What can I do to achieve a more symmetrical chin and correct turkey neck? 22 y/o (photos)

Question

I’d really like to achieve greater chin symmetry. Would this be best achieved through chin shaving, fat transfer to chin, normal chin implant, or custom chin implant?My chin doesn’t have terrible projection, but I have Turkey neck in spite of being 22 and being incredibly thin (already been told I’m not a candidate for neck fat removal). Also, I’m having a nosejob to correct nose asymmetry. I don’t know if that is relevant.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Zoran Potparic, MD · Answer

Based on these photos and short of in person evaluation, it does not look like you need anything done to your chin. It is impossible to see your neck on these photos to make any comments about that issue. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

All people have a significant amount of facial asymmetry.
I don’t think your facial asymmetry is anymore than a typical person. Certainly you are within two standard deviations and probably within one standard deviation.
The left side of your face both maxilla and mandible are wider especially towards the back of your face.
The chin actually looks quite symmetrical and the symmetry is more significant further back towards the back of your mandible and your cheekbones.
During embryological development the two sides of the face develop independently and eventually fuse in the midline. The entire human body is asymmetrical. All internal organs are placed asymmetrically. People are typically right handed or left handed.
Nobody has a symmetrical face.
The human brain does not see facial asymmetry as anything except normal because 100% of people have facial asymmetry.
For this reason computer generated perfectly symmetrical faces have a strange unnatural appearance. 
Asymmetry should not be treated unless it is severe enough to be noticed and yours is not other than by yourself.
My bed all your friends and family have the same degree of asymmetry but you’ve never noticed it in them.
Likewise it’s unlikely anyone has ever pointed out that your face is asymmetrical since that is normal.
It’s a free world and you can certainly get consultations from plastic surgeons or oral surgeons if you would like.
Personally I don’t think the degree of asymmetry is sufficient to justify surgery.
You included two frontal pictures. And one of them your nose looks like a deviates to the left and then the other picture it looks fairly straight. 
The human brain is accustomed to seeing asymmetry as being normal and we typically don’t see people as being asymmetrical even though they are. there are certain exceptions where asymmetry is severe enough to be obvious. 
For some people they want to do facial aesthetic surgery because of how they see themselves others are more focused on their belief of how the world perceives them.
I don’t think the world sees you as having an asymmetrical face.
I believe people should have a fairly strong indication before undergoing permanent or semi permanent surgical interventions especially when the game or potential benefit is subtle.
The great majority of people seeking liposuction for the chin and neck area have a mandible the blacks forward projection. This is not related to the shape of the chin but rather the body of the mandible. when the body of the mandible has insufficient forward projection the underlying platysma muscle drapes the neck in a more oblique fashion.
Best,
Mats Hagstrom MD

What can I do to achieve a more symmetrical chin and correct turkey neck? 22 y/o (photos)

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What can I do to achieve a more symmetrical chin and correct turkey neck? 22 y/o (photos)

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