37 y/o previously had chin liposuction and fillers done, looking for a more defined chin. What are my options? (photos)

Question

I would like to get rid of my double-chin & jowls & have a sharper, more defined jawline. I'm 37 & while I'm sure aging hasn't helped, I had a 'heavy' lower face even when I was young (I think it's mostly fat as opposed to sagging skin). I've talked to multiple surgeons & they've all recommended different treatments (neck lift, chin implant, facelift, buccal fat, submentoplasty). Did chin lipo & fillers but want something more dramatic.

Randal Haworth, MD, FACS · Answer

If you're looking for a more dramatic improvement to your jawline, there are several surgical options that can help you achieve your desired result.

A neck lift can help to tighten and remove excess skin and fat from the neck area, which can improve the appearance of jowls and a double chin. This procedure involves making incisions under the chin and/or behind the ears, and then removing excess skin and fat and tightening the remaining skin.

A chin implant can also help to enhance the definition of the jawline. This involves placing a silicone or other implant material to augment the size and projection of the chin. This can help to balance the facial features and improve the overall appearance of the jawline.

A facelift is a more comprehensive procedure that can address both the lower face and neck area, as well as other signs of aging such as sagging skin, wrinkles, and deep creases. This involves making incisions around the ears and hairline, then lifting and tightening the underlying tissues and muscles and removing excess skin.

Buccal fat removal and submentoplasty are additional surgical options that can help to improve the appearance of the lower face and jawline. Buccal fat removal involves removing excess fat from the cheeks, which can help to create a more defined jawline. Submentoplasty involves tightening the muscles and tissues of the neck to improve the appearance of jowls and a double chin.

It's important to have a consultation with a qualified and experienced plastic surgeon to evaluate your individual situation and recommend the best course of action for you. They will be able to discuss the potential risks and benefits of each procedure, as well as any alternative options that may be available. It's also important to have realistic expectations for the outcome of the procedure and to carefully consider the potential risks and benefits before proceeding with surgery.

I hope this helps,
best of luck !

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may benefit most from Kybella injections to smooth the area under your chin and create a more contoured jawline. This treatment uses deoxycholic acid to dissolve submental fat, the fat cells under the chin, to define your jawline with long-lasting results.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to review your treatment history and discuss your concern with you to help you decide on the best approach.

Robert M. Lowen, MD · Answer

Dear Trixie,
   You have received all the standard answers, surgery, liposuction,  The chin lipo was not sufficient for the definition you want.
  You might want to consider Dr. Mueller's novel procedure, MyEllevate, developed and marketed with Cynosure. This is a non-incision suture suspension necklift that has the potential to tuck up the platysma and give a better angle between the neck and the chin.  You look like a good candidate since your age and condition do not show a lot of laxity. You can research this online, on my website, and I have added a testimonial link that reviews what was done for a patient with a fatty neck without jawline definition.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Ashley B. Robey, MD · Answer

Thanks for sharing your photos. In general, your neck and chin lines aren't too bad. So, I would reserve more aggressive procedures for instances where a lot more work needs to be done to achieve ideal results. You would get good results from a minimally invasive approach. I would start with Morpheus to your submentum and jowls. I would also add filler to your jawline (pre and post-jowl sulci), chin and mental crease (indention seen on the side view between your  lower lip and chin).

Zoran Potparic, MD · Answer

It seems that most of your surrent issue comes due to deep fat deposits underneath platysma muscle; these are not something to be corrected with liposuction. Open approach, by means of anterior neck lift, through a small incision underneath the chin will allow surgeon to remove deep fat and rearrange platysma muscle. Liposuction along the jawline would help to give more definition to the jaw and chin. Not sure about chin augmentation; in person evaluation would help. Hope this helps. Good luck.

Gurkan Kayabasoglu, MD · Answer

Hello. You can benefit from the submentoplasty procedure to be combined with a chin implant. Chin Lipo is unfortunately not as effective as submentoplasty.  Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

William Portuese, MD · Answer

The limited photographs demonstrate a recessive chin for which a chin implant can augment your chin forward for better facial balance and proportions in addition to better structural support for the soft tissues in your neck. Since you've already had liposuction to remove fat deposits above the plasma muscle, you probably have fat deposits located below the platysma muscle which will require a neck lift procedure. This procedure accomplishes  fat removal both above and below the muscle in addition to a platysma – plasty to significantly improve the jawline. Both procedures can be performed together under one anesthesia with a one recovery.

37 y/o previously had chin liposuction and fillers done, looking for a more defined chin. What are my options? (photos)

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