How to improve my side profile? (photos)

Question

I want to know what can be done with my side profile to improve the appearance. I really like the look of the celebrities I included, but would like to avoid surgery if possible. Fillers seem too temporary and costly to do every year the rest of my life. Would coolsculpting of neck and jawline combined with nano fat grafting to the chin improve my profile at all? What would you recommend?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy 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. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Kian Karimi, MD, FACS · Answer

Thank you for providing photos of yourself as well as inspiration photos. Although filler to the chin area provides a temporary solution, it will allow you to determine if you like the aesthetic of a more projected chin. Notably, you appear to be an excellent candidate for a surgical anatomic chin implant. This procedure can be done under local anesthesia and entails an external incision at the submentum or intraoral (internal) incision. The chin implant will provide more projection to your chin, definition to your chin and jaw, and also hide some of the beginning stages of a sagging submentum area. Lastly, another potential treatment option to consider would be a fat transfer to the chin and jawline area. Please note that this option does not provide as much definition as an implant and does entail the patient being put under general anesthesia. Not all of the fat from the fat transfer will survive, and the final result will take some time to appear, whereas the silicone implant will provide a more precise and direct result. Nonetheless, I would recommend you to complete multiple in office consultations with board certified facial plastic surgeons to discuss your aesthetic goals. This way, they can better assess your face and create an ideal treatment plan for you. Best of luck, Kian Karimi MD, FACS

Emmanuel Mallol Cotes, MD · Answer

What I can see on your pictures is that you are a good candidate for chin/jaw liposuction to improve your jaw angle.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Michael P. Morrissette, DDS, FACS · Answer

In the profile photo it appears that your chin is recessive. I would recommend a chin implant and simultaneous jawline and submental liposuction. The procedure is performed in the office with intravenous sedation.

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 youngmommyofone,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin augmentation. If you are considering a surgery, I would suggest you to 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

William Portuese, MD · Answer

Your side profile photograph demonstrates recessive chin profile and fat deposits located above and below the platysma muscle in the neck. Consider placement of a chin implant to augment the recessive chin forward, and a deep neck lift procedure to remove the fat deposits located above and below the platysma muscle which also includes  aplatysma-plasty to significantly improve the jawline.

Darryl J. Blinski, MD · Answer

I agree with deep injected jawline nano fat grafting. But NOT CoolSculpting for under chin fat! I recommend superficial lipo under the chin. Fees in the $10,000 ranges.