Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? (photos)

Question

I really want to do something with my hereditary double chin/weak chin. I've been really conscious of it since early teenage years and I just want to get it fixed before my wedding next year. I also feel like my big short neck is making it look worse. I'm not sure if I should go with a chin implant +/or lipo OR belkyra +/or dermal fillers. I'm on a tight budget but I want to go with a procedure that will be worth it.

Raymond E. Lee, MD · Answer

Thanks for sharing. In general, current neck rejuvenation procedures include:
A NECK LIFT* with a LOWER FACELIFT would be the gold standard and gets the best results usually reserved for patients about mid to late 40's and older. You also get jawline improvements.A NECK LIFT* stand alone would be the next best procedure and tightens only the neck.CHIN LIPO and/or LASER LIPOLYSIS if only fat removal is required with good skin elasticity, typically in a younger patient. A Platysmaplasty can be added for further muscle tighteningPROFOUND RF, FaceTite, and ULTHERAPY are FDA approved minimally invasive tightening technologies using using radio frequency or ultrasound energies. KYBELLA injections for a double that melts fat under the chin and takes a few sessionsBOTOX to the platysma bands to decrease their show*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles. 
Based on your photo and being younger, chin lipo and chin augmentation I feel would be ideal.   I usually perform these procedures under local anesthesia and oral sedation comfortably with natural results.  Ultimately it is best to be examined and consulted in person. Talk to several board certified plastic / facial plasrtsic surgeons .

Randal Haworth, MD, FACS · Answer

Thanks for your question and photos. There are a few options available that could potentially treat fat under the chin and define facial features. Non invasive solutions include Kybella and laser treatments, which in my opinion have less than optimal results. Surgical option would be liposculpture of the areas of concern and complimenting that with a chin implant for a more defined jaw line and profile. Alternatively, liposuction combined with skilled fat transfer along the actual jawline to make it more pronounced including the chin is a good option especially in mild to moderate situations. Best to get an in-person consultation with a board certified plastic surgeon to discuss individual procedures that suit you.

Daniel Barrett, MD · Answer

Dear aimaim,Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jonathan Kulbersh, MD · Answer

You have a few options to improve the projection and symmetry of your chin and profile. If you’re not sure you’re ready for surgery, but still want to improve and strengthen your chin, I’d suggest augmenting your chin with Sculptra and/or Voluma. If you like your new look, you can make it permanent with a chin implant. Neck liposuction is a great option for patients with good skin elasticity and excess fat in the neck and around the jawline. This will remove excess fat and stimulate the skin to contract over time which will improve angulation and definition along the jawline. I recommend seeing an expert for a consultation who can go over this procedure to determine if it will achieve your desired results and the cost of the procedure. I hope this helps!

William Portuese, MD · Answer

The side profile photograph demonstrates a weak and recessive chin profile for which a chin implant can improve. A chin implant can augment the chin forward to help facial balance, proportions, and  give better structural soft-tissue support to the structures in the neck. The fatty deposits in the neck can be removed with liposuction. Both procedures are complementary to each other, and can be performed under local  anesthesia to save on costs. For many examples of this combination, please see the link and the video below

Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? (photos)

Answers (7)

Answer: Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? Weak Chin/Double Chin Treatment

Answer: Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? Weak Chin/Double Chin Treatment

Answer: Do I need a chin implant and neck liposuction?

Answer: Do I need a chin implant and neck liposuction?

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Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? (photos)

Answers (7)

Answer: Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? Weak Chin/Double Chin Treatment

Answer: Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? Weak Chin/Double Chin Treatment

Answer: Do I need a chin implant and neck liposuction?

Answer: Do I need a chin implant and neck liposuction?

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Recommended reading

Everything you need to know about Chin Implant

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