Which should I do first; fat removal or bone reduction?

If you are going for the pics on the right, you need to augment the angles. That will bring your jaw width better in line with your cheek width (bigonial width: bizygomatic width). Your jawline definition is good but you have rounding at the angle of the jaw and augmentation would sharpen that...

Your chin is asymmetric as well, so I would correct that with a genioplasty and then contour the jawline on both sides to balance out the entire jawline. You can’t really contour the chin alone because the soft tissue won’t adapt when you reduce by contouring. You have an asymmetry that beg...

V-line surgery is a mandible surgery targeted to contour and slim the jaw. It targets the angle of the mandible, the jaw, and the chin. The objective is to give you a more delicate and narrow mandibular line. The surgery consists of mandible osteotomy of the bone.

I'm afraid the answer depends on a lot of things such as your age and skin condition. As I only have these two pictures to compare, most likely to get a more V-shaped lower face I would be inclined to recommend Jaw Reshaping.

Yes - a jaw shaping procedure can be used to get your jaw more narow, v-shaped, and symmetric. TMJ is not likely to improve from this surgery, however. Watch our videos to learn more.

If the entire movement was small then perhaps a reduction can improve your results. I prefer performing a reduction by shaving the bone and it is best performed from an submental incision. In some cases, reduction with a bur is all that is necessary. This approach will not compromise chin and...