What can I do to improve my profile and symmetry? What would be some recommendations? (photos)

Question

Hi, I’m self conscious of the lower half of my face, my chin seems to be weak alongside my jawline. I’ve also always had a double chin of sorts, despite being relatively slim. I’m hoping for a more balanced result. Thank you for all your help! :)

Jeffrey Lisiecki, MD · Answer

Based on your photographs, your chin position is a little retrustive. A chin implant or chin filler (depending on how permanent of a result you want and how much of a procedure you want to undergo) would help this. Submental liposuction and/or radiofrequency skin tightening would be options for your submental area, but I would want to evaluate you in person to determine how much excess you have there.

Jonathan Kulbersh, MD · Answer

Thank you for providing photos along with your question. Asymmetrical facial features are normal and common. We all have them, and they are often the result of genetics, aging, and lifestyle factors. Fortunately, there are cosmetic treatments that can fix asymmetry issues, especially if you feel that correcting them would give you more self-confidence. To enhance your chin, you may undergo filler treatments to augment the chin and sculpt a more defined jawline. For a more permanent approach, you may also have a chin implant. To determine the best procedure for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation, determine the best procedure, and ensure the best possible results.

Daniel Barrett, MD · Answer

Dear Calm694527,
it is hard to tell for sure without an examination. Based on your photo, 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.

Michael P. Morrissette, DDS, FACS · Answer

The lower facial balance can be improved with a small chin implant and simultaneous liposuction. I prefer to combine the procedures to achieve the best definition and remove the double chin.

Camille Cash, MD · Answer

We are all asymmetric to some degree and yours is within normal limits.  Liposuction of the chin can be done to help better define the neck line.  A combination of Botox and fillers can help to better contour the jawline as well.

William Portuese, MD · Answer

The side profile photographs demonstrate a recessive chin profile for which a chin implant can significantly improve. The implant can be placed through submental approach under local anesthesia as an outpatient surgical procedure.

Darryl J. Blinski, MD · Answer

Thanks for posting excellent photos. I recommend chin lipo with HA fillers to chin or chin implant, with tip rhinoplasty, plus 1 stitch facelift. Fees in $15,000 ranges.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question and posting appropriate pictures. You seem to be a very good candidate for filler volume addition of your jaw line especially in your chin. Additionally, you may benefit from using Kybella underneath your chin for a bit of fat reduction. It’s best to have a consultation either virtually or in person to discuss options of course.

Mats Hagstrom, MD (license on probation) · Answer

Each person‘s unique facial appearance is based on their underlying facial skeletal structure.

This is true for the frontal view as well as the profile.

The lower part of the face is primarily determined by the relationship of the mandible compared to the mandible compared to the Maxilla.

People who have a Mandible that is small or lacking in forward projection in compared to their maxilla tend to have a few characteristics in common.  These often include a dental overbite, an upper lip that shows more forward projection than the lower lip and profile pictures, lack of jawline definition and the formation of premature jowls.

When the mandible lacks forward projection the platysma muscle drapes the neck in the more oblique fashion.

It’s not uncommon for people to say that a double chin runs in their family. It is in fact a small man the bowl that runs in their family not the double chin. The double chin simply happens in those who have an undersized mandible compared to those with a projecting one.

Obviously age and things like obesity can contribute.

Liposuction despite not treating the primary problem is often very effective at giving definition and reducing a double chin.

Facial asymmetry is the norm and very few people have symmetrical faces. The asymmetry is also based on skeletal structure and most people have very consistent symmetrical soft tissue coverage.  attempting to correct facial skeletal asymmetry through soft tissue manipulation will typically create two asymmetries which often don’t balance and simply create two asymmetries.  The human brain is accustomed to seeing human faces as being asymmetrical since there are virtually no people with symmetrical faces.  during embryological development the left and right side of the face develop independently of each other and eventually fuse in the midline. This is one of the explanations why all people have substantial asymmetry in their face.

To correct the week chin chin implant or sliding genioplasty are appropriate options. These procedures are also often performed by oral surgeons.

I suggest having a few in person consultations with local board certified plastic surgeons and or oral surgeons in your community.

Best,

Mats Hagstrom MD

What can I do to improve my profile and symmetry? What would be some recommendations? (photos)

Answers (10)

More Chin Liposuction Questions

Don't have much of a jaw line - Would I be a good candidate for Chin Liposuction? (photos)

I had submental liposuction one year ago. Does this look normal? (Photo)

Will I benefit from Chin Liposuction? (photos)

How to get rid of small double chin - am I a good candidate for Chin Liposuction? (photos)

Could cervical spine injury be due to lipo on neck & chin?

Kybella didn't work for me. Would chin liposuction help my nonexistent jawline? (photos)

WE SEND PRETTY
EMAILS