Are fat dissolving injections suitable for jowls / lower face fat? (photos)

Question

I have pockets of fat next to/ below my mouth that I am very insecure about. I really want them gone and am wondering if fat dissolving injections are possible in this area. The ‘lumps’ are soft/fatty and when I suck in and bite my cheeks they disappear. If you could please recommend a suitable treatment I would really appreciate it!

Randal Haworth, MD, FACS · Answer

The pockets of fat you are describing are commonly referred to as "jowls," and they can be a source of insecurity for many people. Fortunately, there are several treatment options available to address this concern.

One possible treatment option is fat dissolving injections. This involves injecting a solution, such as deoxycholic acid, directly into the fatty tissue to break down the fat cells. This can be effective for reducing the appearance of jowls and contouring the lower face.

However, it's important to note that fat dissolving injections are not suitable for everyone. They may not be effective for larger pockets of fat, and they can have some potential side effects, such as swelling, bruising, and nerve damage. It's also important to choose a qualified and experienced provider to perform the injections.

Other non-surgical options include ultrasound or radiofrequency treatments that use energy to break down fat cells and tighten the skin.

I recommend consulting with a board-certified plastic surgeon or dermatologist who can evaluate your specific concerns and recommend the most appropriate treatment option for you. They can discuss the potential risks and benefits of each option and help you make an informed decision based on your individual needs and goals.

Best of luck !

David Yew, MD · Answer

Based on your photos - while Kybella is a FDA approved, safe injectable that dissolves fat - it will result in 1-2 weeks of swelling so be prepared for that. Your fat is minimal and only visible in bad lighting or with your chin down. That will be visible in all people. If you want to get Kybella - you would need only 1 vial total (half on each side). You do not want to remove all the fat in the buccal area - once it's gone - it may cause other problems! So be careful and go to an experienced and honest provider.

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.

Are fat dissolving injections suitable for jowls / lower face fat? (photos)

Answers (3)

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