What procedure would I most benefit from for a slimmer jawline and removal of chin fat? (photos)

Thank you for your question and for providing photos. To slenderize the jawline and achieve your desired results, you may want to consider a two-step approach that combines facial liposuction with radiofrequency microneedling.

Liposuction can remove accumulated submental fat below the chin and along the jawline to enhance your facial contour. RF microneedling can rejuvenate and tighten the skin by stimulating your body’s elastin and collagen production, creating a firm and natural-looking result. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your aesthetic goals and suggest the best approach to help you achieve them.

You did not say why you are on prednisone, how long you have been taking it, nor for how long you will continue to take it. Nor did you say what other medications you are taking. While you might be a candidate for some form of liposuction of these areas, perhaps in tandem with a modality such as Face-Tite to further tighten the skin of your neck, submental region and jawline, these procedures may also be contraindicated because of a medical condition, and the results you might expect could also be limited because of your medical condition and/or the medications you are currently taking. These issues should be thoroughly explored in any consultation you receive for these issues.

Thank you for your question regarding what to do to achieve a slimmer jawline and how to remove chin fat. To have a slimmer jawline, I would suggest neck liposuction. This will help to move the fat in the neckline and achieve a slimmer draw line. I don’t think your neck is so severe to require a neck lift at this time. You may also consider buccal fat removal to define the upper third of your face to the lower third. The incision for buccal fat removal is done inside of your mouth. It will be important to coordinate with your plastic surgeon the timing of your surgery. Prednisone interferes with healing. It will be essential to discuss why you were on prednisone and if it could be tapered. Also, you may want to reconsider the surgeries because if you have to be on prednisone for an extended period of time, the fat may accumulate. I hope this helps to answer your question regarding how to achieve a slimmer jawline and removal of chin fat.


Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

There is a great combination treatment that is minimally invasive which we use frequently in patients with similar anatomic changes. This includes neck liposuction which allows us to remove the excess fat under your chin and sculpt the jaw line, plus FacetTite which is radiofrequency energy delivered through a small probe inserted under the skin to heat and tighten the skin. This allows simultaneously removing the excess fat and tightening the skin with only three small punctures in the skin (behind each ear and under the chin) which are each closed with a single dissolvable suture. Minimal downtime, great results!