Soft jaw line: what treatment would be best for my chin/jaw line? (photos)

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

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Hello,
And thank you for the question.
Based on your photos, you appear to be a good candidate for chin liposuction to help improve the jawline contour and definition.
Typically small amount of neck and chin liposuction can be safely performed under local anesthesia. However, this also depends on individual patient's pain threshold and tolerance. Performing liposuction under general anesthesia typically allows for more aggressive and precise liposuction, and improvement of chin and neck contour.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

The definition of the entire jawline can be improved with a custom jaw implant. Another option would be jawline and submental liposuction with custom jaw angle implants. It is usually both a soft tissue problem and bony problem.

Making a mandibular assessment it’s a little bit more complicated than most people realize. You’re not alone. Most plastic surgeons aren’t good at it either.
The mandible is made up of different segments. The chin or mentalis region is one of them. It’s possible to have a recessed mandible the Lacs projection in the body of them in the bowl while at the same time have a projecting mentalis or chin.
That is exactly what you have.
Part of your mandible is too small and part of it is projecting.
The reason for your lack of jaw line definition it’s related to where the platysma muscle comes off the mandible which is in fact not projected enough. At the same time the distal part of your mandible or the chin pass projection.
The reason I know this is that I can see the relationship between your upper and lower lips. Your upper lip has more for projection than your lower lip. The lip position is directly related to your dentition and you have an overbite occlusion. an overbite occlusion happens when maxillary projection is greater than mandibular projection. The perfect treatment would be a jaw advancement. That procedure is more than most people are willing to undergo.
It is however based on making an accurate assessment and treating the primary problem.
You don’t have an abnormal fat distribution.
Fat and skin are not the primary ideologies.
It’s more related to the platysma muscle whose contour is directly related to the mandible.
Liposuction can give you very good improvements for individuals who have enough fat to work with and have good skin elasticity without skin laxity.
Recognize that Liposuction is not treating the primary problem and sell them parent possible outcome is still going to be limited.
For some individuals liposuction of the chin and neck give some results that are beyond my expectations and can be stunning. The ability to get a quality outcome from liposuction when the underlying problem is based on bone structure varies from patient to patient and to some degree who does the procedure.
Generally speaking chubby young people get the best results.
If the bone structure is significantly out of balance then soft tissue meant relation loses its effectiveness significantly.
To get an accurate assessment in regards to bone structure considering consulting with oral surgeons.
For soft tissue related surgical treatment consider consulting with plastic surgeons.
Consulting with providers from both specialties will probably leave you much better informed of all treatment options at which point you can make an intelligent decision for yourself what’s the right treatment option.
Understanding with the primary ideology is really helps patients except results that are less than what they had hoped for.
That is not to say you can’t have a good outcome.
An examination is probably in order and making an accurate quality assessment really requires an in person consultation.
Oral surgeons often rely on x-rays or CT scans as well.
Best,
Mats Hagstrom MD