In my 20s, what are my options for improving the appearance of my lower face? (Photos)

The fat under the chin and around the jawline is very hard to target with diet and exercise. You can be slim and in good shape but still have a double chin. The best approach would be to perform liposuction on the area below the chin, around the jawline, and on the neck. This will give you the most optimal result, a defined jawline, reduction of fat, and a timeless solution that won't change with weight gain. In order to improve volume loss in the lower face, we would likely recommend dermal fillers. We always recommend a consultation prior to making any decisions!

For lower face rejuvenation, you could consider getting Botox to the chin (mentalis muscle) and corners of your mouth (DAO muscles) to help relax the muscles and soften their appearance. You could also consider fillers to help build up volume and add hydration. Those are something you could try before any surgical procedure.

Given your age and the absence of significant skin laxity or dermal drooping (which is often referred to as "ptosis"), pursuing a facelift at this stage may be premature. You're still very young, and there are several effective, less invasive options that can help improve the contour of your lower face.

From the procedures you mentioned, a combination of chin/jowl and neck liposuction works to define the jawline and reduce the appearance of early jowling — especially if residual fat remains after major weight loss. In many cases, this can significantly enhance lower face definition. Additionally, facial fat grafting can help restore volume in areas that may have become hollow or sunken due to weight loss.

That said, the best next step is to book an in-person consultation with Toronto Cosmetic Surgery Institute. A physical examination is essential to assess your skin quality, tissue thickness, and underlying facial structure in order to determine the most effective treatment plan tailored to you!

Facelifting and skin resection is a reliable way to correct jowling. That being said, patients in their 20s rarely seek such aggresive intervention and are often candidates for improvement with less invasive options aggressive skin care and fillers. Make an appointment with a certified plastic surgeon to develop an individualized plan

Hello,
Thank you for your question and photo. Given your age and history of significant weight loss, early jowling and loose skin are understandable concerns. Chin, jawline, and neck liposuction could help contour the lower face, especially if your skin still has good elasticity. To further enhance tightening, combining lipo with a skin-tightening treatment like FaceTite or Renuvion may be beneficial. Facial fat grafting could also help restore lost volume and improve overall facial balance. A consultation with a board-certified facial plastic surgeon would help determine the best approach for your specific anatomy and goals.

You have premature aging/sagging around the chin, upper neck, corners of the mouth, jowls; all this is due to, I guess, weight loss as secondary factor, being evident the primary cause is the small and underdeveloped chin, which systematically leads to flaccidity of surrounding soft tissues that are attached to or supported by it.

Do no, at all, get fat filling in your face, a neck lift, etc, that's not for you.

You are a clear candidate for an augmentation genioplasty with bone grafting, this enhances and rejuvenates all those problems aforementioned, plus re-balances your facial proportions.

Another minor tweak I suggst is a corner lip lift, penant lift or similar.

Based on your front photo views, you appear to have a somewhat short chin appearance, and this is associated with skin dimpling. Profile photo does not adequately show your chin. Chin implant surgery is helpful for achieving extra length of the lower 1/3 of the face on front view, along with chin projection on profile, and also for minimizing dimpling of chin skin. I hope this helps, and thank you for this question. Sincerely, Dr Joseph

Based on the provided photos which unfortunately do not show the entire face or show a good lateral of the neck and submental region, you would likely be an excellent candidate for volume augmentation of the chin, chin crease and pre jowl sulcus to camouflage the early jowling. This is most easily achieved non surgically with the use of hyaluronic acid fillers with excellent, safe and long lasting results. Alternatively there are a number of less invasive surgical options to be considered but this would require more in depth analysis in person to determine suitable candidates. This might include necktite or accutite treatment of the jowls, jawline and submental neck in combination with morpheus 8 treatments. Lots of great options!

Looking at your photos, I think you could benefit from non-surgical skin-tightening treatments like radiofrequency. One of my favourite treatments that isn't painful, feels relaxing and also gives you a great result would be Accent Prime.

At this stage, I do not think Chin Liposuction would be a good option for you because you already have visible definition.

If you'd like a more rounder jawline Micrografting can definitely help create this shape, and additionally Dermal Fillers can too so it depends on whether you want to go down a surgical or non-surgical avenue.


Hope this helps!

Thank you for submitting your questions and photos. Congrats on the weight loss! Unfortunately with weight loss, sometimes patients experiencing some “deflational” changes in the face. There are several options that can improve this. I would opt to hold off on a necklift at this time due to your age. Some less invasive options would be Morpheus or Ultherapy to tighten the skin in this area, Eurothreads, chin/jawline filler and/or a genioplasty, and fat grafting or filler to the mid and upper face to help elevate the lower face tissue. I highly recommend you seek consultation with a board certified plastic surgeon to go over your options in more detail. Good luck and thanks again for reaching out!