Buccal fat removal or Kybella to the jowls? (Photo)

Question

Which treatment will I benefit from the most if I had to choose one. Kybella on the jowls and under the chin area? I want skinnier face and more defined jawline. I know my chin is on the small side but do not want to get chin implant. And after the chin ends there is a gap. I just want something permanent not temporary fillers.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It seems like you can benefit from Buccal fat removal, this is a good option to contour the face. Buccal fat excision can be done comfortably, awake, under local anesthesia in under an hour. The results are long lasting and the recover is quick. I recommend you to schedule a consultation with a board certified plastic surgeon for proper evaluation.

Michael P. Morrissette, DDS, FACS · Answer

In order to provide a well defined and youthful jawline and neck, I would recommend submental land jawline liposuction. The entire lower jawline can be improved with liposuction as opposed to the limited area that can be addressed with Kybella. Jowl liposuction can be performed as well. The procedure is performed in the office with intravenous sedation and the recovery is just a few days.

Gregory S. Keller, MD, FACS · Answer

You do not have a round face, and buccal fat removal, as you age can leave you with a skeletonized look. Nothing wrong with Kybella in the jowl, and it can be effective. AGNES RF can do the same thing without the pain and downtime of Kybella.

Ali Gurlek, MD · Answer

Thanks for your question and Pictures
The buccal fat pad is a rounded mass of fat in the middle of your cheek. It’s located between facial muscles, in the hollow area beneath your cheekbone. The size of your buccal fat pads affects your face shape.
Everyone has buccal fat pads. However, the size of buccal fat pads can vary greatly.
If you have larger buccal fat pads, you might feel like your face is too round or full.
You can be a candidate for a Buccal Pad removal surgery.
Best of Luck

David Saadat, MD · Answer

We have seen many patients with your exact issue at our practice. A slimmer face is impossible to create without a defined chin/jawline contour. For younger patients such as yourself, the most permanent and impactful solution to a drooping neck/jawline is a well-designed chin implant in combination with liposuction of the neck, jawline, and jowls. A buccal fat pad removal can also slim the face further by eliminating unwanted cheek fat. 
Our most popular non-surgical alternatives for your issue are Kybella (a fat-dissolving injectable) or hyaluronic acid fillers (like Juvéderm or Restylane) for chin/jawline contouring. Ultimately, the majority of our patients with this issue opt for a combination of chin augmentation with implant, lipo contouring, and/or buccal fat pad removal for results with the most longevity.

Buccal fat removal or Kybella to the jowls? (Photo)

Answers (5)

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