Which procedures would help me target my profile and uneven chin / lips? Hoping for a cleaner look and removing bulge. (photos)

Thank you for your question and photographs.

The volume below the level of the jawline is essentially because of the digastric muscles and the lower part of the submandibular glands. They can both be reduced to improve the definition of the jawline. Since you do not have any skin laxity in the neck, this can be done as and anterior necklift procedures through an access incision under the chin. Select top

True symmetry of the chin is not a natural feature since the mandible is never symmetric. On CT scan images there mandible shows quite a lot of differences between the right-to-left sides and the student is never fully centred or horizontal.

If for the chin you would like for a cheap an improvement in the alignment it could be helped by her small genioplasty intervention. It will however change slightly the relationship between the chin and the jawline.

Injectable fillers on the area that is higher can also help to improve the symmetry

The contours of the muscles around your mouth are showing because you have very low body fat. It is not possible to reduce the muscle size safely and the alternative is to try and smooth out the contours using injectable fillers.

If you seek to achieve a more projected chin and wish to use an implant, it will attenuate the visibility of the muscles by building on top of the bone below them.

Thank you for your question and for providing photos. You are likely a candidate for a lower rhytidectomy, also known as a neck lift. This procedure targets the neck and throat directly by removing submental fat and tightening the skin.
The deeper tissues along the jawline are also tightened to create a smooth and defined contour. Lifting the deeper tissues prior to excising loose skin can produce firm, natural-looking results that generally last over ten years. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can review your concerns and aesthetic goals to determine the best treatment option for you.

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

The problem of poor definition of your jaw is related to flaccid neck muscles (platysma) and extra skin. When performing neck liposuction, only fat was removed, but this does not improve laxity; on the contrary, it sometimes increases it.I suggest performing face and neck lifting to firm up your cheeks and neck. This improves the mandibular profile. For your lips, we can enhance them with hyaluronic acid.

A Robust HA filler, such as Voluma XC, works well for reshaping the chin and for increasing broadness and projection. It can be used for straightening & masculinizing the jawline (which can also secondarily improve the upper neck). A less robust filler, such as Juvederm UltraPlus XC, can help to create better proportionality between the upper and lower lips. You would be wise to consult with a board certified cosmetic dermatologist. Best of luck.