110 lbs but double chin & no visible jaw. What procedure would help me? (Photo)

Question

I am 25, 5'1 and 110lbs but due to genetics I have a double chin and my jaw line is not visible (especially when I am smiling). What procedure would best help me with having a better profile, jaw line, reduced double chin etc.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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"

Kenneth Hughes, MD · Answer

Hello.
Great question. Thank you for your pictures. Images without you smiling will help to properly address your concerns. However, based on your images, you may benefit from liposuction of chin and/or perhaps some skin tightening. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

Michael P. Morrissette, DDS, FACS · Answer

In order to achieve the best results with complete facial balance you should ask your orthodontist for a referral to an oral & maxillofacial surgeon. There is a significant amount of gums that show when you smile. The chin position is very recessed. Ideal treatment would involve moving both jaws (double jaw surgery). In most cases, medical insurance provides some coverage.

Farhad Rafizadeh, MD · Answer

You should be examined to determine if the bulging under your chin is cause by fat under the skin or under the muscle. Fat under the skin could easily be removed by micro liposuction in the office under local anesthesia. This procedure is more effective and heals faster that Kybella or any other so called non invasive procedure. Other procedures like chin implant could also be discussed depending on the findings.

Daniel Barrett, MD · Answer

Dear marcie1808,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tanveer Janjua, MD · Answer

For younger individuals the best option is a combination.Liposuction will remove the excess fat but to ensure the tightening of the overlying skin a newer procedure called Thermitight works great. It is radiofrequency heat delivered from a small hole under the chin and the heat makes the skin tighten. This is minimally invasive and can be done under local anesthesia. The recovery can be as little as one to two days. RegardsDr. Janjua

William Portuese, MD · Answer

A full set of facial photographs will be more helpful when you are  not smiling to make a determination about how best to proceed.  When patients have a recessive chin profile, then consider a chin implant to augment the forward for  better facial balance and proportions.  The fatty deposits in the neck are most likely located below the platysma muscle which will require a surgical neck lift with a platysma plasty to remove.  No skin removal is required.  Liposuction can only remove the fatty deposits above the platysma muscle.

Ronald J. Schroeder II, MD - Account Suspended · Answer

In your case, the size of your jaw is the main culprit. Augmenting the chin with an implant or filler would help strengthen the jawline. You may also benefit from a neck lift to try to optimize the side view. This would involve a small amount of liposuction and tightening the muscles under the jaw through a small incision. Sometimes incisions are made around the ears to remove excess skin and further tighten the neck muscles, but this may not be needed in your case since you are so young and if a chin implant was done at the same time.

110 lbs but double chin & no visible jaw. What procedure would help me? (Photo)

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