Genioplasty, chin lipo + buccal fat removal? Or masseter Botox/fat grafting/Morpheus8? (photos)

Question

Hi all, The fact that my lower face is very disproportionate to my flat mid face has been bothering me for years now. I am 25 yrs old, BMI is 21.5. I'm not sure if I'd benefit from buccal fat removal as it seems so but when I was younger, my face actually looked less puffy - which leads me to believe it could be masseter hypertrophy. Please see the other procedures listed above that I'm considering (would prefer a long term solution!). What would you say is most advisable?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. A buccal lipectomy, or buccal fat pad removal, is an ideal procedure for improving cheek and jawline definition while reducing a rounded appearance in the lower part of the face. 
This procedure is often combined with a chin implant to enhance the definition of the jawline and is suggested based on an individual assessment. Since buccal fat tissue is not regrown, the results of this fat pad removal are permanent. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can help you decide on the best combination of procedures for you.

Gurkan Kayabasoglu, MD · Answer

Hello. First of all, genioplasty surgery is not the only way to enlarge your chin. You can also achieve the V-line shape you want with an implant to be placed on the chin tip. And you will have a more harmonious face in profile. It also supports your jawline line and makes the wide upper part of your face better. I would definitely recommend buccal fat removal to you. You can decide on Botox later, your priority should be chin implant and buccal fat removal. I think these two procedures will be more than enough and will suit you very well. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

Jeffrey Lisiecki, MD · Answer

In person examination plays a big role in the answer here. You have a retrusive chin which would could be addressed with a chin implant. Based on your photos, the buccal fullness appears to be more anterior (which would be treated with buccal fat pad removal) rather than posterior (which would be treated with masseter botox). For the submental area, in person exam would be helpful to see if there's a little fat there for lipo, or if just radiofrequency skin tigthening will help. For the midface, fat grafting or filler can help add fullness and contour.

Darryl J. Blinski, MD · Answer

Based on the series of nicely posted photos, I recommend NO buccal fat removal since the buccal areas already slightly indented. I would offer mini anterior facelift with SMAS plication to lift the jowls you are seeing, Radeisse injections to chin to in rove projection with chin lipo, masseter botox also. Fee $8,000. Best to virtual consult with.....

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