Interested in Kybella. Will it be possible to get a sharp straight jawline? I want to adjust my expectations (Photo)

Question

There is some extra fat right below my chin. Also interested in other ways to enhance a convex face or if changing facial shape would enhance my look.

Nima Shemirani, MD · Answer

Hi @rachel6401. I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Jason Emer, MD · Answer

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

Daniel Barrett, MD · Answer

Dear rachel6401,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office. I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable. It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Sergio Verduzco Casillas, MD · Answer

Hello, Thanks for your question and photos. Looking at the pics is not easy to say your best options. You'll need a physical exam with a board-certified doctor. Anyway, Kybella a is great option to eliminate fat deposits in the neck. Other options are Cryolipolysis or Lipo. Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Your facial contour is determined by facial skeletal structure. Soft tissue covering tends to be very consistent from person to person. This is especially true for young people who are not obese.
You don’t have much fat to manipulate in the first place so don’t expect that manipulation to change the way your face looks in any particular great amount.
Since fat is not creating a problem you may want to think twice about treatments like Kybella. Most plastic surgeons don’t use that to remove fat in the chin and neck region because it is inferior to Liposuction.Kybella is unpredictable and while most of the time it tends to under deliver it can potentially be far more effective than people anticipated leaving significant contour irregularities and even skeletonizing peoples face.
Personally I don’t think you’re fat removal is something you need, is in your favor or will deliver what you’re hoping for.
If you’re concerned enough about the contour of your face to get surgical intervention and it should be based on treating the primary source or problem which is always a bone structure.
Attempted treatments at soft tissue manipulation not addressing the primary problem it’s only going to give partial results at best and things that are done poorly can lead to permanent issues leaving patient regretful.
Best,
Mats Hagstrom MD

Interested in Kybella. Will it be possible to get a sharp straight jawline? I want to adjust my expectations (Photo)

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