How do I achieve the V-shape jawline and get rid of my chubby face? (Photos)

Question

I feel like my face fat is sagging. I decided to get fillers for a more defined jawline thinking it’ll make my face less chubby but now I look chubbier. Is there anything I can do to achieve the v shape, contoured look? Botox? Jawline surgery? Facelift? Skin tightening? Lipo? I have not seen a plastic surgeon yet but I am looking. The picture on the left is me naturally. The picture on the right I feel like my face got chubbier after jawline filler...

Alexander Anzarut, MD · Answer

You have a youthful jawline compared to the patient I see for facelift surgery. This makes any surgical intervention a challenge. Anything that would produce scars or have significant risks would need to be weighed against the potential benefits. In your case the potential benefits of jawline enhancement may be limited. 
Fillers have the advantage of little down time and immediate results. If you want to dissolve the filler you can do so immediately. The disadvantage of fillers along this area is they are used to mask aging by filling the face. This is unnatural and gives a boxy, male or fat appearance to the face. 
Face lift surgery can lift the jowls, directly remove jowl fat and tighten the skin. In patients with a weak chin (not forward enough), the chin can be extended with an implant or fat grafting. The disadvantage of surgery is the longer down time. Surgery provides a longer lasting result and reverses the aging changes.
I hope this helps,
Alexander Anzarut

Thomas Romo, III, MD · Answer

The shape of a V is thin or pointed in the middle and as it extends posterior, it gets wider.That's what your face looked like before the fillers. You had a pointed chin and slight pre-jowel sulcus, good so far. Then you have lateral jawline soft tissue fullness and gonial angle hypoplasia. Treat this with a lower face lift and gonial angle implant and you will have your V jaw line.

Marc DuPéré, MD · Answer

Thank you for your question.Yes fillers gave you a perfect linear jawline but also made you a bit fuller.To obtain a V shaped face in a lady, I like to consider an oval chin implant and some form of cheek augmentation, either with filler or cheek implants, as to recreate the "triangle of youth".Buccal fat pad removal can also help in converting a rounder chubbier face into a more angular face.A facelift can also help in restoring the triangle but one needs the excess of jowls and neck skin to warrant this more extensive procedure.  You also look young for a facelift.Hope this helps!Kind regards,Dr. Marc DuPere, aesthetic plastic surgeon

Steven Wallach, MD · Answer

To mask some of the howling and depressions of  the geniomandibular groove, fillers will make the jaw appear wider. When they dissolve, the face will return to its previous look.

Barry L. Eppley, MD, DMD · Answer

The concept of jawline augmentation in your case for a v-line effect is incorrect and injectable fillers have so proven it. Any efforts at bone reduction is going to exacerbate the soft tissue sagging. A limited lower facelift to create a more narrow and smoother jawline shape is what is needed. This may be complemented with just a bit of intraoral chin narrowing as well.

J. Joseph Danyo, MD · Answer

Botox could help narrow your jawline around the angle of your jaw. Fat pad removal in the central cheek done through a tiny incision inside the mouth could also give a more sculpted look.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Dear Torila,Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!
  
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc” 2017, 2018
  
RealSelf100
  
America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018
  
BeautyAdvisor Top Contributor

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek implants, chin implants, lip implants), liposuction and/or facelifts for over 30 years. 
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.  Precise placement of the dermal filler is required to accomplish the heart-shaped face.  Dermal fillers to the outsides of the cheeks will broaden and masculinize the face.  Over-filling the lower face with fillers can make the face appear more round and chubby.  Similarly, placing too much filler in the jaw line will also create a more masculine-looking face. These issues illustrate the need to seek out an experienced facial shaping surgeon who understands the aesthetics of facial beauty. Finally, there is no evidence of loose skin (tissue) in the lower face.  Called "jowls" these are the main indication for any type of SMAS facelift procedure as described below.  If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
proper SMAS Imbrication technique
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.

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