28, male, fullness under chin - Suitable candidate for chin liposuction? (Photos)

Question

Hi! 28-year-old guy, 6'4 / 185 lbs. I've always had some fullness under my chin/jawline despite being relatively fit. It seems to be a combination of a weak chin and jaw alongside genetic fat accumulation there. I've had consultations at two clinics (previously also considered a chin implant but have settled on just doing liposuction, possibly trying chin filler later). Attaching some candid photos that show my "issue". A few questions: 1. Based on the photos, does it look like mostly fat, or could there be some loose skin as well? 2. Am I a reasonable candidate for liposuction given my body composition and chin/jaw situation? 3. General tips, other things I could/should consider, or any thoughts at all would also be gratefully received! I'd appreciate honest, ideally "technical" assessments if possible based on the photos, something I feel has been missing from my consultations. Thanks in advance for the help!

Anna Chacon, MD, FAAD · Answer

Based on the photos and the information provided, the fullness under your chin appears to be influenced by submental fat and your underlying chin/jaw anatomy. At your height and weight, you already appear relatively lean, so this may be more of a genetic/anatomic issue than something related to overall body weight.

From the photos, I don't see obvious severe skin laxity, which is encouraging for liposuction. However, photos can't fully predict how much the skin will contract after fat removal. Your skin elasticity, the amount of fat present, and the degree of underlying chin projection all play a role.

You sound like a reasonable potential candidate for submental liposuction, particularly if the main concern is localized fat that has remained despite being at a healthy weight. Liposuction can define the transition between the chin, neck, and jawline, but it won't make the chin itself more prominent.

Your observation about a relatively weak chin is important. If the chin is retruded, removing the fat can improve the neck contour but may not completely address the overall profile. Chin filler can sometimes provide additional projection and definition without committing to an implant, although it needs to be placed thoughtfully to maintain a natural appearance.

I would also keep expectations realistic: liposuction can improve the contour substantially, but it cannot change the bone structure or create a dramatically stronger jawline. In someone with good skin elasticity and primarily localized submental fat, however, the combination of appropriate fat reduction and, if desired later, conservative chin augmentation can produce a very nice improvement.

28, male, fullness under chin - Suitable candidate for chin liposuction? (Photos)

Answers (1)

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