Ultherapy vs fillers or lipo for a stronger jaw? (photos)

A multi-modality, non-surgical approach would be a great option for a young patient with good skin laxity and moderate submental fat.  I would first recommend Kybella in the submental area to treat your fullness.  Kybella is a cytolytic drug that is injected to dissolve the fat under the chin to create an improved contour.  The coolsculpting mini is another option for fat reduction.  I would then recommend an Ultherapy treatment under the jaw line 6 weeks later to tighten and define the jawline.  Ultherapy works by administering ultrasound energy to specific depths of skin and muscle with precise ultrasound guidance, which causes tissue tightening and collagen production. Using ultrasound imaging, transducers with different depths are selected and the ultrasound energy can target precise depths of the patients’ lax skin and soft tissue including lax connective tissue of the face and neck. Based on your anatomy from your pictures, you should have beautiful results.  Good Luck

You need an implant or fillers to you chin but ultherapy will do great to compliment this with tightening and defining the jaw.  Please see an expert.  Best, Dr. Emer.

Ultherapy would not be my first choice for a young person like you for enhancement of the jawline. Ultimately your best will probably be a chin implant with liposuction under the chin. If you absolutely want nonsurgical options, you could have fillers placed in the chin and Kybella under the chin.

Hi Need..,You appear to be an excellent patient for liposuction of your neck with the placement of a chin-jowl implant.  Make sure to choose your treating physician most carefully.  Good luck and be well.Dr. P

Hello and thanks for your question. There are a few non-surgical treatments that can help define your jawline. An in-person consultation and evaluation would be needed to determine which is best for you. I do agree that fillers are not the appropriate choice. Looking at your pictures I would suggest a combination of either Ultherapy or ThermiTight along with CoolSculpting CoolMini or Kybella. It's important to have realistic expectations of what these treatments can do for you. It would be impossible for you to have the jawline of the pictures you posted as everyone has different facial structure. But, you can have the best jawline in proportion to your facial structure. Hope this helps.

I believe you will be better served with chin implant and liposuction under your chin/neck. Dr H Karamanoukian#RealSelf100 Member

A weak jawline may be caused by many things including small bone structure, sagging skin or even excess fat.  First thing is to get a good assessment as to the underlying problem.  Small bone structure needs volume (fillers). Sagging skin needs tightening (Ultherapy). Excess fat needs Kybella or CoolSculpting.   Combination treatments are often done because patients have a combination of causes for their weak chin.

Thank you for your question.  I agree filler is not the correct treatment for you.  A combination of Kybella and Ultherapy will give you the best results to define your chin and jawline.  Ultherapy when performed by an experienced provider to the correct patient yields very consistent and excellent results.  Pain thresholds vary from person to person, but there are many techniques your provider can undertake to mitigate any pain you may have.  Jawlines are not as painful with Ultherapy as other parts of your body and I personally have had it done their without any anesthesia.  Regards, Dr. Matt Elias