Would a sliding genioplasty or CoolSculpting target chin and neck fat? (photo)

Question

Hello there, I have a bit of a cross/overbite. I'm looking to get invisalign as well which will help, but I have a weird chin and some neck fat despite being quite thin. Would a Sliding Genioplasty and Coolsculpt fix this? Should I look into this before, during or after invisalign? Thanks

Michael P. Morrissette, DDS, FACS · Answer

The relationship between the teeth and the aesthetic appearance of your chin can be addressed separately. To improve the appearance of your lower face and chin, I would recommend either a sliding genioplasty or a chin implant. Sometimes In some cases, simultaneous chin liposuction can be performed to improve the the jawline contour.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Dear Helpful,

Thank you for the picture. It is my opinion that sliding genioplasty would help you immensely. You should discuss that in conjunction with your Invisalign to make sure that you don't need a lower jaw surgery instead or in addition to your sliding genioplasty.  Hope this was helpful

William Portuese, MD · Answer

A full set of facial and neck photographs are required to make a determination about which is the appropriate surgical procedure. It's also important understand that there are two compartments of fat in the neck, above and below the platysma muscle in the neck. Liposuction can only accomplish removal of fat  above the muscle, while a surgical neck lift with a platysma plasty can accomplish remove the fat  below the muscle.

Jeethendra Rao, MBChB, FRCS(OMFS), MFDS · Answer

Your concerns of your chin projection can be dealt with an advancement genioplasty or a chin implant. With the latter you may choose a shelf stock implant to achieve the projection you want. With an advancement genioplasty assessment of the jaw bone quality and nerves with reveal if and how. much you can advance your chin. The Invisalign should be able to be commenced same time, before or after once appropriate dental X-rays have been done as part of genioplasty planning; to ensure there are no unsuspecting problems in the jaw such as an extra or buried tooth. The areas under the chin could be managed by coolsculpting or liposuction. It will also improve with any advancement or augmentation of the chin.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics are primarily determined by facial bone structure.
It is the facial skeletal structure that gives each person their unique individual look and appearance.
This is true, whether it makes us attractive or not so much.
Issues related to the lower 1/3 of the face are therefore generally determined by the shape and size of the mandible.
 Individuals who have a small mandible are going to be prone to having loss of jawline definition, premature double chin, and premature jowl formation. When the mandible lacks in projection in comparison to the maxilla and dental overbite, occlusion also happens.
In your case, all of your issues are related to bone structure and you don’t have an abnormal fat distribution.
Orthodontic treatments are also not going to advance your mandible.
Sliding genioplasty can advance the mentalis.
In your case, your chin is not projecting all that much so as sliding genioplasty would be appropriate.
The body of your mandible is also lacking in projection, and this explains the overbite occlusion.
My best suggestion is for you to consult with oral surgeons to understand all the various treatment options. First and foremost, get a formal assessment so you understand the facial, skeletal relationships, and the implication that these have period.
Once you have a good understanding of the problem, you can then select treatments appropriately.
Cool sculpting is a relatively ineffective way of reducing subcutaneous fat.
Since fat distribution is not the underlying problem in your case, you most likely find that treatment to deliver no benefit.
Any form of fed reduction, including Liposuction is only going to give you partial improvements.
Well done, Liposuction can give a good results, especially in those who have substantial fat to remove in the first place.
The ability to deliver consistent quality liposuction result is more difficult than most people realize.
I would also like to point out That the most effective treatment are always going to be based on treating the underlying primary etiology. 
This area is often misunderstood by a lot of people in Aesthetic surgery.
For that reason you should expect to get different opinions from different providers, especially if they have different training backgrounds.
Your problem is primarily related to bone structure your best of consulting with those who treat these problems and that tends to be oral surgeons more than plastic surgeons, though some plastic surgeons are trained in doing more advanced mandibular surgery.
Good luck,
Mats Hagstrom MD

Would a sliding genioplasty or CoolSculpting target chin and neck fat? (photo)

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