How can I help not have no neck when I laugh or smile? (Photo)

Question

When I laugh or smile big my neck connects in a diagonal line straight to my chin making it look like I have no neck/jawline. My side profile has never been my favorite but especially in this aspect. What is the best procedure for this?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may benefit from a customized neck lift that would remove the excess skin and fatty tissue and create a smoother contour from the jawline to the lower neck. This procedure offers dramatic, long-lasting results for the right patient.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concern and aesthetic goals with you to help you decide on the best course of action.

Robert M. Lowen, MD · Answer

Dear Phenomenal,
  This is your anatomical feature, an obtuse cervicomental angle.  Generally when you transect the platysma and pull it up to define the angle the angle is deepened and looks better.
   If you want to consider this with a non-incision, suture suspension necklift, you could investigate the newer MyEllevate procedure.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

The area of concern to you is shaped by the deep seated volume under the platysma. It is a combination of fatty tissue, the volume of the digastric muscles and the lower part of the submandibular glands. The layer of fatty tissue under the skin is relatively thin, in keeping with your low BMI.

An anterior neck lift or short scar neck lift, which is typically carried out as a deep plane neck lift technique involves reduction of a small amount of fatty tissue under the skin and the larger volume reduction is under the platysma. This can sculpt the neck and produce improved definition of the jawline. Invariably it also creates the impression that the chin is more prominent both relaxed and smiling.

The procedure does involve a scar under the chin which measures approximately 3 cm.

Zoran Potparic, MD · Answer

Based on these photos, you seem to have low positioned hyoid bone and obtuse neck. Only on the basis od in person consultation, a board certified plastic surgeon, expert in face/neck lift can make that evaluation. Neck lift is best procedure to deal with that condition. Good luck.

John Michael Thomassen, MD · Answer

A mini lift with lateral platysmaplasty can correct this.  Sometimes midline plication and fat removal is also needed.

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Michelle Zweifler, MD · Answer

Several factors help a strong neck and jawline.  If there is excess fat, liposuction may help contour the neck; at times direct fat excision of the sub platysmal fat is necessary.  Excess skin is addressed with a neck lift.  Some people use their neck muscles significantly when laughing; botox may temporarily soften the neck platysmal muscle.

William Portuese, MD · Answer

A full set of facial and neck photographs will be required to make a better determination about what is going on with your neck. From the very limited photographs, it appears that you have significant fat deposits located both above and below your platysma muscle in the neck. A surgical neck lift accomplishes removal of both compartments of fat. This consists of liposuction to remove the fat compartments above the muscle, and surgery to remove the fat deposits below the muscle which also includes a platysma plasty to significantly improve the jawline. No skin removal is required.

How can I help not have no neck when I laugh or smile? (Photo)

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