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The photograph demonstrates fatty deposits in the neck, a poor jaw/ neck angle, and a weak chin profile. A small Silastic chin implant can be inserted on the front of the chin to give added projection to help with the jawline. There are 2 locations of fat in the neck, above and below the platysma muscle. To adequately rejuvenate the neck, both deposits must be removed, and a platysma-plasty is then required. No skin removal is necessary as long as her less than 50 years of age. Patients over 50 years of age usually need of lower face and neck lift procedure to tighten loose skin. For many examples, please see the link and the video below
As a stand alone procedure a submentiplasty will give you the best neck angle improvement. If comboned with a small chin implant that result will be further enhanced.
Yes, feasible, especially if you have a Class I occlusion. You are correct in the use of some material on the 'ledge' IF the tissue 'thickness' is minimal; in order to avoid a deepened labiomental fold
I would start with a consultation and take xrays. Usually mandibular advancement and chin surgery is all you need to take care of this issue.
Your intuition is correct, you need both bone and soft tissue reduction. This can be ideally done from a submental approach where both excessive tissues can be removed.
