Anatomic Factors of Jawline and Under the Chin Definition, and the Limits of Cosmetic Treatment

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A man asks if Kybella treatment can give him a chiseled jawline and chin. He says that he has very little fat underneath these areas, and asks if Kybella is a possible solution to remove the last bit of fat. He wants his jawline to be super taut like some people he sees in film.

New York Oculofacial plastic surgeon Amiya Prasad, MD reviews his questions in this video, explaining the anatomic factors that go into shaping the under the chin and jawline areas, and the limits of cosmetic procedures for them:

1:06 - Dr. Prasad’s background training and experience in improvement of facial appearance such as defining jawlines and the area under the chin
2:00 - How extra fat under the chin is determined, as not all extra volume in this area is due to fat
2:38 - How the jawline shape is determined by bone under the chin called the hyoid, which varies the angle between the chin and the neck in different people
3:03 - How skin tension, laxity of the skin, skin thickness, fat under the skin, and loose or excess skin all contribute to the under the chin and jawline area
3:40 - How Dr. Prasad first examines skin quality, skin tone, and anatomy of a patient, and then asks them what they want to accomplish in the jawline and under the chin area
3:52 - How fat under the skin is not really undesirable as a certain amount of fat gives a youthful quality to the skin
4:08 - How suctioning fat aggressively from under the skin can cause the skin to retract, and can make skin look older, so a thin layer of fat is needed for a natural look
4:54 - How a younger person looks youthful for a variety of reasons, with one major one being a nice layer of fat under the skin
5:06 - How an evaluation is needed before any procedure in this area, such as the belief that extra fat is causing volume under the skin, when often it is skin laxity, so in such cases a facelift would address the issue
5:43 - How Kybella is made of deoxycholic acid, a bile acid that is FDA-approved for under the chin area that metabolizes fat
6:03 - How many doctors are hesitant to use Kybella for patients because of the inflammation it can cause
6:17 - How fat under the chin can be addressed with liposuction using a syringe, which can improve the area after only one treatment in under an hour
6:42 - How non-surgical fat reduction can be done using laser treatment to penetrate beneath the skin, and also tighten the skin on the surface
7:30 - How an important consideration is that Kybella requires multiple treatments
7:37 - How it is important to meet with cosmetic surgeons who can offer surgical and non-surgical options for treatment
7:53 - How actors and models are chosen because of genetically shaped jawlines, so it is not always possible to achieve the same look through cosmetic procedures
8:17 - How losing weight is what many actors do to achieve more definition in the jawline

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