Jaw, definition, add possible neck lift (Photo)

The most profound results are going to be with surgical techniques. Based on the pictures, the procedure that would work best is a deep neck lift, which includes superficial liposuction, removal of subplatysmal fat, a digastric shave and a platysmaplasty. I don't see great results with nonsurgical energy devices and would not recommend them.

The pictures demonstrate early skin laxity of the face and neck that manifests as facial decent - squaring off your lower face and neck. You also have fulness of your central neck.

There is a chance you may be able to get away with a mini lift to tighten along the jaw and upper neck. To re-establish the aesthetic triangle, however, a modified mini face and neck lift with deep plane tightening of the SMAS and platysma - to lift the jowls and sharpen the neck - would give you the best improvement.

You may also need another round of lipo of the central neck to improve the fullness in that area.

Typically, I do those procedures as part of our Wide-Awake-Surgery program – surgery done under local anesthesia in the office.

Check out the link below.

The same surgery is also available in the OR under anesthesia.

Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.

Dear soholauren,
Thanks for your question. A facelift/ neck lift procedure is used in patients with moderate to severe skin laxity and excess in the neck and lower face. You have some submental fullness under the chin. If this is fat you may get benefit from repeat chin lipo or perhaps morhpeus 8 to help melt fat in the area. I would suggest a consultation with a board-certified plastic surgeon for further information and recommendations.