Can Vaser Lipo or Kybella, Threadlift and Fat Grafting help create a v-shaped jawline and chin? (Photo)

Question

I am looking to create a v-shaped, slim jawline and the surgeons I've consulted have recommended a combination of one or more of the following procedures: Vaser Lipo, Fat Grafting to chin, Threadlift and Buccal Fat removal. Are these the best possible solutions to achieving a more svelte chin and jawline? I am 30 years old with a slim athletic body type for context.

Kimberly Butterwick, MD · Answer

Based on your photos, it appears you are a very good candidate for a Silhouette InstaLift. This revolutionary thread lift could address your early signs of jowl formation while lifting skin and tissue for a more sculpted appearance. In fact, the InstaLift is the only procedure that can actually change the facial shape. The procedure is nonsurgical and results can last for years. Since I don’t see a significant amount of submental fat under your chin, I believe this procedure could give you a very satisfying outcome. I would also enhance your chin and cheek area with a strong filler like Radiesse to complete the look.
I perform the Silhouette InstaLift in my office in about 45 minutes. Lidocaine injections keep you comfortable during treatment without the need for anesthesia. I insert the dissolvable sutures at strategic locations to give you the precise amount of lift you need. Bidirectional cones hold the sutures securely in place. As the sutures dissolve over time they trigger the body to produce more collagen for results that are both natural and long lasting. Make sure the doctor you work with is board certified with extensive experience in this procedure to ensure an optimal outcome.

Jason Emer, MD · Answer

to get a v shape like you want you will need jawline surgery. without surgery, non invasive treatments like facetite/accutite, Kybella, threads, botox can all be done to "help" but that will only be an improvement.  
for facial rejuvenation
 I would suggest a combination approach of:
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel, Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
Best, Dr. Emer.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Hi, thank you for your question. Any number of treatments can help, but cosmetic surgery will give you the best results. A SMAS facelift; for example, tightens skin around jawline and neck, which brings more definition and contour to the face. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

The individual look of each of our faces especially in young people is based on the shape, structure and sense of balance of the facial skeleton.  You don’t have an abnormal fat distribution or soft tissue coverage of your face.  Your look is that of your skull with normal soft tissue coverage.  Be careful with excessive soft tissue manipulation to try to create a look that’s not you. In my opinion you have an attractive face and should consider no intervention. Liposuction it should be done gently and conservatively on the face. I see no need to add VASER because it can potentially be too aggressive. If the provider knows what they’re doing then you should be fine.  If not then the use of VASER is not a good idea in the face.  As people age they lose facial volume and having buccal fat removal put you at risk for premature aging later in life.  I don’t think fat transfer works particularly well in the chin area. Nothing compared to a conservative chin implant.  Fillers work pretty well in this area. Much better than fat transfer but not quite as well as implants.  My recommendation would be to do one  procedure at a time and don’t ask for big changes.  What’s wrong with how you look now?  I realize I’m not speaking as a normal plastic surgeon when I say this but it is a very real question you should ask and I ask myself before doing any surgical procedure.  Botox in the masseter may give you some of the look you’re looking for though it is relatively subtle.  It is very nicely reversible if you don’t like the outcome as are fillers.  You’re cute as a button. Consider leaving that alone  Best, Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
Buccal fat pad excision can make a subtle but noticeable change in facial configuration, narrowing the appearance of the lower 1/3 of the face. If you are satisfied with cheek projection, leave it alone. Otherwise, augmentation with filler (and perhaps later with implants) can be accomplished, providing the appearance of a fuller upper 1/3, and lifting the fold between upper lip and cheek. 
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...

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