Best way to achieve a 90° neck/chin angle and define a jaw line? Always had heavy lower cheeks. Other issues are recent (Photo)

Before a patient could be candidate
for a surgery, they have to be in great health. If a patient is in good health,
then I look at the anatomy to guide my recommendations. When looking at your
anatomy you have:

1) Excess skin in the neck
2) Poorly defined jawline
3) Jowls
4) Weak Chin

You have a heavy neck or excess fat in
the neck. In my practice I would recommend:

1) Neck lift with platysmaplasty
2) Chin Implant

These 2 procedures will provide a long elegant
and defined jawline.

I hope this helps.

It's difficult to confirm what #solution is best based on photos alone. It's best to begin by consulting with a surgeon in-person. In some cases your plastic surgeon may give you more than one option to choose from. A neck lift is a general term used for rejuvenating the neckline to create a more youthful attractive appearance. There are various surgical techniques for a neck lift which will be discussed during your consultation. Also, additional procedures may be suggested to complement the neck lift for optimal results. The factors which are considered to first determine if you are a #candidate for #rejuvenating the neck include: 
•Visibility and amount of excess fat below the chin and along the neckline.•The presence of banding down the front of the #neck.•The amount of #excess skin and condition of your skin.•Chin Deficiency.•Presence of Prominent Digastric Muscles (a.k.a. submandibular gland fullness)If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to improve your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

Thank you for your question, Chloe.B.28, and for the various pictures at different angles. I suggest you consider the Laser-Assisted Weekend Necklift which provides a natural appearance utilizing leading technology in facial plastics to offer patients a short recovery of only a few days with minimal discomfort. Kybella is an injectable, on the other hand, and is able to contour and improve the jawline by addressing submental fullness due to submental fat. Please consult with a board certified facial plastic surgeon to determine which of these two and other treatments is most aligned with your goals, timetable, procedure preference and cost. Best wishes,

Most importantly:  congratulations on your weight loss. It is excellent that you are reversing your weight gain, and protecting your health. To create a sharper jawline and eliminate the turkey neck and jowling, I would perform a neck lift with all incisions hidden behind your ear crease. I would insert an intraoral chin implant (I insert the implant through an incision in your gums, thereby not creating any external scars and preventing the implant from potentially slipping in the future, as it can when the incision is on the external skin of the chin).  I would also very importantly liposuction your neck to remove excess fat. The proportions of all of these elements -- how much skin to resect, what size implant to use, and how much fat to remove -- are all the nuanced elements of a plastic-surgeon's aesthetic.  When done with sophistication, the results can be natural-looking and spectacular. Again, keep up the good work with your weight loss.

Hi Thalia80,Thanks for the posted pictures. You need to realize that no surgeon can guarantee the 90 degree neck that you are looking to have, so be realistic on what can be achieved. The results will depend on your anatomy. Currently you have a heavy neck and face. On your physical exam the surgeon has to determine the position of your hyoid bone. The more anterior and lower it is, the less likely it would be to get that 90 degree neck. In your case (only looking at the pictures) it appears that your hyoid bone is in an intermediate position. This means that you might be able to get a good decent result, but most probably not the perfect one that you are looking for.I would recommend that you consider a neck lift with liposuction and a chin implant. This way most of your concerns would be address in the best way possible. Again do not be looking for perfection, but for improvement.Hope this helps,Dr. Gus Diaz

You should have an in-person evaluation by a facial plastic surgeon to receive the best options to address your areas of concern. Without assessing the skin and supporting tissue health and elasticity, it's impossible to say whether a lower face-neck lift is warranted; but you definitely would benefit from a chin implant and submental liposuction which could improve your chin-neck profile. Also be aware that the ultimate degree of that angle will be determined by the underlying anatomy of your neck.

The best way to improve a profile such as yours would be to remove fat from under the chin with either liposuction or a noninvasive procedure (Kybella, radiofrequency, etc.) and consider a chin implant. Of course, a thorough exam is needed before recommending any procedure to confirm that these are indeed the correct solutions.

Thank you for the question and photos and from them without an examination, you appear to be a candidate for an extended necklift with platysmaplasty and a chin implant.Dr. Corbin

Please seek an in person consultation, you may be a candidate for simple liposuction of the area. Liposuction of the cervical facial area is usually done in one hour under local IV sedation. In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. Good luck! Dean Vistnes,M.D.Vistnes Plastic Surgery#realself #drdeanvistnes #liposuction #cervicalfacial

The anatomy of the neck muscles and the insertion of your muscles will determine if a 90 degree neck line is possible-it may not be.However a neck lift with platysmaplasty, submental lipectomy (fat emoval) and a chin implant should make a nice differrence