Would I be a better candidate for chin implant or Kybella? (Photos)

Question

I am slated to get rhinoplasty done in July, but my doc pointed out my profile may be more balanced if I got a chin implant as well. This would have to be done as a completely different surgery because he ONLY does rhinoplasty, but - I am wondering if just Kybella would help define and get me a good improvement to my profile?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Kimberly Butterwick, MD · Answer

I agree with your doctor that your profile would really benefit from a chin augmentation. The bottom lip should ideally line up with the projection of the chin and your chin is quite recessed. Rather than go right to surgery, you should instead try Voluma injections to the chin. This is a safe, long-lasting filler that would really balance the face. Once the chin is brought forward, the Voluma there will actually lift the tissue off the neck, and you may very well not need any further treatment! You will be thrilled at the difference it will make. Make sure the doctor you choose is experienced and board certified to ensure the best possible result.

Michael I. Echavez, MD · Answer

I think the issue with your chin is more due to lack of projection than excess fat underneath, so I would recommend a chin implant for you.  Chin augmentation and rhinoplasty will both help to balance your profile.

Daniel Barrett, MD · Answer

Dear AnnaKB,
KYbella and chin implants treat different issues. Kybella can be used for removal of fat under the chin while chin implants are used for recessed chin. Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Accents Cosmetic Surgery and Medical Spa · Answer

Thank you for your questions and providing photos. It is always best to be assessed in person to receive the most thorough treatment plan.
Proportions are so important especially from a side view as you have posted. Filler such as Radiesse can be placed into the chin area, however, to give you an enhanced side profile by improving your proportions. I would begin there and possibly move on to Kybella should you want further definition to your submittal (under chin) tissue.
Of course, filler is temporary with Radiesse lasting about 16-18 months. A chin implant can provide you with a really great improvement, as well should you wanna surgical option.

Scott M. Gayner, MD · Answer

I agree with your surgeon that you could benefit from more chin projection with a chin implant. Kybella for sub mental fat removal, or liposuction, could be performed simultaneously as well. All of these procedures including rhinoplasty can be simulated with imaging software. Please note that chin augmentation is routinely performed at the same time as rhinoplasty, and in fact adding sub mental liposuction at the same time could be performed. Best of luck to you!

Larry Lickstein, MD · Answer

Thanks for the question, AnnaKB.  The two procedures accomplish different things and are not mutually exclusive.  Judging from your images alone (and it would be helpful to see a straight on view to assess your neck, as well), it appears that you would benefit both from greater chin projection and from contouring of your neck to provide an improved angle and better definition along the jawline.  Know that increasingly, patients are using fillers to improve chin projection, sometimes in place of an implant, and sometimes to get a preview of what an implant could provide.  Kybella, Coolsculpting, and liposuction all can be considered for neck contouring, and there are assets and liabilities to each approach.  But if you are already considering an operative rhinoplasty, most practitioners would likely suggest getting neck liposuction at the same time, as it is the most effective and predictable of the techniques.  Consider a formal consultation when restrictions on social distancing are relaxed, and best of luck as you consider your options.

William Portuese, MD · Answer

Kybella Is not very effective,  and we do not recommended in our practice. The photographs demonstrate an overly projecting nose and a significant under projection of the chin. Strongly consider performing a chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the projection of the nose from the side profile. Chin implants are manufactured in a large array of thicknesses, sizes, and shapes which is best determined at the time of the consultation and examination. It would make the most sense to have both procedures done together under one anesthesia with one recovery period. Digital computer imaging of your facial features with both the rhinoplasty  the chin implant will be helpful to understand what can be accomplished with the procedures.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,Looking at your profile photos a chin implant would be ideal as well as kybella or chin liposuction.We have also done chin enhancement with Radiesse with great results.See a certified physician.Best...

Would I be a better candidate for chin implant or Kybella? (Photos)

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