Liquid facelift vs chin liposuction. Which would be better for me? (photo)

Question

I have a slight double chin and went to a sergeon to enquire about liposuction of the chin and jowls to give myself a better profile and a strong jawline. He said that i would be better off with a liquid facelift to give my checks more definition and help any sagging in the jowls. But i have very chubby checks already? Would it make them worse? And would it help my double chin? I feel so confused and need a second opinion

S. Larry Schlesinger, MD, FACS · Answer

From the photograph you sent to RealSelf, you appear to have minimal submental fat and Kybella, which is part of a liquid facelift, would do an excellent job at removing that fat permanently.  As far as your jowls are concerned, jowls are defined as skin and subcutaneous tissue progressing downward towards the chin, but stopped from getting all the way to the chin by the jugulo mandibular ligament.  Since this ligament is strong, the skin and fat begin to hang over it which gives the appearance of what is referred to as a jowl.  The lines that you demonstrate below the jowl from the lower lip to the chin are known as marionette lines.  From your picture, you have a very attractive face and you look quite young to be having this much aging.  If you were my patient, I would recommend Voluma injected onto your mandible from the marionette lines to the tip of the chin which will balance your face, correct most of the marionette lines, and like any good liquid facelift, postpone the inevitable facial skin resection.  Voluma placed under the remainder of the marionette lines perpendicular to those lines will lift them up to the surrounding tissue, therefore eliminating this indication of aging.Obviously, the gold standard for correction of your retrusive chin, neck fat, and jowls would be a facelift, chin implant and liposuction of the neck.  To determine which one of these treatment modalities best suit your age and budget, I recommend you see one of the world famous plastic surgeons in Australia.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. I agree that facial liposuction is likely your best option to reduce the double chin appearance you’re referring to. 
Double chins are generally caused by accumulated submental fat below the chin. Liposuction can sculpt this area by removing excess fat to reduce the double chin and provide a youthful contour along the jawline. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can conduct a physical examination and suggest the best option for you.

Rian A. Maercks, MD · Answer

Hello, and thank you for your question!
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results that will last for years. 
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

Janet Allenby, DO · Answer

Hello,Thank you for your question. While fillers can help to lift the cheeks, which in turn will lift the jowels, you do have some other options. CoolSculpting is a great treatment for the chin area. This procedure will freeze your fat in that area, and it will be permanently reduced. Please visit a local physician in your area for an in person consultation. Good luck!

Aldo Guerra, MD · Answer

Since your chin is a priority, you should consider a treatment with Kybella. This is a non-surgical method of reducing that sub-mental fatty pocket. You can also enhance the cheeks and jaw line with several cc's of dermal fillers which will make you look younger, but also restore the natural facial volume that disappears with age. You should prepare yourself for the injections to reduce swelling and bruising and have a quicker recovery.Best wishes and good luck, Dr. ALDO :)

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Mark Anton, MD, FACS · Answer

Hello Keycjess-It is very hard to determine your facial contour issues without more photos, but I'll comment guided by your one profile photo and your statements. Your neckline could be enhanced by reducing the presumed fat in that area and this can be most reliable achieved with neck liposuction. Kybella is an alternative but can only be used for a singular accumulation of fat in central neck (2cm away from each jaw). This is a very painful approach and can't be applied to fat anywhere else, like in your presumed jowls. Therefore liposuction of your jowls and neck can be done at the same time, with better overall contour enhancement and generally less postoperative pain and swelling. In regards to your cheeks (which I can't see), often times enhancement with filler will help triangulation of the face with your chin and this balance tends to be more aesthetically pleasing to the eye. All the best.

Nelson Castillo, MD · Answer

Thank you for your question and for sharing your photograph. Without a full series of photographs it is difficult to offer definite advice, but I would recommend Kybella to your chin/submental region to address any excess adipose tissue as it does not appear that you would need a significant reduction in volume and may only need a single treatment. As far as fillers, they are very flexible in the ability to enhance multiple portions of the face at once, so see an ASPS board certified plastic surgeon in consultation to discuss treatment options.  Hope this helps.

Bruce E. Katz, MD · Answer

Thank you for your photo. Based on the photo you might good candidate for a Liquid Facelift which help restore your face’s naturally young and healthy appearance. The treatment uses dermal fillers such as Restylane and Bellafill which help your wrinkles dissipate and any sunken areas of your face. It would definitely help with you chin and sagging jowls. Please make sure you get a consultation from a board-certified dermatologist.

Walton Montegut, MD · Answer

Because of the extremely limited options for correction, submittal fat (double chin ) has been an under-treated aesthetic issue.Kybella,  a fat dissolver,  has been revolutionizing the world of  cosmetic treatments for the treatment of double chin.

Until Kybella was FDA approval, there was little you could do about submental fat except wear turtlenecks or get a surgical liposuction treatment. Kybella makes it possible to diminish  your double chin and achieve a tighter, more contoured look without incisions or downtime, especially when used with other fillers and botox in a liquid facelift .

Liquid facelift vs chin liposuction. Which would be better for me? (photo)

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