I have submental chin fat. I have already consulted a PS about lipo and am not thrilled with the idea. I am considering Kybella as well as jawline contouring with a filler. Would you recommend one over the other or both in conjunction?
October 25, 2018
Answer: Volumizing Fillers + Botox "Nefertiti Lift" Can Improve Both The Face, Jawline, & Even Chin-Neck Definition Unfortunately, not even the best of HD photos is a good subsitute for an in-person examination that allows for palpation and manipulation of the skin. In this instance, the inclusion of a frontal view would have been extremely helpful. However, from what I can see in this profile view, there may be some flattening (loss of volume) in the upper cheeks, general loss of definition along the jawline and posterior angle of the jaw, as well as early jowl formation along the jawline--all of which are likely contributing to the apparent loss of the sharper, more youthful cervico-mental (neck-chin) angle. If this is indeed so, then the use of a volumizing filler to restore a more youthful high-cheek bone look, as well as volumizing filler for redefining the posterior angle of the jawline and reducing the jowl formation would be in order. In my NY practice I would use Voluma XC for cheeks and Restylane Lyft for the jawline (In my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available, I would opt for Stylage XXL for the cheeks and Restylane Volyme for the jawline. As a final tightening, Botox microdroplets may be used in the neck and along the jawline a particular injection pattern to achieve jawline tightening and neck tightening, known as the "Nefertiti Lift." In short, simple nonsurgical rejuvenation techniques, such as those described here are likely to yield very gratifying results without the need for expensive, aggressive surgery, liposuction with attendant downtime, or even Kybella, which requires several treatments and also gives rise to a bullfrog neck-like swelling that can persist for two weeks. Results of injectable volumizer treatments are typically immediate and engender a "Wow!" reaction, while Botox results generally take about a week or so to be realized. Make sure that you consult with a board certified aesthetic physician and insist upon seeing his/her personal before and after photos before agreeing to proceed. Best of luck.
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October 25, 2018
Answer: Volumizing Fillers + Botox "Nefertiti Lift" Can Improve Both The Face, Jawline, & Even Chin-Neck Definition Unfortunately, not even the best of HD photos is a good subsitute for an in-person examination that allows for palpation and manipulation of the skin. In this instance, the inclusion of a frontal view would have been extremely helpful. However, from what I can see in this profile view, there may be some flattening (loss of volume) in the upper cheeks, general loss of definition along the jawline and posterior angle of the jaw, as well as early jowl formation along the jawline--all of which are likely contributing to the apparent loss of the sharper, more youthful cervico-mental (neck-chin) angle. If this is indeed so, then the use of a volumizing filler to restore a more youthful high-cheek bone look, as well as volumizing filler for redefining the posterior angle of the jawline and reducing the jowl formation would be in order. In my NY practice I would use Voluma XC for cheeks and Restylane Lyft for the jawline (In my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available, I would opt for Stylage XXL for the cheeks and Restylane Volyme for the jawline. As a final tightening, Botox microdroplets may be used in the neck and along the jawline a particular injection pattern to achieve jawline tightening and neck tightening, known as the "Nefertiti Lift." In short, simple nonsurgical rejuvenation techniques, such as those described here are likely to yield very gratifying results without the need for expensive, aggressive surgery, liposuction with attendant downtime, or even Kybella, which requires several treatments and also gives rise to a bullfrog neck-like swelling that can persist for two weeks. Results of injectable volumizer treatments are typically immediate and engender a "Wow!" reaction, while Botox results generally take about a week or so to be realized. Make sure that you consult with a board certified aesthetic physician and insist upon seeing his/her personal before and after photos before agreeing to proceed. Best of luck.
Helpful
October 24, 2018
Answer: Should I get a filler for jaw line contouring? Kybella? Or both? Thank you for your pictures and questions. I think that if you are not ready for a surgical solution, then a non-surgical option might be ideal for you. As for the options you mentioned, they are both indicated to treat different things. If you are mostly concerned with the submental fat area, then Kybella can be a great treatment option for this area. Be aware that while you may require repeat treatments to get the desired result, with Kybella, the results are permanent. If you are more concerned with the lack of posterior jaw definition, rather than the fat distribution, then perhaps a filler (I prefer Juvederm Voluma for this area) would be the right solution. If both areas are of equal concern, then perhaps a combination approach would be best. At this point, your best bet is to see a plastic surgeon who is board certified by the American Board of Plastic Surgery for a consultation. That person will be able to give you an in-depth analysis of your areas of concern and provide both surgical and non-surgical options to you and help you choose what is best for you. If you go to a "med-spa" that only offers non-surgical options, then they are only going to be able to offer you what they have which might not be the best thing for you.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
Helpful
October 24, 2018
Answer: Should I get a filler for jaw line contouring? Kybella? Or both? Thank you for your pictures and questions. I think that if you are not ready for a surgical solution, then a non-surgical option might be ideal for you. As for the options you mentioned, they are both indicated to treat different things. If you are mostly concerned with the submental fat area, then Kybella can be a great treatment option for this area. Be aware that while you may require repeat treatments to get the desired result, with Kybella, the results are permanent. If you are more concerned with the lack of posterior jaw definition, rather than the fat distribution, then perhaps a filler (I prefer Juvederm Voluma for this area) would be the right solution. If both areas are of equal concern, then perhaps a combination approach would be best. At this point, your best bet is to see a plastic surgeon who is board certified by the American Board of Plastic Surgery for a consultation. That person will be able to give you an in-depth analysis of your areas of concern and provide both surgical and non-surgical options to you and help you choose what is best for you. If you go to a "med-spa" that only offers non-surgical options, then they are only going to be able to offer you what they have which might not be the best thing for you.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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