Selfies and social media are drawing people’s attention to facial imperfections they might not have realized existed. The results: increasing awareness and demand for nonsurgical solutions aimed at chiseling or softening the lower face and neck.
The reality is, while treatments that tighten skin and more youthfully define the lower face remain mostly surgical, there are some patients who might benefit from a nonsurgical treatment or a combination of nonsurgical approaches, according to Phillip R. Langsdon, M.D., president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).
AAFPRS members predict that jawline aesthetics with minimally invasive options will be more in demand in 2019, according to a recent Academy press release.
“There are a lot of people that seek out these nonsurgical treatments, which in individual cases may not be what they need. In the end, they’re disappointed because they can’t get the results they envision,” Dr. Langsdon says. “But for those properly selected patients that don’t need a lot of tissue repositioning and just have minimal relaxation and volume loss, some of these techniques can be helpful.”
Fat Below the Chin
Reducing fat below the chin can help to enhance jawline aesthetics in patients as young as in their 20s. There are two basic options for treating small pockets of submental or cervical area fatty tissue, according to Dr. Langsdon.
In some cases, he’ll dissolve the fatty accumulation under the chin with deoxycholate injection (Kybella, Allergan).
“In patients with a minimal amount of fat, Kybella might help. In patients that have more than a little fat, we need to liposuction the fat out because it’ll take too many injections to get rid of the fat in those cases,” he says.
Dr. Langsdon stresses the importance of proper patient selection.
“What I’m describing are the patients that have just a little bit of fat,” he says. “That’s different than the patient whose muscles under the neck need to be refigured.”
Langsdon PR, Renukuntla S, Obeid AA, Smith AM, Karter NS. Analysis of Cervical Angle in the Submental Muscular Medialization and Suspension Procedure. JAMA Facial Plast Surg. 2019;21(1):56-60.