Had Chin Lipo But I’m Still Self Conscious of My Jowls/Full Face - what will help to improve this? (Photos)

Thank you for your question and for sharing your photos, your results from chin liposuction look great and have clearly created a cleaner contour under the chin. As you've correctly noted, chin lipo is very effective for submental fat but doesn't directly address jowling or mid-to-lower face fullness.

Here are a few tailored options to consider:

1. Minimally Invasive Skin Tightening (e.g., Morpheus8, FaceTite, SmartLipo/SmartTyte):
These combine radiofrequency with microneedling or laser energy and are ideal for mild-to-moderate skin laxity and early jowling. They help stimulate collagen and tighten tissue without the need for surgery.

Pros: Less downtime than surgery, natural tightening over time.

Cons: May require a series of treatments; results not as dramatic as a surgical lift.

2. Filler Contouring (Jawline and Chin):
Strategically placed dermal fillers (like Juvederm Volux or Restylane Defyne) along the jawline and pre-jowl sulcus can help "camouflage" early jowls and enhance the angle of the jaw.

Pros: Instant results, non-surgical.

Cons: Temporary, needs maintenance.

3. Mini Facelift:
At age 32, this would be considered early unless there's notable skin laxity or descent of the facial soft tissues. If your primary concern is definition rather than drooping, less invasive options may be more appropriate for now.

Pros: Long-lasting, definitive solution for jowls.

Cons: Surgical, with more recovery.

4. Buccal Fat Removal or Slimming Techniques:
Given your comment on overall facial fullness despite being underweight, buccal fat reduction or facial slimming with neuromodulators (e.g., masseter Botox) might be considered in consultation.

You’re already starting from a great result post-lipo, and fine-tuning your lower face and jowls is certainly achievable. The best choice will depend on

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

From the submitted photos you can consider FaceTite, Morpheus8, or even both to address the jowls. FaceTite is a minimally invasive procedure that uses RF technology to tighten skin. Morpheus8 combines RF technology with microneedling to address skin tone and texture. It can be used alone or in conjunction with FaceTite to optimize results. I've included a video I hope you find helpful.