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

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