Weak chin & double chin - would only fat chin augmentation make a huge difference? (Photos)

Question

23/Age Hello i had a consultation with a doctor last week for a chin liposuction + chin augmentation. He touched the whole area under my chin and he said, that this is mostly just skin. He suggested to do a chin liposuction around my jaw and under my chin. After that he wants to do a stomach liposuction to gain some fat and then inject it in my chin. My Question is would only fat Chin Augmentation make a huge difference? If not,is it okay to do the chin liposuction 6 months later?

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"

Omar Lazos, MD · Answer

If you really want to separate the procedures I would advise to first do the chin and jawline liposuction; with the procedure your natural jawline will be enhanced and there's a chance you like your results and leave it at that but if after being healed you decide you want a more prominent chin you can always move forward with the chin augmentation either with fat or an implant.

Gurkan Kayabasoglu, MD · Answer

Simply removing the fat under your chin causes the skin in this area to become even looser and saggy. For this reason, enlarging your chin tip and combining it with liposuction if necessary will give you better results. 
 I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Daniel Barrett, MD · Answer

Dear Alex432,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you 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

Mats Hagstrom, MD (license on probation) · Answer

Individuals whose Mandible is small or lacking in projection compared to the Maxilla tend to have the following findings.
A premature double chin, lack of jawline definition, a dental overbite occlusion and on profile pictures and upper lip that has more forward projection than the lower lip. individuals are also prone to developing premature jowls.
A lot of this has to do with how a small mandible causes the platysma muscle to drape the neck in a more oblique fashion. This is the primary reason for a lot of the aesthetic issues. fat distribution is not the problem and so Liposuction may or may not give it good results depending on how much fat there is to remove. it is generally not treating the primary problem and whenever doctors attempt a treatment that doesn’t directly affect the primary problem the best we can hope for our partial improvements.
Augmenting your chin doesn’t move the mandible forward and saw the platysma muscle origin remains the same and this is true even if you do a sliding genioplasty or add an implant. Moving the mandible forward with a jaw advancement is the most definitive procedure but not something a lot of people are excited about doing from the patient’s perspective.
Oral surgeons 10 to see things more from the skeletal approach and plastic surgeons tend to see things more based on soft tissues.
It’s not a bad idea to get an oral surgery consultation to get a solid assessment of your individual facial skeleton bone structure and how this is affecting your facial aesthetics.
Personally I don’t think fat grafting is going to work well for augmenting your chin. A sliding genioplasty or implant is a much better option and much more predictable. Fillers are an option as well and can give excellent outcomes. 
This whole part of the face can’t get a little overwhelming it and it’s not uncommon for patients to hear different opinions from different providers. The primary problem is always based on bone structure. Soft tissues tend to be very consistent from person to person and what differentiates each individual person giving their unique facial appearance is primarily based on skeletal structure.
Best,
Mats Hagstrom MD

Gerald Wittenberg, MSc, DMD (retired) · Answer

the main requirement is a genioplasty which extends the chin and flattens the area under the chin, You have a genetically underdeveloped chin. Fat is not the answer for a bone deficiency

Weak chin & double chin - would only fat chin augmentation make a huge difference? (Photos)

Answers (6)

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