I’m in my mid-30s; inherited mom’s recessive chin and fat cheeks. Had a chin implant and neck liposuction done 7-10 years ago with the goal of getting a more defined jawline and visible chin (w/o looking like a witch’s chin). Was a smidge happy, but should have done more research. I’m interested in doing an SMAS neck/face life with buccal fat removal. Do you think that’d be more appropriate for my situation? What about genioplasty?
March 12, 2024
Answer: Situation I would recommend a facelift/necklift. I do not recommend buccal fat pad removal unless there is frank psuedoherniation of the buccal fat in the facelift approach. In that scenario, it is carefully removed in very minimal amounts to help contour the cheek.
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March 12, 2024
Answer: Situation I would recommend a facelift/necklift. I do not recommend buccal fat pad removal unless there is frank psuedoherniation of the buccal fat in the facelift approach. In that scenario, it is carefully removed in very minimal amounts to help contour the cheek.
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February 9, 2024
Answer: Deep plane facelift and neck lift Thank you for your enquiry and sharing your photographs. In general, a combination of deep plane neck lift and facelift can contribute volume reduction along the jawline and under the chin as well as redistribution of the volume in the cheeks and lower face. Enhancement of the chin projection would contribute to the definition of the jawline whether it is by means of a genioplasty or chin implant. Depending on the size of your current chin implant it may be possible to increases and use a larger one. Buccal fat reduction also contributes to contouring in the lower part of the cheeks and can be combined with the procedures listed above.
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February 9, 2024
Answer: Deep plane facelift and neck lift Thank you for your enquiry and sharing your photographs. In general, a combination of deep plane neck lift and facelift can contribute volume reduction along the jawline and under the chin as well as redistribution of the volume in the cheeks and lower face. Enhancement of the chin projection would contribute to the definition of the jawline whether it is by means of a genioplasty or chin implant. Depending on the size of your current chin implant it may be possible to increases and use a larger one. Buccal fat reduction also contributes to contouring in the lower part of the cheeks and can be combined with the procedures listed above.
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February 5, 2024
Answer: Comprehensive Facial Rejuvenation: Chin Augmentation, Facelift, and More Hi. Thank you for your question regarding a recessive chin, fat cheeks, and whether you should consider a SMAS facelift and neck lift. Thank you for your history and your pictures. In analyzing your pictures, you would do best with chin augmentation. Two forms of chin augmentation are reliable: a chin implant or a sliding genioplasty. During a sliding genioplasty, the bone is cut and advanced, then anchored with screws. This should be your first procedure. You could also need neck liposuction if this does not correct your neck. In addition, I would also suggest a facelift with SMAS plication and buccal fat removal. All these procedures can be done in one operative setting. The surgery should take approximately 6 to 8 hours and can be performed under twilight or general anesthesia. Plan for a two-week recovery. Therefore, most plastic surgeons would suggest chin augmentation (either bone or an implant), neck liposuction, SMAS facelift, neck lift, and buccal fat removal. Good luck. I hope I’ve answered your question regarding what procedures are suggested for your facial anatomy. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic and Aesthetic Surgeon
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February 5, 2024
Answer: Comprehensive Facial Rejuvenation: Chin Augmentation, Facelift, and More Hi. Thank you for your question regarding a recessive chin, fat cheeks, and whether you should consider a SMAS facelift and neck lift. Thank you for your history and your pictures. In analyzing your pictures, you would do best with chin augmentation. Two forms of chin augmentation are reliable: a chin implant or a sliding genioplasty. During a sliding genioplasty, the bone is cut and advanced, then anchored with screws. This should be your first procedure. You could also need neck liposuction if this does not correct your neck. In addition, I would also suggest a facelift with SMAS plication and buccal fat removal. All these procedures can be done in one operative setting. The surgery should take approximately 6 to 8 hours and can be performed under twilight or general anesthesia. Plan for a two-week recovery. Therefore, most plastic surgeons would suggest chin augmentation (either bone or an implant), neck liposuction, SMAS facelift, neck lift, and buccal fat removal. Good luck. I hope I’ve answered your question regarding what procedures are suggested for your facial anatomy. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic and Aesthetic Surgeon
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