How can I improve my side profile and combat early aging? (photos)

Question

My side profile is very flat looking very flat and my jawline/underchin area is seeing some laxity. Would a chin reduction and jawline tightening help improve my profile? Additionally, I feel my nose is sinking further into my face as I age. I'm unsure how I could increase projection (my cheeks already project past my postal area so hesitant on cheek filler).

John Michael Thomassen, MD · Answer

You may want to start with submental liposuction to reduce fullness in the neck area and define your jawline better.

Mats Hagstrom, MD (license on probation) · Answer

Making an accurate facial assessment is fairly complex. Plastic surgeons are often train to work primarily with soft tissues and have soft tissue solutions.
In reality most peoples facial aesthetic issues especially if their long-standing tend to be based on bone structure.
Oral surgeons are more bone oriented and see things from that perspective.
What makes each person have a unique facial appearance which is recognizable, attractive or less attractive, masculine or feminine is almost exclusively based on bone structure. Soft tissue coverage test to be quite consistent from person to person.
For people who have relatively good balance of their facial bone structure cranial facial surgery is probably more than they’re ever going to have.
If your central maxilla doesn’t project then your nose will always have that relationship to your cheek. there’s nothing wrong with your nose. The issue is that your central maxilla doesn’t project.
On your mandible it’s lightly short in the body of the mandible despite having strong projection of your mentalis or chin. this gives the illusion that your mandible is large when in reality it’s actually small.
I’m going to guess that you have an overbite occlusion. I say that because your upper lip has more forward projection than your lower lip but at the same time your chin projects almost as much as your lower lip.
When the body of the mandible lacks projection the lower dentition sits further back and this causes soft tissue issues on the lower part of the face and neck in some people.
The origin of the platysma muscle comes from the body of the man the bowl and if that doesn’t project tell the petition of muscle drapes the neck in the more oblique fashion.
You didn’t include your age but your jaw line looks well defined.
If you really want to address the concerns you’ve listed that it needs to be done on a bone level.
That type of surgery is probably excessive but you can always consult with cranial facial surgeons in your community. That type of work is usually done by oral surgeons but can also be done by plastic surgeons who have craniofacial fellowship training.
In the meantime wear sunscreen every day, eat healthy, exercise regularly abd avoid getting obese. 
You can consult with plastic surgeons in your community. I think you’re going to hear different recommendations from different providers probably leaving you confused or wondering if they know what they’re doing. that tends to happen when primary issues are related to bone structure and providers are searching for soft tissue solutions.
Best,
Mats Hagstrom MD

How can I improve my side profile and combat early aging? (photos)

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How can I improve my side profile and combat early aging? (photos)

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