Dr. Jain Vicky Ghewarchand
plastic surgery-reconstructive and cosmetic surgery
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am 26 years old. I was looking for a professional opinion on treatments to remove a double chin and saggy area around the jawline and if possible some type of restoration to the cheek area. I have sent some pictures. The first five pictures are recent the other two are taken before few years. I am a smoker for eight years. Could this have contributed to the cause? Of note, I weigh about the same weight as I do before a year. Over the past year, I have lost 25 pounds (current weight is 170 lbs) due to exercise and diet, yet double chin persists. Is sagging around the jaw due to loss of skin quality or would more weight loss solve the problem?
Hi,
Welcome to icliniq.com.
I have seen your pictures. (attachment removed to protect patient identity). On the detailed analysis of your face, it seems you have a bit of prominence of the jowls. There is no double chin. It seems to be entirely normal but if it worries you, you can go ahead with botox for muscle hypertrophy or thread lift. I would like you to get examined clinically and judge what is required?
Patient's Query
Hi doctor,
Thank you for the reply.
Are not I too young to have jowls? I am only 26. Yes, it is just the rounding at the bottom of my face that bothers me. So, losing weight will not fix the problem?
Hi,
Welcome back to icliniq.com.
Post weight loss there is skin laxity. In the latest picture, I see there is skin laxity or masseter hypertrophy and I cannot accurately diagnose because of the beard. You need to clench your teeth and see for muscle hypertrophy. If there is skin laxity we can do thread lift and if masseter hypertrophy botox injections might be required. Losing weight will worsen skin laxity.
Patient's Query
Hi doctor,
Thank you again for your time; I greatly appreciate it.
Okay, so when I pinch the skin in that area, it feels squishy, and it seems like there is fat. I notice no change in skin texture when I clench my teeth. I just want my face shape to return to its previous shape.
Hi,
Welcome back to icliniq.com.
Good morning. It means there is skin laxity. You can go ahead with a thread lift or lasers.
Patient's Query
Hi doctor,
Thank you for the reply.
I have the last two questions. So, losing more weight will not decrease the prominence of the jowls. Also, in your opinion, is it something that needs surgical correction? How bad is the prominence for someone 26 years of age?
Hi,
Welcome back to icliniq.com.
Yes. Losing more weight might worsen the skin laxity. Surgical correction is the answer, but you are very young to undergo surgery. You look fine in the present pictures, but if it bothers you a lot, a facelift is the answer to get definite results.
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plastic surgery-reconstructive and cosmetic surgery
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