What is Wrong with my Neck? I Dislike My Profile. (photo)

You could consider chin augmentation and possible neck (submental) liposuction to improve your facial balance.

A physical exam would allow for a better assessment and computer morphing would better let you determine if the changes make the improvements you're looking for.

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

Based on your photos it appears that you may be a good candidate for neck liposuction.  A chin implant may also give added benefit.

From your photos, it looks like you have a small amount of fat of your neck that can be removed with liposuction. More importantly, your chin is small and this is making your neck look the way it does. I would recommend placement of a small chin implant which will balance out the lower third of your face and make a more pleasing neck angle. I routinely perform these surgeries and would be happy to see you in my office for a free consultation. call 212-289-1851 to schedule your consultation. You can also see more information on my website at drschulmanplasticsurgery.com

There are two issues with your neck.  What you are noticing is your cervicomental angle, the angle betweenyour neck and chin.  the quick answer that you SHOULD NOT go for is a chin implant.  Redraping your neck skin with minimal liposuction and skin tightening( I prefer Skintyte II an infrared based skin contraction device) with or without a genioplasty.  A genioplasty is a surgical repositioning of the projection of your chin.  Fewer surgeons offer this because it requires more advanced training and technical skill, but it provides results that an implant can never achieve.  Implants cannot change the vertical position of your chin and always erode both bone and soft tissue and carry lifelong risks of infection, extrusion and nerve compression.  Chin implants are a very bead idea for patients of your age.  An oblique sliding geneoplasty could balance the horizontal and vertical dimensions of your face and also dramatically improve the appearance of your cervicomental angle giving you a more defined appearance and a prettier neck.  I hope this helps!

 

All the best,

 

Rian A. Maercks M.D.

Nothing is wrong with your neck, but if you want it more trim with better definition of your jaw, consider a chin implant and liposuction of the neck.  

I agree with the others.  A chin implant would be the main thing I would recommend.  I agree also that just liposuction or at the most a platysmaplasty (tightening the fan-like neck muscle) would help.  At your age, it's quite unlikely, in my opinion, that you would need any skin removed.  In fact, with a chin implant in, the skin will be a bit tighter anyway. 

Several things in the neck are creating profile issues.  Fat present in the neck both above and below the platysmal muscle needs to be removed, and a platysmaplasty (tightening of the platysma) will create a 90 degree angle neck once the fat has been removed in the submental area.  A small chin implant will enhance the retrusive chin and further improve the length of the jaw line.

Based  on your photos it appears that you have a few things that could be improved upon to help your profile, first you have a slightly deficient chin which causes your neck line to look blunted.  You have good skin quality, but may have some excess subcutaneous and even possibly subplatysmal fat that if removed with submental liposuction and direct lipectomy along with submentoplasty and a chin implant would do nicely for you. 

Based on your photographs, it appears that you would benefit from a chin strengthening procedure - either an implant or semi-permanent filler such as Radiesse. It does not look like you have heaviness or excess volume, but you do have some looseness of the platysma muscle under your chin. This can be improved with a small procedure called a submentoplasty where the muscle is tightened directly under the chin.