Late 20’s - Heavy lower face with excess skin and fat. What’s the best procedure for me? (photos)

Thank you for your query. The best treatment for you at this time may be an invasive RF treatment like ThermiTight or Facetite. This will decrease the fat and tighten the skin as well. Please find an experienced Board certified Plastic Surgeon who can examine you and help you with all your concerns. All the best!

Based on the information you’ve provided, if there is sufficient fat under the chin (submental) and along the jawline, I would initially recommend submental liposuction combined with a lower facelift. At 27 years old, your skin is likely still quite elastic, which is a significant advantage for achieving smooth and natural results.
Submental liposuction can remove excess fat from beneath the chin, helping to define the neck and jawline. If there is also skin laxity or soft tissue descent in the lower face (such as around the jawline and underneath the cheeks)—which can occur even in the early 20s—a lower facelift can reposition the underlying structures and tighten the skin, giving you a more youthful, heart-shaped appearance.
A mini facelift alone may not be enough if both volume and skin laxity need to be addressed. This combined approach would provide a more defined, balanced jawline and a natural look appropriate for your age. A physical examination is necessary to finalize the treatment plan.

Hi! Based on your description and my experience with facial surgeries, I believe you could benefit from a deep contouring approach to achieve the defined neckline and heart-shaped jawline you’re looking for. In cases like yours, I recommend: 1. Deep Neck Contouring: This involves removing fat beneath the neck muscles and tightening them to create a more defined and elegant neck angle. This deep approach provides longer-lasting and more natural-looking results compared to superficial techniques or liposuction alone. 2. Chin Implant: Combining deep neck contouring with a chin implant enhances facial balance and harmony, achieving a more refined shape and the heart-like contour you desire.
This combination not only sculpts the neck but also defines the jawline and improves overall facial proportions. If you’re interested in exploring this option, I would recommend a personalized consultation to evaluate your features and determine the best approach for you. I hope this helps, and I wish you the best on your journey to achieving your desired results!”**
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