Best approach to improve chin? (Photo)

Question

I'm a 41 year old woman with a BMI of about 28 -- I'm overweight, but have have always had a double chin and poorly-defined jaw area, regardless of weight. There are so many approaches to chin procedures, non-surgical and surgical alike. I'd like some imput on what approach might best suit me.

Jason Emer, MD · Answer

"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"

Timothy Osborn, MD · Answer

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!

Lucian Ion, FRCS · Answer

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.

Tanveer Janjua, MD · Answer

FACE

1. Facelift, necklift or non invasive treatments
There are many non invasive treatments to help with loose neck skin. Here are the options available.
1.	Neck liposuction 
2.	Neck liposuction combined with Thermitight
3.	Neck liposuction combined with necklift and lower facelift
4.	Necklift and lower facelift
In your case the best option will be Lower face and neck lift with liposuction

Lower facelift and necklift
It is important to understand that the incisions used for achieving a good result in a necklift also give a nice lift to the lower face and jowls. The purpose of a necklift is to pull the extra skin side ways behind the ears and remove it. It is also sometimes combined with Neck Liposuction and Platysmaplasty.  
The incision starts in the hair tuft in front of the ear and then curves in front of the ear hidden in natural curves of the ear, then next to the earlobe it goes behind the ear in the hidden groove and finally is taken over to the hairline of the neck.
The skin is then lifted to expose the underlying platysma muscle. It is then pulled back and tethered to the bone behind the ear. At this point the jowl area is also pulled back with stitches under the skin in deeper tissues. These maneuvers lead to excess skin on the sides which is then trimmed and stitched back in place.

Regards Dr. J

Jeffrey H. Spiegel, MD · Answer

Well, we could do a deep neck lift through a small incision under your chin (where you already have a groove), could do liposuction, could do embrace (which is a combination of energy based tissue shrinkage with liposuction), and more.
If you watch our videos you'll see more about each of these options.  Some can be done in the office as a simple come and go procedure.

Best approach to improve chin? (Photo)

Answers (9)

Answer: Lower face and neck lift with liposuction

Answer: Lower face and neck lift with liposuction

Answer: You have many good options

Answer: You have many good options

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.

Best approach to improve chin? (Photo)

Answers (9)

Answer: Lower face and neck lift with liposuction

Answer: Lower face and neck lift with liposuction

Answer: You have many good options

Answer: You have many good options

Browse related questions

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.