alone, and would not get much additional benefit from liposuction or necklifting.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 204 reviews

Neck lift or chin implant

It is hard to say what would best suit you from this one photo that doesn't show up too well.  A full exam would be most prudent.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Improve profile with neck lift or chin implant

  • A neck lift is performed to tighten the Plastyma muscle of the neck, as well as remove fat deposits both above and below this muscle. It is an operation that is also done to remove fat at the jaw line going back toward the ears.
  • A chin implant is used to bring the chin forward when a retrusive chin exists.
  • Schedule a consultation with a few different facial plastic surgeon for more personalized options.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Chin implant and neck liposuction can strengthen the jaw and face

You look young and would not benefit from a neck lift. Based on the limited photo, I would lean toward a chin implant and liposuction of the neck. This can have an excellent result. Speak with a board-certified plastic surgeon for a more specific evaluation. Good luck!

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
4.8 out of 5 stars 160 reviews

Chin implants improve the submental neck skin laxity

The picture you provide supports the unanimous feeling that a chin implant is the way to go. A lift is unnecessary, a larger surgery, and honestly addresses other issues in the face. The fullness under the jawline can be from skin laxity, fat, or underlying muscle and structural components of the neck. That is why an exam in person helps to differentiate the added value of liposuction.

When you place the chin implant in position, it adds a little tension to the skin of the submentum. That, with or without liposuction, is the dynamic that will sharpen your chin/neck angle. Plus the chin will have a more defined quality from the implant.

All these can be done under local anesthesia, given the right patient. That makes the combination of lipo and implant an excellent value as well. Good luck.

Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 14 reviews

A chin Implant can improve the appearance of your neck skin.

A Chin Implant can improve your neck skin be making it more taught. The dark profile photo you posted reveals a youthful appearance and a slightly underprojected chin. You should consult a board-certified facial plastic surgeon experienced in Chin Implant surgery to discuss what's right for you.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.