Age 27, could chin lipo address my jowls too & would filler help? (Photos)

Question

Hi! I’m 27 years old and am honestly so embarrassed by my face. Have had some recent weight gain (currently 35 weeks pregnant) and it’s definitely showing in my double chin area, bad. I’ve also come to realize that I have pretty bad jowls for someone my age. Am looking to get chin liposuction within the next year, but wondering if that could address the jowls too? Would filler in my chin help? I know that my chin is pretty weak, but trying to stay as minimally invasive/expensive as possible.

Daniel Barrett, MD · Answer

Dear taytyperry,
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

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

What determines what each unique individual persons face looks like is bone structure. Soft tissue coverage tends to be very consistent from person to person and what allows us to recognize each other as unique individuals is purely based facial skeletal structure. this is not only true for the ability to recognize each other but also determines whether someone looks masculine or feminine, attractive or not so much.
Issues related to the lower 1/3 of the face are related to the mandible.
Individuals with a small mandible tend to have the following, an overbite dental occlusion, on profile pictures the upper lip will have more forward to projection than the lower lip, premature double chin, premature formation of jowls. To make a good assessment we need quality facial pictures taken the way plastic surgeons take before and after pictures of the face. pictures should be taken at straight angles with a camera lined up with the face. Frontal pictures the camera should be aimed at the nose and for profile pictures the camera should be lined up with a mid cheek and pointed at the cheek. The person should be standing up straight looking forward without facial expression. Your chin isn’t the only problem. Your chin actually has a reasonably good projection and is already giving you a correct labiomental angle. You may benefit from some vertical height augmentation and possibly conservative forward advancement. That said augmenting the chin isn’t necessarily the correct approach. The issue is also related to the body of your mandible that’s lacking in size. 
A jaw advancement might be a better procedure.
I recognize that people may be apprehensive of having more involved surgical procedures. Recognize that your fat distribution is not what’s causing the problem and neither is a lack of volume. 
For that reason do not expect treatments that don’t treat the primary problem to give you impressive results.
To get an accurate assessment I suggest you consult with a few oral surgeons or plastic surgeons who’ve done a cranial facial surgery fellowship training.
Having a quality assessment with a good understanding of your own facial dynamics is a good foundation to make intelligent decisions about appropriate treatments.
Plastic surgeons tend to be soft tissue oriented and typically don’t see things from facial skeleton perspective like oral surgeons do.
I suggest consulting with providers from both specialties to get well educated on different treatment options. At that point you can then choose what you think is best for you.You don’t appear to have a substantial amount of subcutaneous fat on your chin and neck area so I’m not sure Liposuction is going to do all that much for you. We also don’t do liposuction in the jowls for the most part. some providers well and some providers don’t. there’s a branch of the facial nerve that becomes superficial as it crosses the mandible directly into the jowl. The nerve is called the marginal mandibular branch of the facial nerve. The nerve can be damaged during liposuction and this will cause the mouth to not function properly on one side. it tends to create a bit of a stroke like appearance. well the injury is generally temporary it can’t take many months to recover.
For that reason a substantial number of plastic surgeons will not do liposuction in the jowl.
Expect to get different opinions when consulting with different plastic surgeons. That is often the case when the problem is almost purely based on skeletal structure and the provider is looking for a soft tissue answer.
This is why including consultations with oral surgeons may be a good idea.
It doesn’t mean you have to have your jaw surgery. Quality outcomes are based on doing the correct procedure by first understanding with a true problem is.
The first step in the process is to make an assessment including an accurate diagnosis.
Best,
Mats Hagstrom MD

Age 27, could chin lipo address my jowls too & would filler help? (Photos)

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Age 27, could chin lipo address my jowls too & would filler help? (Photos)

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Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.