What is the best procedure for me for optimum result? Lower cheek/jawline area? (Photo)
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Doctor Answers 8
A customized approach with a balanced consultation
Personally, I always think it's best to start with the least invasive procedure. The fat that is bothering you is not severe. I would start with Kybella. It will take a least 2 sessions to see a difference. Schedule a consultation with a board certified plastic surgeon who has a lot of experience with Kybella to get assessed in person.
Treatment options for the double chin
Thank you for your question idontwantn. The double chin is a common concern. Causes include age, weight, and genetics. There are multiple treatment options to address t he double chin and decreased jawline definition. These include surgical options and non-surgical options. The most common non-surgical options include Kybella, Ultherapy, and Cool Sculpting. Often times combination therapy provides better results. The biggest decision my patients make is whether they want surgery or not. Once this is decided, the various options can be considered. Please consult with a doctor for specific recommendations. Good luck.
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Fat Destruction and Skin Tightening
TruSculpt is an energy-based device that delivers controlled heat into the deep subcutaneous layers of the tissue at the same time that radio frequency targets the fat to destroy, firm and smooth the surrounding area.
Perhaps a combination of treatments such as these will permit you to treat the areas within the designated margin of safety.
What is the best procedure for me for optimum result? Lower cheek/jawline area?
There is an old saying ask two physicians a question and you will get three different responses. Each one of the options you have been recommended to undergo would improve your area of concern. Certain procedures/treatments are offered by certain people and so that will be recommended. Since your areas of concerns are your lower cheeks and neck, I will mention several options available for those areas:
Liposuction is designed to physically remove the fat through well placed, camouflaged incisions. In patients under age 35 the skin will have enough elasticity to tighten back up and not need any further treatment. This is useful for both the lower cheeks and the neck area.
Kybella is an injection of a material that dissolves fat. It is performed in the office in about 15 minutes. It usually takes at least 2 and up to 4 treatments with swelling after each treatment that improves in a few days. It is only approved for the double chin area, so use in the cheeks is considered off label use and so you should know the risks of treating in these non approved areas prior to your physician injecting.
SmartLipo will use an approach just like regular liposuction but instead of using a device that suctions and removes the fat, it uses lasers to dissolve the fat. The proposed added benefit over traditional liposuction is that it leads to better skin tightening, but I will leave that to you and your provider if you feel that it does that. The machine is much more expensive than a standard liposuction device and your charges may then reflect that. It may have less bruising than standard liposuction as well.
CoolSculpting is another fat removal device. It uses a suction followed by the application of cold temperatures to kill the fat cells over 35 minutes (or an hour if the old hand pieces are being used). This does not use any injections or incisions compared to the other treatment options above.
As far as what you should choose, that is a decision you should make with the guidance of a facial plastic or plastic surgeon. In the right hands and for the right patient, these can call be good treatment options.
I hope this helps and good luck.
Kybella and Jawline
From your photos I would recommend a combination of Kybella and Thermage to tighten the jowls and remove the submental fat. It does not appear that you need surgery. Please consult an expert for the best cosmetic results. Best, Dr. Green
Kybella helps define the jawline
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.