Which procedure option is best to help minimize the appearance of a double chin / weak jaw line? 21 y/o (photos)

Question

I have been told that my double chin is more due to loose skin than fat. I am 21 at a normal weight between 115-120lbs. It does not go away when I lose weight. I am interested in jawline filler but am unsure if this is the best option for me.

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

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.

Jeffrey H. Spiegel, MD · Answer

We could improve this, in the office, very likely with a medium sized chin implant and some skin tightening.  Recovery time is minimal though there is a period of swelling from the chin implant.

Daniel Barrett, MD · Answer

Dear kxbtov,
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

William Portuese, MD · Answer

The Side profile photographs demonstrate a recessive mandible and weak chin profile. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. The procedure can be performed under local anesthesia as an outpatient procedure which takes approximately 30 minutes.

Which procedure option is best to help minimize the appearance of a double chin / weak jaw line? 21 y/o (photos)

Answers (7)

Answer: Double chin

Answer: Double chin

Answer: Which procedure is best to help the appearance of the weak jawline

Answer: Which procedure is best to help the appearance of the weak jawline

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Everything you need to know about Chin Liposuction

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Which procedure option is best to help minimize the appearance of a double chin / weak jaw line? 21 y/o (photos)

Answers (7)

Answer: Double chin

Answer: Double chin

Answer: Which procedure is best to help the appearance of the weak jawline

Answer: Which procedure is best to help the appearance of the weak jawline

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Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.