Should I Get Facial Liposuction on my Lower Face?

I'm in my early 20's and have always been concerned about my chubby/round face. It's mostly my jowls that bother me. My lower and upper face are imbalanced, because I have more fat around the bottom half. My face also looks a lot rounder due to fat on my chin (visible in 2nd pic), whereas my face would look pointier without the fat. I think my face would look a lot better if there were more definition, which is being obstructed by excess fat. Would it be worthwhile to get facial liposuction?

Doctor Answers 9

Facial liposuction

You are still quite young and your face is still likely to change. While there are a host of "treatments" available, you will need a thorough exam and discussion in person. I also believe, since your face is within the realm of normal variation, that you will need to psychologically and emotionally decide on what features are "yours". The hardest thing for many patients to do is accept certain characteristics of themselves. In addition, you must be aware of side effects and risks of treatments. Sometimes the margin or error is greater than the expected change and that is not a good bet to make.

Robin T.W. Yuan, M.D.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

Facial liposuction

Facial liposuction is usually discourage because it can prematurely age a person.  A careful exam and discussio of your interests is imprortant.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Removal of cheek fat pads, a very simple procedure

Hi there!
I believe you would get a tremendous result from a very simple procedure I perform frequently. That would be the removal of the central buccal fat pads with small incisions made inside the mouth,i.e. no scars..also called Bichat fat pads.
To get an idea of what the result would be, stand in front of the mirror and slowly open your mouth while watching the center of the cheeks. They will get flatter. This is a 20 min operation and can be done with sedation. Half the time I perform it during a facelift and at other times simply by itself.
Dr Karaca from Birmingham Michigan.

Ahmet R. Karaca, MD
Birmingham Plastic Surgeon
4.9 out of 5 stars 11 reviews

Should I Get Facial Liposuction on my Lower Face?

It is  very difficult to determine whether your face is truly "imbalanced" without examining you in person and seeing your full face photos.   I would caution you to be very very careful about having facial liposuction to make your face look "pointier"   I have seen too many patients who have had liposuction to the face performed by other doctors and have ended up with asymmetries and indentations which have been very difficult to correct.  The one area that does respond very nicely is the sub mental region (area under your chin). Please see a board certified plastic surgeon to analyze your face and discuss your concerns and options.  

Dr. Donald Brown.

Donald M. Brown, MD (retired)
San Francisco Plastic Surgeon
5.0 out of 5 stars 8 reviews

Liposuction is an option, but there are also newer more non-invasive options such as Ulthera and Thermage

Liposuction is an option, but there are also newer more non-invasive options such as Ulthera and Thermage.  I would make a consultation with a dermatology practice who offers both surgical and non-surgical options.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Facial liposuction doesn't always "rebalance" the face

Jocelyn, you have a very lovely face. I don't think the impression of imbalance you see is probably caused by fat on the lower face, but is due to your underlying facial muscles and boney skeleton. With only pictures to go by and not being able to feel your face, I think your best option for rebalancing your face is not liposuction, but to augment the middle/upper face. 

A short-term and temporary way to do that is by using fillers, such as Radiesse, or the easily reversible hyaluronic fillers, Juvéderm, Perlane or Restylane. Another great option is Sculptra to stimulate collagen and a natural looking rebalancing. Fat transfer is potentially more permanent, but I don't recommend that until you've tried temporary options first.

Visit a very experienced physician in your area to discuss this as an option. But, make sure the doctor has a lot of experience with the use of fillers or Sculptra for rebalancing a face.

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
4.7 out of 5 stars 63 reviews

Should I Get Facial Liposuction on my Lower Face?

I agree with Doctor Hansen in that any type of liposuction can improve your face/jawline appearance. I prefer Smart Lipo + lipo.

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Jawline liposuction should improve the lower face .

liposuction under local anesthesia for the jawline should make a noticeable improvement and is easy to undergo for roughly $2500-3250.  Sincerely,

David Hansen,MD













David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 43 reviews

Facial liposuction!

Beware. Facial liposuction seems to be a logical method to thin the face out and create a sensual jawline. In my experience, especially in the Asian population, round lower face is not all fat and includes some of the large muscular and soft tissue prominence that cannot be liposutioned. There are reports, mostly from Asia, about recontouring of the bony prominence of the mandible. Also Botox has been used to reduce the prominence of the lower facial muscles. Both of these need to be done with caution. Liposuction of the face can initially give good results if it is fat, Unfortunately, due to the disruption of the delicate soft tissue balance of the face, it will prove to loosen the skin and expedite the process of aging. So, my recommendation is to address this with extreme caution. Best wishes.

Sepehr Egrari, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.