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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Ok so for your age group, I would do FaceTite and 2-3 sessions of Morpheus (1st session during the FaceTite).

I am not a believer of facelifts until the aging changes that facelifts address are visible- such as jowl formation, deep nasolabial folds and neck fullness with neck skin laxity. You do not seem to have any of those changes. Neck laser liposuction I used to do but there were no real safety cutoffs so I would recommend facial and neck contouring with FaceTite by InMode combined with the external treatment called Morpheus. Best Wishes!!!

I would first push to know a little more about your goals and what specifically bothers you about the neck and jawline to better address your concerns. Given your younger age, submental liposuction with a skin tightening device (Facetite, renuvion) will do a great job of reducing the fullness behind your chin and sculpt the jawline. A facelift or mini facelift will reposition the soft tissue and remove any excess skin, but based on these pictures you don’t have significant jowling to warrant it. If you are not interested in either of these techniques, other adjunct techniques that lengthen your chin will help you create a more defined neck and jawline. This is usually accomplished with either a chin implant (silicone or medpor) or an osseous genioplasty (where the chin is fractured and advanced forward secured with a titanium plate).

Thank you for your inquiry! You have options. Typically, at this age, you still have some elasticity to your skin. Submental liposuction with some filler to sharpen the jaw line is one options. We would love to sit down with you and discuss other options. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

the biggest thing that I can tell on your face from these photos is that your lower jaw seems a little bit on the smaller side and that might be why you are noticing this drooping because you don't have enough bone to support the soft tissue.

I recommend a chin implant to lengthen the anterior projection of the mandible and give a more attractive neckline. At the same time, you can undergo liposuction of the neck. I also recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. The lip lift takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

I do not recommend a mini facelift for you. Liposuction can remove excess neck fat, and treatments like Secret, radiofrequency with micro-needling, can help tighten tissue and improve collagen growth.