Should I get a necklift and chin implant or will just a necklift fix my double chin? (Photo)

It's best to begin by consulting with a surgeon in-person to discuss your options. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck. Neck lifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your neck lift look as natural as possible, simply turning back the clock a few years.  #Liposuction is often used during the neck lift if necessary.During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address 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.

You should have an improvement from a neck lift with neck liposuction.  It appears that your chin is slightly underdebeloped so it is likely a chin implant will be helpful as well.

It looks like a neck lift to tighten your neck muscles and also remove excess fat from under your chin would be very helpful in improving your neck line. Your results would likely be further improved (and your jawline made more defined) by also augmenting your chin to better support your neck skin.You can read more about chin augmentation at my web reference link below.

The best treatment in my opinion would be a chin implant, liposuction and a neck lift to remove excess shin after removal of the fat. See an experienced facelift surgeon. 

You may benefit from each procedure to improve your profile. Your best beg wold be to have your neck evaluated by a board certified facial plastic surgeon.

In my opinion, removing some of the fat from your neck with liposuction, and tightening the platysmal muscle if needed, would go a long way towards defining your neck line.  You would also benefit from a chin implant, or fat grafting to the chin.  Seek out a board-certified plastic surgeon in your area for an in-person consultation.  Best wishes,--Erik Hoy, M.D.

The photograph demonstrates a weak mandibular chin profile and fatty deposits in the neck. These fatty deposits in the neck are located above and below the platysma muscle in the neck And both must be removed in order to give a defined jawline. A neck lift will improve the jawline by removal of fatty deposits( sub- mental and sub-platysmal) along with a platysma plasty. A chin implant will give more projection to the mandible which will also help with jaw-neck line definition. Both procedures are complementary to each other. For many examples and more information, please see  the link below

Great questionwhat you should knowtwo terms microgenia and retrognathia. Microgenia is a small or under projected chin.  Retrognathia is when your dental occlusion is misaligned.   When you but down specific molar cusps and grooves should align.  It is easily determined by any dentist, oral maxillary or facial plastic surgeon.  If your occlusion is normal than then I would say there is an element of microgenia to your profilean additional consideration should be given to the position of your hyoid bone.  This is a small midline neck bone that is involved functionally with swallowing.  It also plays a role in forming the cervicomental angle of the neck and jaw.  If this bone is low lying and anteriorly positioned it will lead to a lack of jawline definitionwith these points to consider an option for you may be consider a chin implant removal of the submental or double chin fat pad.  It can be done through a single incision which may negate the need for a more aggressive surgery such as a neck liftregards

Thank you for the photos and you would clearly benefit from both procedures and should get a striking resultDr Corbin

As a cosmetic oculofacial plastic surgeon practicing in Manhattan and
Long Island for over 20 years, I do a lot of facelifts, neck lifts and neck
liposuctions and even facial implants including chin and submalar cheek
implants.



A necklift is a procedure with an incision that is made slightly in
front and behind of the ear to lift excess, redundant and sagging skin and to also deal with platysmal bands. The muscle that is
underneath the skin contributes to the appearance of bands and sagging skin, so
a necklift is the procedure for that type situation. I would first evaluate and
see if you have extra skin or if it is a manifestation of other anatomic issues
related to the hyoid bone. The hyoid bone defines the neck angle: for some it’s
low and forward or high and back. The hyoid bone is important in determining
whether or not a lift will help you. If you’re hyoid bone is very low or it’s
very forward, then you have a very short distance between the bone and the
chin, so when you pull up the skin you don't get much differentiation. This is
important for people who have facial aging because there is a downward decent
of migration of the hyoid bone. In a consultation, I typically lift the skin to
show the patient their maximal potential benefit.



The choice of a chin implant or adding projection to the chin is also
not a straightforward procedure. The chin may be back because it is relatively
short, or there is a misalignment in the position of the mandible or the jaw
bone relative to the upper jaw bone composed of the mandible and the maxilla.
Sometimes, people have the perception of a weak chin because their teeth are
relatively misaligned. By doing a simple examination in the mouth, you can see
if someone has a relative overbite and the chin is posterior. If that’s the
case, if they were to get a chin implant, they would get deepening of an area
called the labial-mental crease which is a crease between the lip and the chin.
In some people, it can be adjusted and the chin implant can be positioned.
Patients should choose a size that would fit the face if they’re not interested
in doing some kind of oral-maxilla type of procedure.



In your situation, you might be a candidate for a chin implant. You may
also want to consider neck liposuction. This procedure reduces fat along the
under part of the jawline as well as below the chin if there’s extra fat. However,
we also have to be conscious of not taking too much fat away. Most of the time,
plastic surgeons are very aggressive about removing fat. I have had patients
who needed to get fat transfers to restore the fat or I did something to
rehabilitate the skin. The thin layer of fat under the skin makes skin look
youthful. Last issue is your physical weight - if a younger person is over 10
pounds their ideal body weight, then a simple weight loss can actually help define
the jawline and the neck.



I suggest that you have a physical examination with qualified,
experienced cosmetic surgeons and explore your options. The photo is helpful
but to make a recommendation that is definitive would require an examination. Anatomic
features such as the position of the hyoid bone, physical weight, the position
of your mandible relative to the maxilla in terms of your bite or if you have an
underbite or a normal bite are all factors before making this decision. I hope
that was helpful, I wish you the best of luck, and thank you for your question.



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