Concerned on if I'm a candidate for chin liposuction? (Photo)

Question

I can't determine if my face structure is ideal for chin liposuction, a chin implant, or something else altogether. Is there a specific procedure or set of procedures that would result in a more defined jawline and less under chin fat for my face?

Anna Chacon, MD, FAAD · Answer

Chin liposuction can be effective for reducing localized fat under the chin if there is good skin elasticity and minimal skin laxity. If there is also chin retrusion or a weaker bone structure, a chin implant or filler augmentation may enhance projection and balance the profile. In cases where both fat removal and projection are needed, combining chin liposuction with a chin implant can create a more defined jawline. For patients with loose skin, adding a skin-tightening procedure or considering a lower face/neck lift may provide the best contour. The ideal choice depends on an in-person assessment of bone structure, fat distribution, and skin quality.

Lucian Ion, FRCS · Answer

Thank you for your inquiry and for sharing your photographs. The volume excess under your chin appears to be related to the digastric muscles and the lower part of the submandibular glands. These structures are more exposed below the jawline because the mandible (lower jaw) is relatively small.

Addressing this issue would not be feasible with liposuction, as the fatty tissue under the skin is already relatively thin, and the volume you wish to reduce is not composed of superficial fat.

A neck lift intervention can assist in reducing volume beneath the platysmal muscle. This procedure specifically targets the central deep-seated fatty tissue (which I suspect is minimal in your case), the digastric muscles, and the lower portion of the submandibular glands.

To enhance the definition of the jawline and improve balance in both the profile and semi-profile views, a chin implant is likely to complement the improvements achieved by an anterior neck lift. This combination approach can provide a more harmonious and aesthetically pleasing outcome.

Cem Berkay Sinaci, MD · Answer

Hello, it doesnt look like you have a significant fat excess on your neck/chin. Your chin is back according to lips and nose, thats the main issue and the simple treatment for that is chin implant. There is also some more complex surgeries like jaw bone re-shaping but my first choice would be an implant if there is no problem with the teeth alignment. And the bulky tissue on your neck side looks like the submandibulary gland (saliva gland). That can be reduced with a deep neck lift surgery with an incision under your chin and that is the same incision with chin implant. So my recommendation would be a chin implant and deep neck lift from the same incision under the chin. If there is a fat excess diagnosed in the examination, liposuction can be added to procedure.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Determining the most suitable procedure for achieving a more defined jawline and reducing under-chin fat involves a careful evaluation of your facial anatomy and aesthetic goals. Each option—chin liposuction, chin implants, or other treatments—addresses different aspects of facial contouring, and choosing the right approach depends on your specific needs.

1. Chin Liposuction
Chin liposuction is a popular choice for addressing localized fat under the chin, which can contribute to a less defined jawline. This procedure involves removing excess fat through small incisions, typically under the chin or behind the ears. Liposuction is effective for individuals who have good skin elasticity and mainly need to reduce fat deposits without significant structural changes to the chin. If your primary concern is excess fat rather than bone structure or skin sagging, liposuction may provide noticeable improvement and enhance the overall definition of your jawline.

2. Chin Implants
Chin implants are used to enhance the projection and definition of the chin, improving overall facial balance and creating a more pronounced jawline. This procedure involves placing a biocompatible implant through a small incision, usually inside the mouth or under the chin. Chin implants are suitable for individuals who have a weak or receding chin and desire a more dramatic enhancement. If your issue is related to the underlying structure of your chin rather than just excess fat, an implant can offer significant aesthetic improvement.

3. Combination Approaches
For many individuals, a combination of treatments may be the most effective approach. Combining chin liposuction with a chin implant can address both excess fat and structural deficiencies, providing a comprehensive solution for a more defined jawline. This combined approach can be especially beneficial if you have both significant fat accumulation and a less prominent chin.

4. Other Treatments
Other non-surgical treatments, such as Kybella, can also be considered. Kybella is an injectable treatment that dissolves fat under the chin using deoxycholic acid. This can be a good option if you prefer a non-surgical approach to reduce fat without the need for liposuction. Additionally, ultrasound or radiofrequency treatments can help tighten the skin and improve contour, which can complement fat removal procedures.

I hope this helps and best of luck!

Michael P. Morrissette, DDS, FACS · Answer

In the photos, it appears that you have a recessed chin and some excess submental fat. I would like to improve your horizontal projection with a sliding genioplasty to maximize the amount of projection, and also perform jawline and submental liposuction. Both procedures together will give you the best result.

Jeffrey H. Spiegel, MD · Answer

A chin implant with our without liposuction will be magical for you.  Your face will look balanced, your chin less recessed, and your neck more defined.  All of that is done in the office with local anesthesia (unless you request to be asleep) and takes about an hour. We can also likely do it all through the inside of your mouth so there is no visible scarring and no sutures to remove.

William Portuese, MD · Answer

The photographs presented demonstrate several issues, which include a recessive chin profile, and fat deposits in your neck, located BOTH above and below the platysma muscle in your neck. Consider placement of a chin implant to augment your chin forward for better structural support for the soft issues in your neck and for better facial balance and proportions.  Liposuction alone can only accomplish removal of the fat deposits above the platysma muscle, and will only be minimally effective. The fat compartments below the plasma muscle in your neck have to be surgically removed with a neck lift procedure, which also includes a platysma plasty to significantly improve the jawline. A Necklift and chin implant both be performed together under one anesthesia with one recovery. The procedure would take about an hour and a half under general anesthesia.

Mats Hagstrom, MD (license on probation) · Answer

You have a somewhat under developed mandible.
Most likely, you have a significant overbite dental occlusion.There is lack of projection in both the body and mentalities region of your mandible.
A chin implant will only extend the mentalis region, but will not affect the body of the mandible. 
If you want a formal assessment of facial bone structure consult with oral surgeons in your community.
A sliding genioplasty or chin implant would most likely be appropriate.
I don’t think you have an abnormal fat distribution but well done Liposuction can probably help to a significant degree.
Liposuction works better on young individuals with tight skin and especially those with thick layers of subcutaneous fat.
 Delivering consistent quality Liposuction results is more difficult than most people believe. 
The number of plastic surgeons who approach master of this procedure is smaller than people realize.
Poorly done, Liposuction can lead to permanent undesirable outcomes.
I cannot emphasize enough the importance of provider selection for this procedure.
Bone structure is the fundamental issue and addressing bone structure is probably what’s going to give you the best outcome.
Some people are opposed to doing jaw advancement surgery, and I don’t blame them.
Recognize that soft tissue manipulation used to treat an issue based on facial skeletal structure may give partial improvements at best.
Chin augmentation with liposuction may be a good treatment option.
Expect different providers to have different opinions.
Plastic surgeons are often more soft tissue oriented while oral surgeons tend to see things more for a facial skeletal perspective.
Both specialties can contribute significantly to this type of work.
Best,
Mats Hagstrom MD

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