Both Kybella injection and chin liposuction can improve the double chin appearance. These treatments remove the excess submental fat that lies below the chin, according to California Surgical Institute website.
While both treatments have the same goal, they have different mechanics. Consequently, doctors perform physical exam to identify the patient’s underlying anatomies, which determine the ideal approach.
Kybella vs Liposuction
Kybella is an FDA-approved injectable drug that is similar to a naturally occurring compound in the body that helps absorb fats. When injected into the tissue, it destroys the fat cell membrane; however, it requires meticulous injection (it should only be used by a licensed health care professional) because it can also inadvertently damage other types of cells, such as the skin, when used incorrectly.
Most patients will need at least 2-3 treatments performed not less than four weeks apart. Each session costs around $650 and when summed up the price is almost the same or sometimes even more than the average cost of chin liposuction.
Chin and neck liposuction results
Nonetheless, Kybella’s zero downtime is something that cannot be discounted, making it ideal for patients with underlying health problem that precludes them from having an elective surgery, and people with hectic schedule. Chin liposuction, meanwhile, involves 1-2 week recovery due to postop pain, swelling, and bruising.
(Note: Kybella may also result in minimal swelling, or sometimes even bruising, which can last a few days.)
But as with any non-surgical procedure, Kybella does not suit patients who need a lot of work. For people with large amount of fat that extends into the lateral side of their neck, liposuction provides the most predictable and impressive results.
Chin liposuction typically entails a small puncture hole right beneath the chin, specifically within the natural skin fold. However, patients with “heavy neck” may need two more incisions, each of them placed behind the earlobe for optimal scar concealment.
Chin liposuction also suits patients with loose skin and/or neck muscle; since it is already a surgical procedure doctors can easily combine neck lift and platsyma muscle repair.
Some people consider having a chin implant in order to elongate or slim their face. However, it should be noted that the prosthesis is primarily designed to improve the profile or forward projection thereby correcting the appearance of a recessed chin, according to the California Surgical Institute website.
Nonetheless, customized chin implant can give a few millimeters of added height to the chin and thus may give an illusion of a more elongated face, although the effect is very subtle.
Chin implant is primarily used to correct the weak or recessed chin.
Simply put, chin augmentation for round face provides no or very little improvement.
When the patient’s primary goal is to slim a markedly round face, her surgery should take into account several factors that may include a weak or recessed chin, wide jawline, chubby cheeks, or a combination of them. Some people require more than one procedure to achieve proportionate results and more slimming effects.
Chubby cheeks are often caused by excess fat, which can be removed with a procedure called buccal lipectomy. This involves a small incision created inside the mouth in order to remove a walnut-sized fat and thus improve the facial contour.
Most surgeons prefer calling the procedure buccal fat reduction, instead of removal, because removing the fats entirely can result in a gaunt appearance, which might become apparent right after surgery or years down the road due to age-induced facial volume loss.
Hence, the vast majority of doctors offering buccal fat reduction take the conservative route—i.e., they remove only small amount of fat—to prevent premature aging of the face.
Occasionally, a markedly round face is caused by wide jawlines. In the past, most surgeons would perform a surgery in which the masseter muscle, the one responsible for chewing, was shaved down. But nowadays, Botox injection can serve as a great alternative without the prolonged downtime and other risks associated with surgery.
Botox weakens the masseter muscle and thus causes it to shrink. However, the effects can only last 4-6 months and thus it entails regular touchups.
Complete smoking cessation a few weeks leading up to plastic surgery has become a common practice to reduce risk of skin necrosis, pulmonary- and heart-related complications, and poor healing and scarring, according to the California Surgical Institute website.
However, a recent study published in Plastic and Reconstructive Surgery has found that many patients receiving smoking cessation instructions had kick the habit for good or at least smoked less frequently years after their surgery.
Photo Credit: WebMD
Researchers at the University of British Columbia, Vancouver have suggested that “surgeons who request pre-operative smoking cessation may influence patients’ long-term smoking status.”
The researchers enlisted 47 patients who responded to a 5-year follow-up survey, although five social smokers were later excluded to make sure that the study only involved “bona fide” daily smokers. Most respondents were women whose average age was 40.
Most respondents requested for tummy tuck, breast lift, and facelift.
In the follow-up survey, 25 percent of patients had quit smoking since their cosmetic surgery, while 40 percent said they smoked less. Most patients said the frequency of their cigarette use was reduced to a varying degree, citing their surgery as a strong motivation to live a healthier life.
The authors of the study have concluded that people were more likely to quit smoking or at least reduce their tobacco use when they were presented with “specific negative effects of smoking” rather than with “general health benefits of smoking cessation.”
Blepharoplasty with fat transfer is a modern approach in eyelid surgery that ensures natural and youthful results. It diverges from the antiquated technique in which the main focus is to remove the excess skin and fat with little regard to age-related volume loss.
The antiquated technique may cause skeletonized eye socket appearance especially along the lower eyelid. This is particularly true when the fat is entirely removed, leaving no “carpeting” beneath the skin to promote smooth results.
To prevent creating or aggravating the hollowed lower eyelid, Dr. Tarick Smiley of the California Surgical Institute says he often incorporates blepharoplasty with fat transfer. The idea is to create a smooth transition between the lid and cheek, which is one of the key elements of a youthful face.
In Dr. Smiley’s recent Snapchat post, he has shown a female patient who has had upper and lower blepharoplasty with fat transfer.
The patient’s upper blepharoplasty was performed to eliminate the hooding of the lid; this was done with incisions made precisely at the existing skin fold to hide the resulting scar. Only a very small amount of skin was removed to preserve the function or “normal blink” and to allow for proper wound closure, which is the key to optimal hidden scars.
While some doctors extend the incision into the crow’s feet, Dr. Smiley keeps it within the natural skin fold of the upper lid to ensure that the scar will remain hidden.
The patient’s lower blepharoplasty surgery, on the other hand, was performed with an incision placed very close to the lower lash line so her eyelashes can hide the resulting scar. The area has a markedly thin skin, which allows the scar to fade better into the background.
Meanwhile, the antiquated technique removes the entire fat in an attempt to remove the under eye-bags; however, this causes hollowness right after surgery or years down the road, as soft tissue volume decreases with aging.
There are several ways to prevent the appearance of hollowed lower eyelid, with fat transfer being the most popular option, says Dr. Smiley.
Other patients can benefit from the repositioning of their superficial fat (fat beneath the skin; this is different from the deeper “bulging” fat that often requires removal), specifically laying it over the upper cheekbone to maintain a smooth lid-cheek junction. Fat grafting or injecting can further fine-tune the results.
Rhinoplasty for ethnic nose has one primary goal: improve the nose in a way that it will remain consistent with the patient’s ethnicity and facial features. Meanwhile, any attempt to reshape it using a set of highly restrictive beauty ideals will lead to unnatural results.
Dr. Tarick Smiley, who is the medical director of the California Surgical Institute, says the success of rhinoplasty, or nose job in layman’s term, boils down to acknowledging the great variations of beauty as well as respecting the patient’s underlying anatomies, ethnicity, gender, and aesthetic goals.
The vast majority of successful rhinoplasty for ethnic noses performed on women delivers “finesse” results. On the other hand, over-narrowing of the tip, over-augmentation of the bridge or dorsum, and over-tapering of the nostrils almost always lead to ethnically inconsistent results.
“Finesse” rhinoplasty generally means creating a result that is a more refined version of the original nose.
Respecting the patient’s ethnicity and underlying anatomies also entails the use of conservative surgical maneuvers, meaning the surgeon avoids over-resection of the tissue. In a way, this preserves the structural integrity of the nose and thus it is less susceptible to aging, deformity, and contour irregularity.
Before and after photos of ethnic rhinoplastic patient
One good example are patients of Middle Eastern and Indian descent who typically require dorsal hump reduction, a rhinoplastic technique in which the excessive fullness along the bridge is corrected by removing a piece of bone and cartilage, which is often re-used to improve the structural integrity of the tip.
In many cases, ethnic rhinoplasty deals with a tip that has weak support, causing it to droop and the nose to appear oddly elongated.
Reinforcing the tip has some auspicious effects on the femininity of the face. According to studies, the ideal female nose has an angle of tip rotation between 95 and 110 degrees, resulting in a slightly upturned appearance.
Again, raising the tip should be done in a conservative, finesse manner lest an error of just a few millimeters can lead to unusually short nose and excessive visibility of the nostrils, a deformity colloquially called as “Miss Piggy” in reference to the popular Muppet character.
The slightly upturned tip might be further enhanced with the small suptratip break, a slight indentation along the bridge just above the nasal tip. However, this “subtle” feature is avoided like a plague in male rhinoplasty due to its feminizing effects.
And lastly, female rhinoplasty for ethnic nose should take into account the patient’s aesthetic goals—which are largely influenced by social and cultural ideals of beauty—down to the last detail.