Not enough fat for chin liposuction - what options do I have for a more defined chin and jawline? (photos)

Question

I was denied at one office so far for chin lipo because they said I don't have enough fat. I am a normal weight but still genetically have stubborn fat in that area that doesn't reach my goal. I also am not a fan of kybella, do you think I should keep inquiring chin lipo or something else (picture 4 is my goal)

Timothy Osborn, MD · Answer

Unfortunately removing fat will not get you close to your goal. In order to get reasonable, closer results, you would benefit from a genioplasty and jawline contouring. A genioplasty would bring your chin forward (like in the last photo) and would add definition and length to your jawline. This would also help to tighten the skin under your chin. With that, jawline contouring would further define the jawline, creating that sharper contour. Submental liposcultping may also be an option. This will help to breakdown any fat cells under your chin. Even further, you would most likely need jaw angle implants to help create that sharp corner in the back of your jaw. My recommendation would be to start with the genioplasty and jawline contouring. That may get you the results you are looking for.

Raffy Karamanoukian, MD, FACS · Answer

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 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

Jason Emer, MD · Answer

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

Darryl J. Blinski, MD · Answer

Based on the posted photos I recommend superficial lipo sculpting with HA fillers along jawline (Y Lift option 4-6 syringes) and My Elevate neck suture. Fee $10,000. Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

Issues relating to the lower 1/3 of the face are almost always related to the shape and size of the mandible.
Bone structure is it gives each unique person their facial appearance. Soft tissue coverage tends to be very consistent from person to person but bone structure varies greatly and this is what makes us unique. Likewise, bone structure is the fundamental reason people are born with wood could be considered attractive or less attractive features.
Facial aging is more related to soft tissues but for young people most facial issues stem from shape and contour of their facial skeleton.
Your pictures are insufficient to make an assessment.
I suggest having a few consultations for local oral surgeons in your community or consult with more plastic surgeons. My personal experience has been that plastic surgeons tend to be soft tissue oriented while oral surgeons tend to see things more from a skeletal perspective. Treating skeleton issues with soft tissue manipulation typically gives less than ideal outcomes.
Best,
Mats Hagstrom MD

Not enough fat for chin liposuction - what options do I have for a more defined chin and jawline? (photos)

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