Procedure options to reduce neck angle to chin and reduce labiomental fold (photos)

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.

Thank you for your question and the photos you provided. You appear to have a recessed chin that is affecting the contour of your side profile. Chin augmentation is an excellent option for improving the appearance of a weak or recessed chin.
With a custom-fit chin implant, the facial proportions can be brought into balance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and determine the best approach to help you achieve your aesthetic goals.

Your side profile photographs demonstrate a recessive chin profile along with fat deposits located both above and below the platysma muscle in your neck. Consider placement of a chin implant to augment your chin forward and a neck lift procedure. With a neck lift procedure, liposuction is performed to remove the fat deposits above of the muscle and surgical removal is required for the fat deposits below the muscle which also includes a platysma-plasty to significantly improve the jawline. No skin removal is required. Both procedures can be performed together under one anesthesia with one recovery period.

You have an underdeveloped lower jaw; and it appears a recessive upper jaw/upper lip (often seen with orthodontic treatment). The distance from the throat to the chin point is therefore reduced and leads to your impression. One can mask the deficiency with jawline augmentation and genioplasty combination; and xray images may help determine the best plan to define the area.