23 years old, 170 lbs, 5'7- I feel like I have a very bad side profile, should I get chin lipo or a mini face lift? (Photos)

Question

Female, 23 yrs, 77 kg, 173 cm. Everyone says that I’m very slim (imo skinny fat). But I always feel like I have a very bad side profile and look like an entirely different, less attractive person from the side. I’ve already asked at my regular hyaluron injection snd my injector said that there isn’t much fat there. If I pinch my skin its also almost nothing and instantly hurts. Ive weighed 90 kg before and lost a lot of weight in a year. No noticeable loose skin but ideal result if I push up

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 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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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.

Daniel Barrett, MD · Answer

Dear ALiiCEN,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

Each persons facial individuality or how we look especially when young and not overweight is purely determined by facial skeletal structure. Soft tissues are very consistent from person to person but bone structure is not and very unique among each individual giving us the ability to recognize one person from another.

Some people have more aesthetically ideal facial skeletal structures than others.

Attempting to treat issues related to bone structure with soft tissue manipulation is going to give limited improvement at best and even then may just cause problems.

For example, someone who is chubby will typically respond well to Liposuction of the chin and neck despite having an undersized mandible in relationship to the Maxilla.

The ideal treatment may be jaw surgery but Liposuction can give it a good improvement even though it doesn’t address the primary problem.

Without a nice thick fat pad to reduce there isn’t much Liposuction is going to do for you. At 23 years old you don’t need a facelift or neck lift.

Your facial characteristics are definitely not abnormal and would be considered attractive by most people and there is no clear indication for surgical intervention.

You are a direct representation of each of your parents and there’s something to be said about simply acceptInc that and showing gratitude for life itself.

Most people buck on the idea of having cranial facial surgery though for some people it is completely appropriate and the right procedure.

I think if you ask people around you who know you and care about you they would all tell you that you are attractive and don’t need anything done. I would probably join in that opinion.

Happiness is inversely proportionate to expectations.

Perhaps writing a gratitude list every morning for a couple of months may help you.

Avoid having surgery unless it’s indicated.

Best,

Mats Hagstrom MD

23 years old, 170 lbs, 5'7- I feel like I have a very bad side profile, should I get chin lipo or a mini face lift? (Photos)

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