Would I be a good candidate for chin liposuction and buccal fat removal? (photos)

Hello, and thank you for providing images along with your question. A buccal lipectomy can be an ideal option for those who have overly round cheeks that lack definition. In many cases, this additional fullness from the cheek to the jawline is due to an excessively large cheek fat pad. Partial removal of this tissue can help create cheek definition and a slimmer contour in the lower face. The procedure can be combined with a chin implant to enhance the definition of the jawline and the contour of the lower face at the same time.

Patients in good overall health with fatty areas on the face that are resistant to diet and exercise may also be good facial liposculpture candidates. Facial liposuction is a procedure to sculpt trouble areas like the submental fat that often forms under the chin.

For non-surgical options, you may explore dermal fillers to enhance your chin and create a sharper profile or laser and energy devices to help tighten and lift the skin. To best determine the appropriate procedures for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper assessment of your skin, determine the ideal treatment or combination of treatments for you, and ensure the best possible results.

​I find that VASER liposuction in combination with Renuvion or ThermiRF are best for contouring the chin in those who are candidates, but Kybella can be used as an alternative and gets better results when combined with Thermage/Ultherapy/Exilis, TruSculpt iD, or Coolsculpting. I recommend getting a formal evaluation with an expert. Best, Dr. Emer​

Dear latisha7499,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin liposuction. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi Latisha, Two points: 1. Buccal fat removal- I don’t think you should have buccal fat removal. Your cheek bones are already showing with a slight cheek hollow. This configuration helps to you look young, yet not look chubby. Ideal configuration, young looking and still sculpted. Buccal fat helps people look young. If you look at photos of your younger self from 10-20 years ago, you will notice that you did not have cheekbones at the time and your face may have been chubbier back then, but now it is helping you to look young. 2. Chin liposuction (AKA submental liposuction)- in general, I am not a fan of submental liposuction on people over 30 years old. To get the defined chin to neck angle (cervicomental angle) you are looking for, you will likely benefit from a Necklift with corset Platysmaplasty. How much much of a Necklift depends on your age and your skin’s ability to contract. For patients, younger than 35 with minimal skin laxity and mainly fullness, they could get away with a submentoplasty without any skin removal. This is similar to the chin liposuction, but adds additional fat removal under the platysma muscle and also tightens the platysma muscle under the chin called a Corset Platysmaplasty. The incision is about 1/2-3/4” wide versus 1/4” wide for chin liposuction. The wider incision allows for a “keyhole surgery” looking through this 1/2-3/4” incision to trim the deeper fat and clean and find the platysma muscle edges to sew them together. The deep fat removal and Corset Platysmaplasty is how we are able to consistently get sharper chin to neck angles (cervicomental angle.). The skin on younger people is elastic enough to contract like with liposuction patients. If this were a Podcast, I could keep talking for another hour, but I’ll end it here. Hope this provided some value to you. Good luck on your face and neck rejuvenation journey. Best, Dr. Yang

Yes you would be a candidate for chin lipo/buccal fat removal + HA fillers to chin, jaw line, mandibular jugal sulcus (about 4-6 syringes). Fee $10,000.