Fat pocket over and under my jawline - how can I fix this? (Photo)

At 19 years old, a facelift could theoretically address the fullness and contour irregularities above and below your jawline. However, given your young age and the fact that your skin still has strong elasticity, it's more appropriate to consider conservative options first before proceeding with such an extensive surgery. The issue is likely due to residual fat or tissue irregularities following your previous liposuction. In this case, localized revision liposuction or fat grafting (lipofilling)may help improve the contour significantly without the need for a full facelift. That said, the most appropriate treatment can only be determined after a thorough in-person physical examination.

No, please do not get a facelift at your age. i would suggest micro-needling with radiofrequency to tighten that area.

Thank you for your question—you’re clearly paying close attention to your progress and results, which is an important part of post-weight loss care.
There are a few key points to consider:
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1. Limited Information From the Current ImagesIt’s difficult to provide a precise assessment without high-quality photos taken from multiple angles in consistent lighting. Visual evaluation plays a major role in understanding the origin of residual fullness.
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2. Possible Causes of Residual FullnessAlthough a detailed evaluation is needed, there are two common contributors in cases like yours: • Low cheekbone and chin projection: When bone structure is underdeveloped, the facial soft tissues can appear less supported, which may exaggerate the appearance of sagging or fullness in the jawline area. • Post-weight loss skin redundancy: After significant weight loss—especially following liposuction—the skin may not fully retract due to loss of elasticity and gravity, leading to a “loose” or bulky appearance under the jawline.
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3. Less Invasive Solutions May Be PossibleBefore considering a facelift, there are several less invasive options worth exploring: • Skin tightening treatments (e.g. RF, ultrasound-based devices) • Chin or cheek augmentation using dermal fillers or implants to improve support and definitionThese approaches can sometimes create the visual lift and structure needed to improve jawline contour without surgery.
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4. Endoscopic Lifting as a Minimally Invasive Surgical OptionFor patients seeking a more definitive and longer-lasting result—but still wanting to avoid a traditional facelift—endoscopic midface or lower face lifting may be considered. These techniques can provide tissue repositioning with smaller incisions and less downtime.
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5. What’s Needed for a Clear PlanTo determine the most effective path forward, an in-person consultation—or at the very least, a set of high-resolution photos taken in good lighting from multiple angles—would be necessary. Only then can the right course of action be tailored to your anatomy and goals.
Wishing you continued confidence as you move through this next stage of your transformation,Op. Dr. Güray YeşiladalıBoard-Certified Plastic Surgeon