My face/jaw/chin/neck area is undefined. Is there a surgery that can fix this? (photos)

Question

I'm 24 and slim to average at most. My body isn't fat but my chin or jaw area is very undefined and looks fat to me. It's like my jaw-chin-neck area are all one. I hate how this looks and I feel that I have a double chin as well. It makes me not like the look of my nose but when i cover my chin i like my nose. The picture below is not me but it gives a good idea of the issue I'm having and in my opinion looks similar to my neck area. Is there a surgery that can fix this? Lipo of the chin maybe?

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.

Richard H. Tholen, MD, FACS · Answer

Without a photo or personal examination it is really inappropriate to comment on someone else's photo that "looks similar" to your neck. Details of your exact degree of chin protrusion or retrusion, the amount and location of excess fat, position of hyoid bone, and facial proportions are all part of a detailed plastic surgical assessment that would lead to specific recommendations tailored to your needs and goals.I would be happy to give a few generalizations, however. Submental (below the chin) liposuction is commonly recommended, but I personally have found that direct excision of fat via a slightly longer incision in (otherwise) the same location as a liposuction incision gives my patients much more smoothness, thorough fat removal, precise hemostasis to minimize bleeding and bruising, and a much more predictably better result without the ridges , firmness, and long time for swelling to resolve that liposuction seems to cause. (I have taught liposuction for over 2 decades, so it's not lack of familiarity or experience--I have just found I can do better with direct excision and control of bleeding under direct vision.)If you have a weak chin, the same incision is used to place a solid silicone elastomer extended anatomic chin implant to restore or enhance facial proportions and give a smooth(er) jawline. A chin implant also helps to take up any slack skin after fat removal.Yes, there IS surgery to "fix" whatever concerns you have. Click on the web reference link below for an example of one of my patients with what sounds like your concerns, and what I did to deal with them. Then see one or more ABPS-certified plastic surgeons (ASAPS members) for personalized consultation and advice! Best wishes! Dr. Tholen

Joe Gryskiewicz, MD, FACS · Answer

Hi SprinklesPink,This fat can be resistant to diet and exercise.  So it is stubborn fat.  You appear to have localized fullness, and at the age of 24 you should have good overlying skin tone.  I believe you would benefit from chin liposuction with or without chin enhancement (I can't tell from the photos).  Be sure to see only a board certified plastic surgeon or facial plastic surgeon.  I wish you all the best,  "Dr. Joe"

Earl Stephenson, Jr., MD, DDS, MBA · Answer

This picture is truly representative you and you have isolated fat beneath your chin then liposuction isthe best procedure to improve your contour.

Karan Chopra, MD · Answer

Thank you for your question and sharing the picture! You would need neck liposuction and possibly the placement of a silicone chin implant to enhance your profile view. Both of these can be done via a small incision under your chin and have very little downtime. See an expert!

My face/jaw/chin/neck area is undefined. Is there a surgery that can fix this? (photos)

Answers (9)

Answer: Liposuction

Answer: Liposuction

Answer: Neck Liposuction

Answer: Neck Liposuction

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Everything you need to know about Chin Liposuction

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My face/jaw/chin/neck area is undefined. Is there a surgery that can fix this? (photos)

Answers (9)

Answer: Liposuction

Answer: Liposuction

Answer: Neck Liposuction

Answer: Neck Liposuction

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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.