What procedure is best for chubby cheeks, undefined jaw and fat pad under chin? (photos)

Question

Hello, In November 2016 I had cool sculpting for my chin fat using 2 mini suction cups, one on each side, but I'm still not happy with the lack of definition in my jawline. I am also very insecure of my chubby cheeks. The area surrounding my mouth sags and is heavier on the left side. I have lost significant weight in the past, but it never gets rid of the roundness of my face. I am 33 years old and about 140lbs (give or take 4lbs). Thank you for any surgical recommendations x

Jason Emer, MD · Answer

I find that VASER liposuction in combination with ThermiRF are best for contouring the chin in those who are candidates but Kybella can be used as an alternative and needs to be combined with thermage/ultherapy/exilis or coolsculpting for good results. A chin implant can give more definition. Sometimes jaw surgery, liposuction or ThermiRF can also help further contour the face. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

R. Laurence Berkowitz, MD · Answer

These are separate issues.  Regarding your chin, you are going to get a variety of answers depending upon the surgeon's toolbox. My personal presence is for liposuction and a chin advancement.  Moving the bone forward not only tightens the skin but also the lax muscles in the floor of the mouth.  Chin implants cannot do both of these.  Caution with removing facial fat.  It can be done but what might look good at 33 may cause premature aging in the future.

William Portuese, MD · Answer

From the  photographs, there is a recessive chin profile along with fatty deposits in the neck. There are two fat pads located in the neck, above and below the platysma muscle. A surgical neck lift is required  to remove the fat pads below the platysma muscle, while  open liposuction is required to remove the fatty deposits above the  Platysma muscle. Consider a chin implant to help facial balance by augmenting the chin  which supports the soft tissues.  Chin implants are manufactured in a large variety of sizes and shapes. For more information  and many before-and-after examples of both procedures, please see the link and the video below

Davin Lim, MBBS, FACD - Account Suspended · Answer

Here is my order- firstly, treat the excess fat (need to ensure this is fat, so pinch test needed), I would use Belkyra or Kybella, then reassess ( plan for 2 sessions). Chin projection can be achieved surgically with an implant , or with dermal filers (your choice, pros and cons of each). Now if you have loose skin, I would tighten with Themage, or Ultherapy. Finally jawline definition- I personally like HA fillers to redefine the jawline- last photo shows a broad face, if you have masseter bulk, consider Botox, if its bone structure, I would work in with a max-fax surgeon. See some one who understands the art and science of facial aesthetics both surgically and non surgically to obtain the best results with balanced opinion. There is no 'one solution' to address your concerns. All the best, Dr Davin Lim. Brisbane.Austtralia.

What procedure is best for chubby cheeks, undefined jaw and fat pad under chin? (photos)

Answers (4)

Answer: Different procedures for your problem of jaw line def, chin projection and submental fat.

Answer: Different procedures for your problem of jaw line def, chin projection and submental fat.

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Everything you need to know about Cheek Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

What procedure is best for chubby cheeks, undefined jaw and fat pad under chin? (photos)

Answers (4)

Answer: Different procedures for your problem of jaw line def, chin projection and submental fat.

Answer: Different procedures for your problem of jaw line def, chin projection and submental fat.

Browse related questions

Recommended reading

Everything you need to know about Cheek Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.