What procedure do I need to get a sharper jawline? (Photos)

Hi! Dr. Peterson here —
Since you’ve already had chin, cheek, and jaw implants, additional contouring options focus on removing soft tissue or tightening skin to improve definition. • Chin and jawline liposuction can help if there’s residual fat under the chin or along the jawline. It won’t change bone structure but can make the implants look sharper and your face more chiseled. • Buccal fat removal (which you’re planning) reduces fullness in the lower cheeks and can further define your jawline, especially when combined with liposuction.
For permanent results beyond fat removal, surgical options are the mainstay: • Submental fat excision or platysmaplasty (neck muscle tightening) can sharpen jaw definition and improve neck-jaw contour. • Skin tightening procedures like J-Plasma (Renuvion) or radiofrequency-assisted liposuction can help tighten skin along the jawline if there’s mild laxity.
Non-filler options are mostly surgical or energy-based; nothing else permanent reshapes bone or dramatically improves definition like implants, fat removal, or skin tightening. The key is to plan these procedures with a board-certified dermatologist or dermatologic surgeon experienced in facial balancing so your results harmonize with your existing implants and facial proportions.

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

To achieve a sharper jawline, especially after having chin, cheek, and jaw implants, there are several options you might consider:

Chin and Jawline Liposuction: This procedure can help remove excess fat around the chin and jawline, enhancing the definition of your facial structure. It can be particularly effective if there is submental fullness (a double chin) or jowls.

Buccal Fat Removal: Since you are already planning to undergo buccal fat removal, this can contribute to a more contoured appearance by reducing fullness in the lower cheeks, which may enhance the definition of your jawline.

Neck Lift: If there is significant skin laxity or excess skin, a neck lift might be considered to tighten and smooth the area, further defining the jawline.

Masseter Reduction: If you have prominent masseter muscles, non-surgical options like botulinum toxin injections can reduce their size, creating a more streamlined jawline. However, this is not a permanent solution.

Orthognathic Surgery: In cases where the jaw structure itself needs modification, orthognathic surgery can reposition the jawbones for improved alignment and aesthetics.

Skin Tightening Treatments: Non-surgical options like radiofrequency or ultrasound-based treatments can help tighten the skin around the jawline, enhancing its definition.

It's essential to consult with a board-certified plastic surgeon or facial plastic surgeon who can evaluate your specific anatomy and goals to recommend the most appropriate procedure for achieving a chiseled jawline.

Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
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Regards
Dr. Janjua

Chin and neck Liposuction can give good outcomes for those patients who were good candidates in the hands of a provider who has sufficient skill and experience guide
Average plastic surgeons deliver average results.
To get an exceptional result requires finding an exceptional provider understanding your own can see for the procedure is also important.
The most impressive results come from those who have a substantial amount of fat to remove.
Personally, I do not promote buccal fat removal. As we age we need facial volume and removing this fat pad early life can lead to undesirable outcomes later in life created.
Maybe you don’t need more surgery?
Best,
Mats Hagstrom MD.