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Procedures to Improve Bottom Heavy Face?
I would like to have surgery to improve my jawline but I'm confused about my options. I assume I will need Liposuction, but what about the neck bands and the front profile?
Would it be a Neck lift, lower Face Lift, short scar facelift? I am not quite 40 yet, but close. No Chin implants please. I know my profile shot shows a weak chin, but when I smile my chin comes out to play, and I am quite happy with it.
Asked 24 months ago by
hp in US
+1
Improving "Bottom Heavy" Face
Liposuction would be helpful as part of a facelift or necklift, not as an isolated procedure. I would recommend a facelift if you do not want a chin or chin-jowel implant; otherwise a necklift with chin implant should be considered.
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Neck liposuction vs facelift vs platysmaplasty
Liposuction alone will probably not do the trick. It maytake a tightening of the deep layer, the platysma. We prefer a wide interlacing verison of the platysmaplasty.
I know you are set against the chin, but it can have some beneficial effects on the profile, the span of the neck, and the appearance from the front (even during periods of "play") if subtly done.
A minilift can also provide an extra measure of sculpting of the jawline if appropriate.
+3
I might be crazy but...
Keeping in my mind the photos tell only a portion of the story I will address what I see only.
based on your neck, skin quality and jawline a facelift would be just too much. I dare say you look younger than your age. I know you want to look better not younger but remember 10-20 years from now your goals will be to look yonger. ironically overtreating the fat in the lower third of your face may leave you unhappy in the future. I just answered a question from a pt who had...
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Procedures to improve bottom heavy face
The archetecture of the face and neck must be considered as a whole to evaluate balence, equilibrium and harmony. Your pictures only show half the story, but from what I see I feel 2 treatment options could be pleasing.
1. Suction of the neck and jaw line to remove your submental fat pocket and define your neck/face junction. I do not see neck (platysmal) bands in your photos.
2. A short scar face lift with neck liposuction
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Lower face and neck options
From what I can see, Liposuction would give you a good degree of improvement, and if a small platysmal band is palpable, the submental incision could be extended and those sutured together. I do not think you have enough skin laxity in the neck at the present time to warrant the neck lift scars.
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A chin implant would be placed against the bone of your jaw so that it feels like an extension of your natural jawline
While you are not fond of the idea of the chin implant, that may still be the best choice. A chin implant would be placed against the bone of your jaw so that it feels like an extension of your natural jawline. Not only would this improve your jawline and front profile, but it would also improve your side profile and the contours of your neck. I believe that a facelift or neck lift are more aggressive approaches than you need at this point.
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Improving a bottom heavy face
According to the picture shown, there is no evidence of needing a face/neck lift or neck bands. It is impossible to narrow the lower third of the face. Liposuction is not a good idea since there is no fat in that area of that chin. In the neck structure itself, the primary goal of a neck lift is to remove excess fat above and below the platysma muscle to sharply delineate the jawline and tighten the neck muscles.
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Improving bottom heavy face
Judging from your pictures, you have a youthful face/neck contour at age 39. There is a small of fullness of your neck under your chin and this could be judiciously and conservatively liposuctioned. Your pictures do not demonstrate
neck bands
or significant excess skin. Therefore, at your age and with your demonstrative findings, I do not think that a
neck lift
or lower
facelift
is necessary at this time.
Freehold Facial Plastic Surgeon
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Be conservative in improving bottom heavy face
Realize that you will not be able to improve everything that you want improved! Then, do it with least amount of scars(like tiny liposuction one) rather than risk an unnatural result and more scars with anything further. A person to plastic surgeon evaluation is going to further answer your questions.
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The problem is the chin and far less your neck
I agree that you should not have a "chin implant" but you do need either a "chin-jowl" implant or a genioplasty to bring the lower portion of your jawline forward.
Do not have liposuction because it will just expose your muscle bands and without a better jawline to support your skin, you will have wrinkling under your chin.
You are right in that you need your "jawline" improved and the problem is not in your neck.
The good news is that this approach does not...
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You could consider Neck Liposuction to improve your jawline and neck appearance.
It's possible you would benefit most by a MACS-Lift, short-scar facelift to get optimal face and neck rejuvenation. This is a tough call without seeing your whole face. I don't see the neck bands you're concerned about.
My hunch is that you might be pleasantly surprised by the improvement you could see with an isolated neck liposuction procedure. Your skin appears to be young and elastic, and these are the main predictors of youthful redrapement after a liposuction procedure.
I hope you...
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Fixing a "bottom heavy face".
Liposuction is not the best choice for you since it appears that you have neck bands and loose skin. Surgery to just the anterior neck will still leave the excess skin. Some form of facelift is indicated. What type is for an experienced surgeon tdecide and give you the pros and cons of YOUR options, not his.
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Liposuction, neck lift, short scar facelift all have their place
Liposuction can work really well to gently contour the area below the chin and along the jawline, provided the skin is of good quality and the tissues under the skin are in good shape. A short scar facelift can improve the lower part of the face, while a necklift refreshes and tightens the area under the jaw and chin.
It is difficult to tell from photos alone which procedure would be the best for you, but you are correct that liposuction alone does not correct platysma bands. A neck lift...
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Laser Lipo may be a good option
You have minimal mount of the fat under your chin and laser lipo will help. Face lift is a bit too much and you do not need chin implant. The other option is Thermage and this will give mild improvement, if you are not ready for surgery.
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Neck liposuction
Based on the photographs, it looks like you may benefit from neck liposuction. If you are worried about neck bands, then once you heal from the liposuction, Botox Cosmetic in the neck could be beneficial. Also, you may benefit from some fillers along your jawline to help balance out your chin. I hope this is helpful.
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