Should I do chin lipo too or just filler? (Photos)

Question

I’m looking into doing chin filler and jaw filler for my weak chin yet I was thinking of getting chin lipo first. Should I do lipo first or is filler enough? Anything else you recommend for me?

Matthew Schulman, MD · Answer

Liposuction of the chin can remove the excess fat and can give a more defined and sculpted jawline. While you don’t have a lot of fat there, it only takes a small amount of fat to give the appearance of a double chin. Liposuction will  permanently remove that fat so it is far better than any non-invasive procedure. In most cases, it is done under local anesthesia and there is a rapid return to regular activity.

You are correct, that you also have a weak chin. So, while lipo will help, and may be a reasonble starting point, you should be aware that you may also desire some filler to the chin or even an implant to imprve the lower jawline.

Check out the link for some more information, as well as a video about how liposuction of the chin works.

Lucian Ion, FRCS · Answer

Thank you for your enquiry and sharing your photographs.
3D imaging and computer simulation can help you determine what changes in the facial shape you would feel more comfortable with and guide your treatment choices.
My impression is that the volume under the chin is a hereditary characteristic and this is typically sort using a deep plane anterior neck lift which reduces volume both under the skin and under the platysma muscles (fatty tissue, digastric muscles,, lower part of the submandibular glands).
Chin augmentation using injectable filler, implant or genioplasty can enhance the cosmetic result. In general terms, reducing the volume under the jawline and in the jowl region produces a more defined contour of the jawline without increasing the width of the lower face. This can be aesthetically pleasing because it highlights the eyes. 
Wider appearance of the face needs to be considered carefully, in particular when the eyes are set and closer together because he can make this feature more noticeable.
There seems to be a lot of impact of the comparison between the facial shape and the size and appearance of the eyes, and it is valuable to consider all these aspects together this.

Jacob Tower, MD · Answer

Hello, hope you are doing well. Thanks for submitting your questions and photos. Beware that fillers are temporary, whereas implants are a permanent solution to microgenia (a small chin). Moreover, a relatively high volume of filler would be needed to correct your under-projected chin. A chin implant can be placed without any scar on the skin as a quick office procedure under local anesthesia. Submental 'chin liposuction' can also be done at the same time as an implant, but if you had to choose between the two options I would encourage chin augmentation first because there's a good chance you will be satisfied with that result alone. Hope this helps!
Best,Dr. Tower

Sharon Y. Giese, MD · Answer

You definately have a small chin but it does not look like you have much neck fat. I would consider a chin implant for the most reliable projection. Any little bit of fat under the chin will not be seen as much.

William Portuese, MD · Answer

The photographs demonstrate fat deposits in the neck, located both above, and below your platysma muscle, in addition to a recessive mandible. Consider placement of a chin implant to augment your chin forward for better facial balance and proportions. Liposuction can only accomplish removal of the fat deposits above your muscle, which will only be partially effective. Surgical extraction of the fat deposits below the muscle will most likely be needed in addition to a platysma plasty to significantly improve your jawline.

Adam Goodwin, MBBS, FRCS(Plast) · Answer

So I think your best option for something minimal would be submental liposuction and fat transfer of that very same fat into the tip of your chin. This is a more permanent result, than filler and can be every bit as effective if done by someone with experience.
.

Having said that, you have a slightly weak chin and a strong nose. We see this combination very often.

I think if you wanted to change your profile more significantly, then some kind of more definitive treatment would be worth considering. perhaps chin augmentation in combination with reduction rhinoplasty.  I have a whole YouTube video on fat transfer from one part of the face to the other on my YouTube channel Adam goodwin surgery if you'd be interested in learning more.

Best wishes, Adam Goodwin

Mats Hagstrom, MD (license on probation) · Answer

The primary issue with the lower 1/3 of your face and neck is all related to the size of your mandible. You don’t have an abnormal fat, distribution and fat is not what causing the problem for you. Well done Liposuction can give good improvement but this procedure is tricky because the results vary greatly on who you choose to do the procedure. The number of plastic surgeons who truly mastered liposuction and can give consistent quality results is small. Liposuction, if done poorly can leave people permanently disfigured.
I suggest getting a really clear understanding of the primary fundamental problem at which is related to facial bone structure. I suggest you have consult with oral surgeons or plastic surgeons with craniofacial training background.
Even if you opt for having fillers, it’s not a bad idea to understand the different primary skeletal issues and understanding all the various formal proper treatment options.
Simplistic soft tissue treatment options that attempt at treating fundamental skeletal issues will at best only give a partial solutions.
If you’re contemplating Liposuction, then the following are some general guidelines for finding the right provider. I cannot emphasize enough how much variation there is in skill among seasoned board-certified plastic surgeons with a good reputation. Having all the credentials does not mean somebody is good at chin and neck Liposuction.
There is also major discrepancies among providers who offer fillers, but at least fillers, are reversible and temporary.
To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures. 
Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider.
There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. 
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures. 
The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery.
Best,
Mats Hagstrom, MD

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