Front of chin creates line underneath that looks like double chin - what can I do about it? (photos)

Question

Hi guys, I had chin Lipo on 28 March this year i I’m happy with the results but the front of my chin creates this line, what can I do or have done about it so that the wrinkle is gone

Jason Emer, MD · Answer

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Daniel Barrett, MD · Answer

Dear Gorgeous268608,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

The great majority of patients who seek chin and neck Liposuction have as their primary ideology facial skeletal imbalance with a mandible that is small in comparison to the Maxilla.
Most of the individuals who seek this treatment have a normal facial fat distribution and while removing fat and they are you can give a good results it does not treat the primary problem.
When the mandable does not project as far as the maxilla people typically end up with a dental overbite occlusion. This also causes the platysma muscle origin to begin closer to the neck draping the neck in a more oblique fashion. other characteristics of this facial skeletal combination include a lack of jawline definition and formation of premature jowls. And profile pictures the upper lip typically has more forward projection than the lower lip.
They area of concern has a lot of things going on with skin attachments and the origin of muscles such as the mentalis and platysma muscle. I don’t think anyone is going to tell you to get a jaw advancement but simply treating that skinfold doesn’t have any straightforward easy solutions.
Plastic surgeons tend to look at soft tissue solutions and oral surgeons tend to see things from him more skeletal perspective.
The primary culprit for most facial aesthetic issues especially on young people who are not obese tend to be based on bone structure. Sometimes soft tissue intervention can be very helpful and sometimes it fails because it isn’t treating the primary problem.
You can continue consulting with plastic surgeons but I don’t think anyone is going to come up with an easy treatment for this one. I don’t think adding fillers is going to do the job nor is it probably what you want.
Best,
Mats Hagstrom MD

Front of chin creates line underneath that looks like double chin - what can I do about it? (photos)

Answers (3)

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