Age 23, Jowls? Weak chin? Chin fat? Neck fat? (Photos)

Question

Hi. I’m 23 years old, and I live in South Africa. I have found myself seeing some changes in my face and neck in the last couple of months and I’m not sure what to do. I have been told I have slight jowls and I don’t know if it’s a double chin or not. Anyway, my face used to look more “lifted”/“tight” and my chin/neck went more “in” I think. I’m not sure what’s going on or what to do. I have had some NYA.. something skin tightening but I don’t feel it has helped. I would like to show you

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Leyla Arvas, MD · Answer

Thank you for sharing your photos . To get rid from extra fat on chin and neck areathere are lots of options nowdays . Both Surgical and Not Surgical are possible. Which method should more suitable for you of corse will be much more clear while personal examination. We sometimes combine treatments for same patient reccomending at the same time chin liposuction, ULTHERAPY or even thread lifting after lipo to have more permanent result and prevent skin sagging in future. Sometimes choice depends even not on age but on skin quality of the patient . You are quite young so skin quality in this age basically good and the result can be really dramatic .While liposuction also reccomend fat transfer into chin area to get more defined look.

Timothy Osborn, MD · Answer

I would say you are a candidate for a few procedures. Firstly, buccal fat removal would help reduce some of the cheek fullness and (mild) jowling. Second, jawline liposcuplting would also help reduce the jowling and create a more sculpted jawline. Submental liposuction is also option to reduce the small amount of fat under your chin. All of these procedures can be done together to make it one recovery as well. There are also some skin treatments, such as microneedling with RF to help tighten skin. Although your skin looks lovely already, it is an option to keep in the back of your mind.

Daniel Barrett, MD · Answer

Dear Plshelp1801,
it is hard to tell for sure without an examination. 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

The aging process continues constantly and your face is going to change from year to year in that direction.
Take a look at what people in their 30s look like and you’ll see that they look very different than those who are in their 20s. With each year comes and evolving change of facial aging. A lot of this has to do with lots of elasticity of the face. Some is purely related to aging of tissues. On the face the majority probably comes from sun exposure.
I suggest wearing sunscreen on a daily basis, use a hat or avoid spending long periods of time in the sun.
There’s nothing wrong with your chin. You don’t have a jowls. You look like a normal healthy attractive 23 year old. Don’t compare yourself to how you looked when you were younger because youth isn’t coming back.
Best,
Mats Hagstrom MD

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