What procedure would best help my weak chin and jawline - Smart Lipo/CoolSculpting/SculpSure?

Question

I'm a 29-year-old male in good shape with visible abs, but I have a weak jawline and double chin. Historically it hasn't been that bad but in recent years my chin seems to have gotten weaker to the point where it's almost just part of my neck now. Would smart lipo/coolsculpting/sculpsure help to redefine my jaw and chin? I would prefer a procedure with permanent results.

Daniel Barrett, MD · Answer

Dear pcorp,
it is hard to tell for sure without an examination. Based on your photo, it looks like you would benefit from chin augmentation. 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

Mats Hagstrom, MD (license on probation) · Answer

Each individual person‘s facial identity is based on bone structure.  soft tissues are typically highly consistent among individuals and the ability to recognize another person is almost exclusively based on their facial skeletal structure.

For the lower 1/3 of the face and neck the mandible is the bone that contributes to someone’s appearance.

Individuals with an underdeveloped mandible that is either smaller or lacking forward projection typically present with a double chin at a young age despite not being overweight, lack of jawline definition and premature jowls.  these individuals typically also have a dental overbite occlusion and on profile pictures will have more forward projection of the upper lip compared to the lower lip.

The size of the mandible is irrelevant to the shape of the chin.  in other words it’s possible to have a small mandible with a projecting or pointed chin.  on these individuals on first look it doesn’t seem like the mandible is the problem because that she in projects nicely.  however, if you look at the body of the mandible including the origin of the platysma muscle it follows all the characteristics that come with having an undersized mandible.  if the chin is pointed or projecting then the patient is limited in the ability to get chin augmentation because it creates an undesirable labiomental angle eventually bordering on a witch’s chin. To treat the primary problem would require advancing the mandible from behind the molars. It’s not a bad idea to get an assessment from an oral surgeon or plastic surgeons for the cranial facial backgrounds to see what’s involved with this procedure since it is the definitive correct procedure in your case.

You don’t have much fat to remove with Liposuction so fat removal procedures aren’t gonna have that much impact.

You’ll find that all the soft tissue solutions are limited because the problem based on skeletal structure.

Expect different providers to give you a variety of different opinions on what to do varying from a chin and plant, Liposuction, neck lift etc. etc.

Personally I recommend going directly to the source and consulting with A few oral surgeons and see what they have to say. You can also continue consulting with plastic surgeons in your community to see what each one has to say.

During consultations ask each provider to show as many before and after pictures of similar patients having the procedure they recommend as possible.

If someone recommends a procedure but has no before and after pictures of patients who look like you then perhaps consider getting another opinion.

In the end you need to ask yourself how much does this bother you and what are you willing to go through to change the shape of your face.

There is no simplistic  easy solution to what is actually a fairly complex problem. Calling this a problem may be an overstatement since it’s simply who you and what you look like are which is based on who your parents are.  There’s nothing wrong or inappropriate about your individual facial appearance and no one needs cosmetic surgery.

Cosmetic surgery are procedures for those who want to change their appearance enough to justify having surgery.

Good luck,

Mats Hagstrom MD

What procedure would best help my weak chin and jawline - Smart Lipo/CoolSculpting/SculpSure?

Answers (2)

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