Double Chin? Jowls? How to resolve? (Photo)

Question

At 14 years old I became very aware of my “double chin” or “saggy chin” even at a low body fat percentage, while it gets better, it persists. My face is slim while rested. When I move at different angles, or smile my jawline disappears and I have a double chin. Do I have jowls? What can I do to resolve? My goal is no double chin and a defined jaw. I’m thinking about lipo as i’m not keen on Kybella. Do I need a facelift?! Thanks in advance - i’m 25

Arnold Almonte, DO · Answer

Skin tone and skin laxity are different for everyone at different ages. Genetics play a big role. Options to tighten your skin range from liposuction, to energy devices such as Renuvion or FaceTite, or surgery, as in a facelift or mini facelift.  Visit an experienced plastic surgeon who specializes in facial rejuvenation to discuss all your options. All the best!

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

William Portuese, MD · Answer

The photographs presented are inadequate in order to make a determination about what is the correct surgical procedure for you. A full set of facial photographs from all angles when you're not smiling are going to be required. Fat deposits located above the platysma muscle in the neck can be addressed with liposuction, however, fat deposits located below the platysma muscle require a surgical neck lift, which also includes a platysma plasty to significantly improve the jawline.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics are primarily determined by bone structure.
Soft tissue coverage tends to be quite consistent from person to person and what differentiates each unique person‘s facial appearance is their skeletal structure.
It is this skeletal foundation that makes people recognizable whether attractive or not so much.
Issues related to the lower 1/3 of the face are fundamentally based on the bone structure of the lower one third of the face which is the mandible.
 Most people who have issues with loss of jawline definition, a double chin, premature gels will typically also have an overbite dental occlusion, and on profile pictures will have an upper lip that has more forward projection than the lower lip.
When the foundation is insufficient to support the soft tissues, they tend to sag.
 The problem is not related to fat distribution, but is primarily determined by bone structure.
Attempting to correct the primary issue tends to be more difficult and more involved than most people recognize or are willing to go through.
Extending the chin itself is not the same as having a large mandible.
For this reason at an implant typically doesn’t address the soft tissue issues The way having a large mandible does.
We usually make facial assessments by having access to a full set of facial pictures without facial expression. This should always include the correct frontal image and profile pictures from your side without facial expression.
Based on the picture you’ve included, your face is completely normal, and there’s no need for intervention.
Recognize that soft tissue solutions to problems that are fundamentally based on bone structure are going to have limited improvements at best.
Removing fat when fat isn’t the problem doesn’t always give the results Patients had hoped for.
Best,
Mats Hagstrom, MD

Double Chin? Jowls? How to resolve? (Photo)

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