What can I do to improve my profile? (Photo)

Question

I'm 41 years old and have lost significant amounts of weight, around 150lbs. I have some laxity along my chin, that makes it look like I have a double chin from the side profile. What could I do to improve this, so it looks like I have a sharp jawline? I'd prefer non-surgical procedures if possible. Also would masseter botox be appropriate for me? I'd like a slimmer, thinner appearance on the front of my face, but worried it might make the jaw line look worse.

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.

Eric M. Joseph, MD · Answer

It's clear from your narrative that you would prefer a non-surgical procedure, however, since you appear to have a significantly weak chin, chin implant surgery may be the best way to balance your facial profile appearance. Depending on your examination, this may be combined with light neck liposuction for an enhanced effect.
Chin fillers may be considered and masseter Botox may also be considered, depending on your examination. I hope this helps! Sincerely, Dr Joseph

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  From your photos it appears you will have the best results from a combination of treatments.  Fillers can be used to add volume to the chin and enhance facial contours.  Botox to the masseter muscles can help slim the jawline.  For the neck, you may be a candidate for FaceTite.  This minimally invasive procedure uses RF technology to tighten the skin.  Results can be enhanced by adding Morpheus8 treatments to improve overall skin tone and texture.

Jo Herzog, MD · Answer

The first thing that I would do would be to add volume to chin, with a filler like Radiesse or restylane Lyft, and along jawline. would not plan anything else until after you see what you think of that change. You might not want to inject masters because proportions will now be different .

Leonard Grossman, MD · Answer

Thank you for the photographs. I would recommend having fat grafting done to your face in the area of the cheeks to increase more projection, and reduce the flatness of the cheeks, as well as the hollowness of the lower eyelid and more projection in the chin area. All of this can be done with the use of your own fat. When properly done the results of fat grafting are natural looking as well as permanent. I hope this helps and good luck from New York City Plastic Surgery.

What can I do to improve my profile? (Photo)

Answers (5)

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