Would chin liposuction and buccal fat removal age me? (Photos)

Question

Hi i am 23 and Ive always felt like ive had a rounder face with a double chin. No matter how much weight i loose I feel like it never goes away. I’m looking at getting chin liposuction and buccal removal to help fix this but I dont want jowls or for it to age me. I also have very deep under eye bags that my whole family has and have thought about getting a lower bleph but I also dont want to go overboard. Im not sure if I am even a candidate for any of this and don’t want to waste my money.

Michael P. Morrissette, DDS, FACS · Answer

Based on the limited photos, you are likely a good candidate for both procedures. The removal of the buccal fat has a small effect on the area directly beneath the cheeks. There is excess subcutaneous fat in your lower face. I would recommend submental, jawline, and lower facial liposuction. These procedures can be performed simultaneously in the office with sedation anesthesia. The procedures will not give you jowls or age you. They will simply give you a slimmer face with a more defined jawline.

Anna Chacon, MD, FAAD · Answer

This is a very thoughtful question, and honestly, it’s the right way to think about facial surgery at 23—because the goal shouldn’t just be “slimmer,” it should be balanced, long-term natural aging.

At your age, what you’re describing (rounder face + double chin that doesn’t change much with weight loss) is very commonly due to facial structure and fat distribution rather than overall body weight. Some people naturally carry more fullness in:

the submental area (under the chin)
the buccal (cheek) fat pads
and the under-eye fat compartments (which you mentioned runs in your family)
1. Will chin liposuction age you?

Chin liposuction, when properly selected and conservatively done, does not inherently age the face. In fact, it can significantly improve:

jawline definition
neck contour
the “double chin” appearance even in normal BMI patients

However, the key is skin quality and elasticity. At 23, you are actually in a favorable age group because:

skin contraction potential is strong
long-term sagging risk from mild contouring is low
results tend to look very natural when not overdone

So chin lipo alone is often one of the safer, more predictable contour procedures in younger patients.

2. What about buccal fat removal?

This is where things become more nuanced.

Buccal fat removal can slim the mid-face, but it is also the procedure most associated with the concern you mentioned—future aging or “hollowing”.

At 23, your face is still evolving. Buccal fat naturally:

descends slightly with age
thins over time
contributes to youthful facial support

If too much is removed early, some patients later develop:

premature hollow cheeks
a more angular or “gaunt” mid-face in their 30s
increased visibility of natural facial skeleton changes

That doesn’t mean no one at 23 should ever have it—but it needs very careful selection and conservative removal. Many surgeons now actually prefer avoiding or minimizing buccal fat removal in younger patients unless the fullness is very specific and persistent.

3. Will these procedures cause jowls?

This is a common fear, and it’s understandable.

Jowls are not usually caused by chin lipo or buccal fat removal alone. They are more related to:

natural ligament support changes over time
skin laxity
fat descent in the lower face

However, if too much mid-face volume is removed in someone who actually relies on that volume for structural support, it can indirectly make lower-face descent more noticeable later.

That’s why balance—not maximum slimming—is the key.

4. Under-eye bags and lower blepharoplasty

Since you mentioned strong family history, this is likely a genetic fat pad or structural under-eye anatomy issue, not lifestyle-related.

A lower blepharoplasty can help, but again:

it should be conservative
and tailored to whether the issue is fat bulging, tear trough hollowing, or both

In younger patients, overcorrection is what can create an “overdone” or tired appearance—not the procedure itself.

5. Are you a candidate?

From your description, you may be a candidate for:

chin liposuction (very commonly appropriate in cases like yours)
possibly conservative facial contouring depending on anatomy

But buccal fat removal and lower blepharoplasty are much more case-dependent at your age and should only be considered after a very detailed facial balance assessment.

Bottom line
Chin liposuction: generally safe, low risk of aging when done conservatively
Buccal fat removal: higher long-term aging risk if overdone at your age
Lower blepharoplasty: can help genetics-based under-eye bags but must be very carefully planned

The most important concept here is that a naturally refined face comes from strategic, minimal changes—not combining multiple volume-reducing procedures at once. The goal is always to improve definition while preserving long-term softness and youthfulness.

Would chin liposuction and buccal fat removal age me? (Photos)

Answers (2)

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