Age 38 & slim - would I benefit from chin liposuction? (Photos)

Question

I'm 38 and despite being relatively slim most of my life (fluctuating between 110-115 lbs), I have always had poor definition in my chin/jawline and a sort of double chin. I would love to fix this if it's just an easy fix with lipo--I'm not ready for something more invasive and expensive like a neck lift. Would I see good results from the procedure?

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Tanveer Janjua, MD · Answer

Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
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Regards
Dr. J

Daniel Barrett, MD · Answer

Dear mokonaami,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin liposuction. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

From your photo it appears you would be a good candidate for sub mental liposuction.  You could also consider adding FaceTite which uses RF technology to tighten the skin up to 40%.  The next step is to schedule a consultation with a board certified plastic surgeon near you to learn more.

William Portuese, MD · Answer

Even though you maybe thin, it appears that you  have fat deposits located above AND below the platysma muscle in your neck. Liposuction will be only minimally effective because it can only take off the fat above the muscle. A Surgical neck lift is required to remove the fat deposits underneath muscle in addition to liposuction to remove the fat above the muscle and a platysma plasty procedure to significantly improve the jawline. No skin removal is required..

Darryl J. Blinski, MD · Answer

Yes chin sub liposuction with Ha fillers along jaw line would improve your appearances. Expect fees in the $5,000++ ranges. Seek in person or virtual consults.

Mats Hagstrom, MD (license on probation) · Answer

Facial contour of the lower 1/3 of the face is primarily determined by skeletal bone structure or the relationship between the mandible and maxilla.

Ideal candidate for liposuction tend to be young patients with good skin elasticity and sufficient amounts of fat to have a good impact.

At age 50 patients typically stop being good candidates for neck improvements with Liposuction and typically do better with a neck lift. Patients in their 20s typically have excellent skin elasticity and do well with Liposuction.
The more fat someone has to remove the more of a result you can expect.

Overall that puts you kind of somewhere in the middle.

Who does the procedure has a great deal of impact on both making a quality assessment and delivering it quality results.

To get both I suggest having multiple in person consultations.

Good luck,

Mats Hagstrom MD

Age 38 & slim - would I benefit from chin liposuction? (Photos)

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