Best procedure for me (jawline) feel like I have a double chin. (photos)

Question

I'm 18 years old and have been conscious about my jaw line from the age of around 11 I'm a skinny girl that goes to the gym so weight is not the cause of it,I hate to get photographs because of how unflattering it is and really gets me down, i even have a double chin when I laugh so feel like I can't, I have looked at many procedures and would like to know what's most suitable for myself.

Randal Haworth, MD, FACS · Answer

Thanks for your question and photos. There are a few options available that could potentially correct a double chin and define facial features. Non invasive solutions include Kybella and laser treatments, which in my opinion have less than optimal results. Surgical option would be liposculpture of the areas of concern and complimenting that with a small chin implant for a more defined jaw line and profile. Best to get an in-person consultation with a board certified plastic surgeon to discuss individual procedures that suit you.

Jed H. Horowitz, MD, FACS · Answer

It's best to begin by consulting with a surgeon in-person to discuss your options. During your initial examination, your #chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results. Liposuction under the chin is also another option your doctor can discuss. If you are not a candidate for chin or neck rejuvenation at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. 
However, there may be additional options to improve the appearance of your concern to improve the overall balance of your face. Such can be best evaluated in-person. Consulting with a board-certified plastic surgeon who specializes in #face, #neck and #chin procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

Jeffrey Rockmore, MD · Answer

It looks like you are a great candidate for Kybella or CoolSculpting. Both procedures are non-surgical and have limited downtime associated with them. Kybella usually takes about 10 minutes and is injected right in the office by a doctor. CoolSculpting takes about 45 minutes and is usually applied by a certified nurse.

John L. Burns Jr., MD · Answer

Kybella is a simple office based procedure which would work well.  The procedure is permanent although several sessions may be necessary

Tanveer Janjua, MD · Answer

A chin implant along with submental liposuction and Thermitight would be the best option. RegardsDr.Janjua

Tania Medina de Garcia, MD · Answer

Hello dear
Thanks for the question and provided information as well. 
  
Based on your photo you are a good candidate for chin liposuction, 
Chin liposuction can be an option, it makes you look younger and more
 attractive with a sharp jawline , and better facial proportions.It is 
important evaluate your pictures or a personal evaluation in order to 
give you the best option for your case. 
I recommend you to make an appointment with a board certified plastic 
surgeon for a good evaluation and to talk about your goals.
Good luck :)

William Portuese, MD · Answer

From the limited photographs, there are two issues that are present. The first one is a weak and recessive chin profile, and the second one is fatty deposits in the neck. Placement of a chin implant can augment the chin  forward to help  with facial balance and proportions from the side profile. This will also create a better foundation for the soft tissues in the neck. Consider liposuction of the fatty deposits in the neck. Both procedures are complementary to each other. For many examples of both procedures, please see the link and the video below

Robert J. Troell, MD, FACS - Account Suspended · Answer

Good Day. Thank you for your inquiry.
Photograph Analysis:
Examining the photographs you provided shows a mild deficient anterior projection of your chin and an anterior positioned hyoid bone. The hyoid bone is above your "adams apple" or thyroid cartilage. It gives the appearance of an obtuse angle to your neck (cervicomental angle) instead of a rejuvenated appearing sharp or 90 degree angle. The photograph also suggests, however, a different view may be more helpful, that you have a steep mandibular plane (line from your chin to the angle of your jaw).
You have beautiful, elastic skin. It does not appear that you have much submittal fat.
Treatment Options:
I recommend having a morphing of your photographs so you can see your facial appearance after making these changes. Some patients prefer a stronger chin than others. Also, we can show you the lateral facial profile with an angle jaw implant. This implant is the one that will alleviate lateral excess skin while the chin implant improves the extra skin in the front of your neck. 
The anterior chin mild deficiency can be treated with either a dermal filler (best either Radiesse or Bellafill) onto of the bone below the chin muscle (mentalist) or using a soft silastic extended anatomic implant. The lateral jaw is corrected by filler of the mentioned angle jaw implant. I am a clinical instructor at the Implantech facial implant hands-on cadaver course teaching physicians facial implant placement techniques. A custom or patient-specific implant can also be fabricated to address the anterior chin mild volume deficiency as well as the angle. 
I do not recommend setting the hyoid bone posteriorly, which was used in Wayne State University for neck rejuvenation. However, they created sleep apnea in some of their patients. 
Some noninvasive skin tightening can be done (radio frequency best) is you don't achieve the complete outcome you were aspiring to reach with the implant surgery alone.
You are a beautiful woman, and no treatment is an option as well since in my opinion, the alteration of your aesthetic appearance by your anatomy is subtle.
Good luck with your endeavor and feel comfortable with both the treatment options you choose and the surgeon who cares for you.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  From the photos, your chin is quite weak and there is some excess fat and skin below the chin.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  
Hope this helps.

Gerald Wittenberg, MSc, DMD (retired) · Answer

You do have a smaller lower jaw; usually associated with an 'overbite'. However, you can build out the lower jawline with a combination of a genioplasty and jawline augmentation extending the the jaw 'angles'. It will definitely enhance and define the lower jaw.

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