Best approach to improve chin? (Photo)

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

You appear to be a good candidate for a genioplasty. This would bring your chin forward and slightly down, creating more facial balance and the projection you are looking for. It will also add length and definition to your jawline, while tightening the skin as well. One of the main benefits of a genioplasty is that it lasts forever, and the whole procedure is done through the mouth, which means no external scarring. I would say a genioplasty would be the best option for you to achieve your aesthetic goal. Our office provides morph photo simulations of your expected outcome, so you have a better idea of what the result would look like. We would be happy to schedule a consultation to discuss your options further!

Thank you for your question and sharing your photographs.

The main reason why the contour of the neck and jawline can lack definition whether the weight is low or higher tends to be the volume deep to the platysma muscles which has genetic origins. This can be the case whether the mandible is small or whether the lower jaw is well-developed like in your case.

A deep plane neck lift procedure can address this problem a combination of volume reduction superficial layer and deep to the platysma muscles involving the fatty tissue, digastric muscles and lower part of the submandibular glands. This is combined with tightening of the skin to improve the contour of the jawline and sometimes fat reduction in the jowl region.