Age 34, am I a suitable candidate for chin lipo for a more defined jawline? (Photos)

Question

34, generally healthy. Gained weight after baby but always had double chin. I am considering liposuction. I’m not sure whether this is something that will rectify the issue. I would like a more defined jaw line. I know it won’t be incredibly defined but at least to see it. I visited a consultant recently and he said I’m not a suitable candidate as it’s just the way I’m build. Apparently I have a short wide neck. This is since I gained weight so I was slightly confused with his conclusion.

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

Matthew Schulman, MD · Answer

Neck liposuction will remove excess fat from the the neck area, and this can reduce the 'double chin" as well as help define the jawline. So, this may help you, BUT, it is true that there are other things going on such as some skin laxity and yes, your underlying bone structure. The excess fat is just a part of what may be bothering you. You can certainly have neck lipo, since it is easy for you to do and will definitely help things, as long as you understand the limitations and that it will not totally transform your neck appearance.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

David M. Creech, MD · Answer

To determine what procedure will be the best for you requires a physical exam.Generally, Neck liposuction gives a beautiful improvement.

Mats Hagstrom, MD (license on probation) · Answer

99% of people seeking chin and neck Liposuction have a small mandible. The problem may be the entire size of the mandible or its lack of projection compared to the Maxilla. This typically represents with a premature double chin, premature jowls, lack of jaw line definition, an overbite dental occlusion, and profile pictures that will show the upper lip having significantly more forward projection than the lower lip.
Most people’s fat distribution is fairly consistent, and while being overweight makes the problem worse fat distribution is not the primary underlying cause for most people having a double chin, especially at a young age.
Advancing the mandible is a complex operation, but it is a treatment that addresses the primary problem.
Treatment options include Liposuction, and neck lift, or addressing bone structure. Augmenting the chin will not create the same impact since it is mostly the body of the mandible that determines how the platysma muscle drapes the neck.
I suggest having a few in person, consultations with both for plastic surgeons and oral surgeons. Plastic surgeons tend to be more soft tissue oriented and I think that is what you experienced with a single consultation you describe. Oral surgeons on the other hand tend to be more facial skeleton oriented, intend to see things more from that perspective.
Substantial number of people don’t get the diagnosis correct on this part of the face. It is not an easy anatomic Area to make accurate assessment in because many different tissue layers contribute to shape and contour. Tissue layers that affect the appearance of the contour of this part of the face includes skin, fat, platysma muscle, sub platysmal fat, submandibular glands, and bone structure.
Treatment options vary widely, including appropriate recommendations based on who you ask.
Expect to get different opinions from different providers. Before choosing anyone single procedure or provider confirm that that provider has a proven track record with the procedure the recommending by asking them to show you their entire collection of before and after pictures of previous patient who had similar body or facial characteristics to your own. An experienced surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Like I mentioned, it’s not an easy area to assess accurately, and depending on the approach, different operations may be more or less successful. In other words, a very well done neck lift could give it an exceptional result, and the same could be said for jaw advancement surgery if done by a very talented, oral surgeon.
Simplistic solutions tend to be insufficient, such as the use of Kybella , or Liposuction in some people. Though Liposuction can be very effective in individuals who have good bone structure, good skin elasticities, and a sufficient amount of fat to remove.
Best,
Mats Hagstrom, MD

Age 34, am I a suitable candidate for chin lipo for a more defined jawline? (Photos)

Answers (5)

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