Chin enhancement or more kybella?

Question

I've had two kybella treatments and am very happy with my results, but am really looking to get a defined jaw. Do I need any further fat removal treatments or have I reached a point where all I need is chin fillers/chin implant to solve the problem? Around 5'4 and 122lbs with double chins running in my family. Thanks!

Jason Emer, MD · Answer

There are a few options. For best results with Kybella, I recommend a combination approach with thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is an alternative for contouring the chin, if you're a candidate. PDO nova threads can further improve the jawline, while a chin implant would give more definition. See an expert. Best. Dr. Emer

Miguel Mascaro, MD · Answer

It's hard to determine in the pictures that you show whether there is any residual fat to treat - kybella works great, but remember, it only works if there is fat to get rid of.  Otherwise, it will do nothing but cause swelling and possible complications.  The best way to determine whether you would benefit from completing a series of treatments with the kybella would be with a physical examination.  Bring this up to your doc and they will be able to help guide you.  However, more kybella will not give your chin any more projection and further definition of the jawline.  What I'm trying to get at here is that there needs to be a detailed discussion over what your goals are and what each procedure can accomplish.  I hope some of this helps! Best of luck.

John L. Burns Jr., MD · Answer

I would complete an entire series of Kybella:  estimate 5 single vial treatments; before considering genioplasty.

Summit Kundaria, MD · Answer

R.Hendley2440,
Thanks for the question.  I see your neck contour in your pictures is pleasing, and I would recommend you address your chin with an implant (not fillers) for facial balance.  I think the degree of augmentation as well as the longevity of the chin implant make this a better option both aesthetically as well as economically.

Best Wishes,
Summit Kundaria, MD
Charlotte, NC

Larry Lickstein, MD · Answer

Thanks for the question and the images.  Your photos demonstrate that you have pleasing shadowing along your jaw line and only mild laxity of the soft tissue beneath your chin.  Additional kybella, or treatments to tighten your skin, such as ultherapy, will only produce subtle changes.  If you are looking for additional improvements to your jawline and profile, you should consider a chin implant.  If you are hesitant, a trial of dermal fillers could be entertained to give you a preview of the results.  Good luck as you consider your options.

William Portuese, MD · Answer

From the limited photographs presented, there appears to be a weak and recessive chin profile, therefore a chin implant can augment the mandible forward to help a facial balance and proportions. Liposuction of the residual fatty deposits in the neck can be accomplished for some additional improvement. For significant improvement and definition of the jawline, consider a platysma plasty. For more information  and many examples, please see the link and the video below

Inessa Fishman, MD · Answer

Your photos do not show a significant amount of fat remaining in the area under the chin and upper neck, but do show a somewhat weak chin that would benefit from augmentation.  This can be accomplished surgically with a chin implant or a sliding genioplasty; if your physical exam reveals excess fat under the chin, this could be addressed with liposuction at the time of chin augmentation.  If you are uncertain about an implant or want to "model" it for a bit, you may seek out temporary fillers to augment the chin.  Seek out a consultation with a plastic surgeon or facial plastic surgeon who performs facial cosmetic surgery and facial implants regularly to have a detailed discussion of your treatment options.  Good luck!

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

Hi, I have performed many facial shaping procedures, including chin augmentation with chin implants, for over 30 years.  From these photos, your chin is quite weak.  When the chin is weak, this creates an imbalance that makes the nose appear larger, the mid face top heavy, the lower face appear short, de-emphasizes the fullness of the lips and allows early formation of a double chin.  
 Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.  I place silastic chin implants, through a small curved incision under the chin in 30 minutes or less often using a local anesthetic alone.  Further reduction of submental fat will not provide the forward chin projection that's required to correct your weak chin.  This can only be provided by a temporary dermal filler or placement of a chin implants for a permanent enhancement.
Hope this helps

Chin enhancement or more kybella?

Answers (8)

More Chin Liposuction Questions

WE SEND PRETTY
EMAILS

Answers (8)

More Chin Liposuction Questions

Nerve damage from chin liposuction?

Did I ruin my chin lipo?

Chin lipo alone or lipo with platysmaplasty? (Photo)

When I do get result after chin liposuction?

What are the long term results associated with neck/chin lipo? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS