What surgery/procedure can I get for this stubborn fullness in my face for the best results? (Photos)

Question

I am an active person, but no matter how much weight I have lost or exercises I have done, I have never been able to get rid of this double-chin and fullness around my jaw and upper neck, which greatly affects my profile and facial symmetry. I am sure that it is genetic at this point and have been wanting to do something about it for several years. I am a 22-year-old male. What can be done for the most significant results? I would like my jaw line to be much more sharp and pronounced from the side and minimize the strange look made by the way my neck and chin connect. Thank you so much.

Robert M. Lowen, MD · Answer

Dear Sandro,
  You  should get the definition you want with liposuction of the neck, and submandibular areas.  Rarely, the appearance requires modification of the underlying digastric muscle.  So straightforward liposuction (by someone board certified in plastic surgery) should result in a pleasing result.

Laura Roider, MD · Answer

@sandro117, thank you for including photos with your question. It is so helpful to review your photos and provide recommendations. 
Based on your photos, I would recommend that you consider submental liposuction with skin tightening (like renuvion). This will allow the isolated area of concern to be addressed and will help define your jaw line while addressing the "double chin". The skin tightening utilized radiofrequency to help treat any skin laxity you have at baseline as well as any that is produced when liposuction is performed.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and providing such detailed information. I completely understand your concerns—facial fullness around the chin and jaw can be very frustrating, especially when it doesn’t improve with diet or exercise. Genetics often play a strong role, and in your case, it sounds like this is a structural concern rather than excess weight alone.

Here’s a breakdown of options for achieving a more defined jawline and profile:

Liposuction of the Submental and Neck Area
Surgical liposuction under the chin and along the jawline can remove excess fat and improve contour.
When combined with careful sculpting, it can significantly sharpen the jawline and improve the neck-chin angle.
Neck/Chin Lift (Lower Facelift or Mini Lift)
If there is some skin laxity, a neck lift or mini-lift can remove excess skin and tighten the area for a smoother, more defined transition from chin to neck.
This is particularly effective if the fullness isn’t just fat but also loose tissue.
Kybella (Deoxycholic Acid Injections)
Non-surgical option to dissolve small to moderate fat under the chin.
Results take multiple sessions and are more subtle than surgical options.
Best for patients with good skin elasticity and mild to moderate fullness.
Chin and Jawline Augmentation
Sometimes, improving the projection of the chin or jawbone with implants or fillers can create a stronger, more balanced profile, even if some submental fullness remains.
This can be combined with liposuction for optimal contouring.

Summary:

For the most dramatic and long-lasting results, a combination of submental/neck liposuction and, if needed, a neck lift is usually recommended.
Augmenting the chin or jawline can further enhance symmetry and create a sharper profile.
Non-surgical options like Kybella or fillers can help, but they are usually less significant in impact and require multiple treatments.

Given your age, overall health, and active lifestyle, you could achieve very natural and long-lasting results with a well-planned surgical approach targeting both fat removal and jawline enhancement.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jeffrey H. Spiegel, MD · Answer

There are several good options. For someone your age I'd suggest Facetite / Necktite. This involves just three small needle pokes through which we slide a small probe to melt fat and tighten skin. Liposuction is done as part of this. We've had great results tightening skin on people such as yourself and improving their appearances. An alternative is a "deep neck lift" done under your chin to contour the neck tissues.

Mehmet Ozdemir, MD · Answer

Thank you for your question. From your photos and description, it appears you have persistent submental fullness and some soft tissue along the jawline that doesn’t respond to diet or exercise.
You would be a suitable candidate for liposuction with possible skin tightening (such as J-Plasma) to remove the excess fat and improve definition, creating a sharper, more contoured jawline and neck profile.
I hope this helps.

What surgery/procedure can I get for this stubborn fullness in my face for the best results? (Photos)

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