Looking for options for lost definition in my chin/neck (Photo)

Question

35 year old female. 5'7" lost 75+ pounds (currently 245) After 2x thyroid lymph cancer and surgeries (thyroid and lymph removal, and a right neck dissection 2010 & 2019) &neck never recovered fully. Lost definition in neck and chin that hasn't changed with weight loss. Looking for options and opinions for someone my size

Jason Emer, MD · Answer

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

Daniel Barrett, MD · Answer

Dear Calm601692,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin liposuction. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tanveer Janjua, MD · Answer

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

Camille Cash, MD · Answer

From your photos it appears you are a good candidate for liposuction of the chin.  You could also consider adding FaceTite which uses RF technology to tighten skin up to 40%.  Speak with a board certified plastic surgeon near you to learn more.

M. Shuja Shafqat, MD · Answer

Good morning,
It is difficulty to tell what the fullness is due to. It could be excess fat but also could be related to your prior surgery. After a neck dissection, you could have poor lymphatic drainage or lymphedema. This would give the appearance of fullness but be harder and more firm. It addition, you could have pitting. That is when you press into the fullness and hold it there for several seconds, and it leaves a dent. 
A board certified plastic or facial plastic surgeon would be able to assess you in person and make that determination. Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Considering your history making an assessment is not straightforward. Your previous surgical procedures most likely have an impact of shape and contour and this makes response to standard procedures potentially unpredictable.

Scar tissue and previous lymph node dissection also increases the complexity and potential for a challenging procedure or unpredictable outcome.

With that question you need a proper in person consultation if you want to consider moving forward with cosmetic surgery in this area.

During consultations you’ll hear firsthand what each plastic surgeon has to say in regards to what they feel they can or cannot accomplish in your case.

Avoided temptation of doing virtual consultations and do not rely on real self as a substitute for having one.

Best,

Mats Hagstrom MD

Looking for options for lost definition in my chin/neck (Photo)

Answers (6)

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Answers (6)

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