What is the best procedure to define my jawline and neck? Do I have to undergo surgery to help my side profile? (photos)

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Neck liposuction is a great option for patients with good skin elasticity and excess fat in the neck and around the jawline and face. This will remove excess fat and stimulate the skin to contract over time which will improve angulation and definition along the jawline. I recommend seeing an expert for a consultation. I hope this helps!

Hello and thank-you for your question and photos.You may consider a small chin augmentation to improve your jawline combined with liposuction of the sub mental chin and neck. Liposuction of the chin area alone could give improvement as well. Liposuction and J-Plasma (Renuvion) Cool Helium Plasma for skin tightening of the chin and neck produces consistently good results for appropriate candidates. I would recommend an in person consultation with a Board Certified Plastic Surgeon.Best wishes, Andrew Lyos MD, FACS

Hello, thank you for the question. Based on your photo, it looks like you could be a good candidate for liposuction of the neck, and possibly a chin implant.  I would see a local plastic surgeon for a consultation to get personalized attention. Good luck!

Hello dear
Thanks for the question and provided information as well. 
Based on your photo you are a good candidate for chin liposuction,
Chin liposuction may be an option, it makes you look younger and more
attractive with a sharp jawline , and better facial proportions.
I recommend you to make an appointment with a board certified plastic
surgeon for a good evaluation and to talk about your goals.
Good luck :)

 Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  Looking at your photos your chin is extremely weak, there is some excess skin but very little fat under the chin and the back portion of your jaw line is also weak.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin and fat removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  Fat removal alone, by any method, will "not" add forward projection to the chin and therefore can't correct the weak chin and improve the harmony and balance of the lower face. The back portion of the jaw line can be augmented with precise placement of a dermal filler without masculinizing the jaw line and face.  And finally, a few words regarding the use of fat (fat transfer, fat injections) to shape the face. I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  In my experience and despite its recent increase in popularity, fat transfer (fat injection) offers "far" less of a reliable and predictable volume for facial shaping than an off the shelf dermal filler or silastic facial implant.  For that reason, I do not use fat to shape the cheeks, chin, lips or jaw line.  Tissue physiology is quite simple.  Tissue requires a blood supply in and out as well as lymphatic connections to remain viable and alive.  Once fat is removed from the body all of these things have been disrupted.  Just because the removed fat is mixed with PRP or something else doesn't make the blood and lymphatics magically re-appear.  The fat at that point is not living tissue which means that it's prone to being dissolved by the body (most likely in an uneven and unpredictable manner).  Injecting fat back into the face does not create the required elements to make the fat living tissue once again.  So the argument that fat is alive and viable in the face once it's been removed and re-injected makes no sense to me as a physician and surgeon.
 The other issue that I have with fat transfer is the lack of precision.  Fat is thick by nature which means it's not the same consistency as an off the shelf dermal filler.  Fat injections use an increased volume injected in an attempt to compensate for the volume loss that "will" happen.  This means a lack of specific shape and volume that simply can not begin to compare with the specificity of using a silastic facial implant of a "known" shape and volume.  In that regard fat offers too much of an unknown to make it a reliable and predictable method for facial shaping.  There's a significant difference between a 3mm and 5mm thick cheek implant.  You can imagine the magnitude of difference there is between retaining 60% of 25cc's of fat versus 35%.  In my humble opinion, I just don’t see how fat could possibly be used to precisely shape facial features?
Hope this helps.