What can be done to give me some neck/chin definition? (Photo)

Thank you for your question and photos. You may benefit from a combination of Kybella treatments and a chin implant to create a more well-defined contour. A chin that appears too small compared to the other facial features can contribute to a weak jawline and amplify sagging skin on the neck. A custom-fit chin implant can improve your side profile and bring your facial proportions into balance. If submental fat is a concern and you are not interested in a liposuction procedure, Kybella injections can dissolve fat cells under the chin to aid in creating a more contoured jawline.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concerns with you and determine the best treatment options to help you achieve your aesthetic goals.

Thank you for your question and sharing your photographs.

In your situation, the volume under the chin is predominantly driven by deeper structures under the platysma. This is why it does not correlate with your general weight. Unfortunately, it seems to have genetic influences is

Because you do not have a problem of skin laxity, it is possible to do an anterior necklift and reduce the volume both above and under the platysma which involves fatty tissue, reduction in the volume of the digastric muscles and potentially reduction of the lower part of the submandibular glands. The same access under the chin can be used to insert a chin implant if you also wish to increase the chin projection.

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.