Best procedure for short lower face and significant chin/neck fat? (Photos)

Thank you for your inquiry! We would love to meet with you to discuss your concerns. Based on the photos, Submental liposuction would be a great option for you! Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

The photo does show a short chin with a deep mentolabial fold. I would recommend a lengthening genioplasty to diminish the deep mentolabial fold, and simultaneous submental and jawline liposuction. This would significantly improve your overall facial balance.

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

It looks like the fullness under your chin is primarily due to submental fat, which can often be improved with chin liposuction or other fat-reducing techniques such as Kybella injections or CoolSculpting. These options can help refine the jawline and enhance definition without requiring more invasive procedures.
However, you’re also correct that the overall shape and projection of the chin—and how it harmonizes with your lower face—can influence the perception of fullness. If the lower third of your face is slightly shorter or retruded (set back), a chin implant could provide improved balance and definition. Sometimes, combining a subtle implant with liposuction can create a more sculpted and natural profile.
Jaw surgery, on the other hand, is typically reserved for cases where there is a significant skeletal discrepancy or bite misalignment that affects facial proportion and function. Based on your photo, it doesn’t appear that’s strictly necessary unless you’ve been told by a maxillofacial specialist that there’s a functional concern.

In summary:
Chin liposuction: Likely helpful for reducing localized fat.
Chin implant: Can improve projection and facial balance.
Jaw surgery: Usually only indicated for more severe structural issues.

A customized combination approach—often liposuction with or without a small implant—tends to give the most natural and flattering results in cases like yours.

Hi This is Dr Özge Ergün,

First of all, thank you for sharing your photos.
Based on your current presentation, which involves submental and lower facial adiposity, you are an excellent candidate for targeted liposculpting procedures. Given your relative youth, VASER-assisted liposuction is highly indicated for the neck to not only achieve precise fat removal but also to utilize the ultrasound energy for enhanced skin redraping and contraction, thereby creating a more defined cervicomental angle.
Furthermore, lower facial liposuction can be strategically performed to refine the mandibular border, optimizing the definition of your jawline contour.
However, I would strongly advise against mandibular augmentation (jaw implants) in your case, as this would volumize the lateral aspects of your lower face, potentially resulting in an undesirable broadening of your facial silhouette.