Age 28, should I get vaser liposuction for my double chin/jawline or Necktite? (Photos)

Question

Which do you think would be best for me? I just turned 28 and I have what I think is fat under my chin/ jawline area and a little bit of jowls I guess. I don't think I have that much fat but I do want to remove whatever is there and get a more tighter and contoured jawline.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

There are several options for controlling the neck that you can consider:

- Nonsurgical treatment with fat dissolving injections like Kybela
- Nonsurgical treatment with cryolypolysis
- Surgical treatment with liposuction which addresses the fatty tissue layer under the skin
- Surgical treatment with anterior neck lift which addresses both the fatty tissue layer under the skin and the volume deep to the digastric muscles and combines with a small area of liposuction along the jawline

At to a greater extent, it depends on how much you want to change the contours. One way to help reach a decision is to do the 3D imaging and simulations and ask your surgeon to give you clarity regarding what different options could achieve.

Daniel Barrett, MD · Answer

Dear prettygirl090909,
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

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

It’s hard to make an assessment based on the pictures you provided. Take a look at how plastic surgeons take facial before and after pictures and try to mimic those. 
Most aesthetic issues related to the neck and lower 1/3 of the face on young people is related to bone structure.
You don’t have an abnormal fat distribution. It’s important to understand what the problem is before choosing a permanent surgical solution.
Consider having in person consultations with local board-certified plastic surgeons and oral surgeons.
 Oral surgeons are good at making assessments from a facial skeleton perspective which is often the underlying primary problem.
Plastic surgeons tend to be more soft tissue oriented and treating soft tissues it’s only going to be of limited usefulness if the problem is based on bone structure.
Best,
Mats Hagstrom MD

Age 28, should I get vaser liposuction for my double chin/jawline or Necktite? (Photos)

Answers (5)

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