The neck and jawline is often an area of concern for patients. Terms such as a double chin, excess fat, “no neck”, weak chin, “turkey neck”, sagging tissue, etc have been used to describe their undesired appearance.
The appearance of the neck typically worsens with age. Fat accumulates under the chin, bone structure recedes, glands and muscle loosen and descend, and skin accumulates and hangs. The specific issue of the neck will vary among individuals based on these multiple factors. Some may have more of a fat issue, while others may have more of a bone issue. Some may have an ill-defined neck from a very early age, while others may loose their jawline at an older age.
We’ve previously reviewed how the teeth and jaw structures play an important part in one’s facial and neck appearance. Read our previous blog post about an overbite predisposes one to have a double chin.
Anatomy of the Neck
Excess volume under the chin and neck area contributes to the appearance of a second chin. An ill-defined jawline or excessively full or round neck and chin is undesirable by many patients. This submental fullness bothers patients almost as much as the wrinkles that develop around the eyes and forehead.
The relevant anatomy of the chin, jawline, and neck involves skin, fat, muscle, bone, and glands. These all all contribute to the appearance of this neck. Often it’s a combination of factors that contributes to one’s appearance, while some may have more of an issue with a specific anatomic component.
Learn more about neck anatomy with examples in previous blog post.
Chin Implant Surgery
Chin implants come in a variety of sizes (ex. small to extra-large) and shapes (ex. extended, square, and curvilinear). While different materials are used in chin augmentation, silicone implants are the most commonly used by plastic surgeons.
Chin surgery takes less than an hour and performed via “twilight anesthesia” or IV sedation. An incision is hidden under the chin and the implant is placed onto of the jaw bone. Downtime after chin surgery has been reported minimal by patients.
Read more about chin implant surgery and reasons why we go from the outside.
Improving the Neck by Chin Surgery
Everyone who tilts their chin upward or moves their chin forward will improve the appearance of their necks. Think about your best selfie angle and how you position your chin.
Chin augmentation with an implant moves the chin forward and outward. As a result, the definition of jawline and neck is enhanced without direct surgery on the neck. For patients who want the most improvement in their necks, then multiple procedures may be recommended to address various components. Neck liposuction and neck lift with skin tightening are the most common procedures to accompany chin implants for those who want the best neck.
Plastic surgeons are often asked what is the “best” option to improve one’s neck. Whether it’s the surgical facelift or nonsurgical liquid lifts, a plastic surgeon will examine the entire neck, chin, and face as part of the cosmetic consultation. In addition, the best plastic surgeons will often evaluated the mouth and jaw too.