What can I do to reduce fat in my lower face? (Photos)

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. If the concern is localized fullness in the lower face—especially around the smile-line or jowl area—one option people often explore is Kybella (deoxycholic acid), which is designed to reduce small pockets of subcutaneous fat. Kybella can contour targeted areas without adding cheek volume, but it must be used very carefully in the lower face to avoid unintended contour changes or nerve irritation.

To start with to make a good facial assessment, we need to see a frontal and profile picture.
The frontal picture you included is very good but consider, including profile pictures as well.
Facial aesthetics are primarily determined by facial skeletal structure.
In your case, you don’t have an abnormal fat distribution.
The way the soft tissue coverage is draping. Your skull is based on the shape and size of the bones underneath.
In your case you have a Good size Maximilla with good height, but your mandible is a little small and lacking in vertical height in relationship.
When the mandible is small, we start seeing soft tissue issues around the mandible, including the corners of the mouth, jowls, loss of jawline and a potential double chin.
It’s difficult to assess your man to boy without seeing a profile picture.
It tells us a lot in regards to the skeletal structure.
I would be very reluctant to have any type of fat removal procedure because fat distribution really is not the problem here.
If there’s an insufficient skeletal foundation, then the soft tissues that don’t have the support they need and start to show premature aging.
We can look at some facial structure at a young age and determine who is going to have a premature aging.
There’s no easy way to significantly manipulate skeletal structure.
Fillers and Botox are the most common, but there’s only so much they can do.
Plastic surgeons tend to be soft tissue oriented so expect plastic surgeons to have soft tissue solutions two problems that may be skeletal by their nature.
Oral surgeons tend to be more facial, skeletal structure, oriented, and will see things from that perspective.
I’m guessing you’re not looking for major reconstructive surgery and I think there’s no simple easy treatment to get what you’re hoping to achieve.If Botox of your massacre is working, then continue doing that.
I wish I could have a more optimistic answer for you.
Best,
Mats Hagstrom MD