Before and after: how to remove a double chin and correct facial asymmetry?

Chin contouring is the correction of the shape, volume and defects of the chin using fillers based on hyaluronic acid. Chin correction using fillers allows you to make the lower third of the face more pronounced and is an alternative to mentoplasty.

Types of chin plastic surgery

Depending on the severity of the problem being solved, all types of chin augmentation are divided into surgical and non-surgical. Non-surgical correction methods are used to eliminate minor defects that do not require radical intervention. Surgical intervention is part of the spectrum of reconstructive procedures and is indicated in the presence of serious congenital and acquired deformities.

In addition, plastic surgery using implants and fillers is distinguished:

• chin implantation plastic surgery (mentoplasty) is an operation during which the surgeon forms a chin of the required size and shape by introducing a biological or artificial implant under the skin;
• contour plastic surgery is a non-surgical injection method of chin augmentation, based on the use of special fillers.

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How fillers work

In many ways, it is the chin that sets the harmony of features and shapes the aesthetics of the face. Thus, a weakly defined chin does not “hold” the lower part of the face well: in such faces the oval “floats” faster, the cervical-chin angle is blurred, and folds appear in the form of a double chin. Timely contouring with fillers can improve the shape of the chin, strengthen the oval of the face, emphasize the clarity of lines, preserving youth for many years.

When correcting, fillers with hyaluronic acid act as a natural filler, adding the necessary volume where it is needed. When administered, hyaluronic acid is naturally integrated into the tissue without being tactilely felt.

The result of filler correction is visible immediately after the procedure and lasts up to 12-18 months. Then the drug is completely eliminated from the body. If desired, chin correction can be supplemented with facial contouring (remove deep wrinkles and creases, model areas of the face that have lost volume with age).

How does chin contouring work?

The chin contouring procedure includes several main steps. Immediately before the correction begins, the skin is deeply cleansed of sebaceous gland secretions, makeup and other contaminants. Then the correction area is numbed. After the full effect of the anesthetic has occurred, its remnants are removed from the skin and the correction area is treated with a disinfectant solution. During the main stage of the procedure, the specialist injects filler into the deep subcutaneous layer (0.5-1 ml). At the final stage, repeated antiseptic treatment of the skin is performed.

Indications

• Underdeveloped or “sloping” chin;
• Deformation of the chin after injury;
• “Floating” oval of the face;
• Asymmetrical chin.

Chin augmentation and correction of its shape with fillers can help solve the following aesthetic problems:

• add volume to the lower third (if the chin is insufficient);
• harmonize facial proportions;
• smooth out dimples on the chin;
• eliminate asymmetry;
• strengthen the oval of the face.

Rehabilitation period after chin augmentation with fillers

The filler injection procedure is minimally invasive and does not require special medical supervision during the rehabilitation period. Immediately after the procedure, redness and slight swelling may be observed at the filler injection sites, to reduce which doctors advise applying ice. For 2–3 days after the procedure, you should sleep on your back, avoid active physical activity and treat the injection area with an antiseptic. You should also follow the recommendations regarding subsequent skin care:

• do not use decorative cosmetics until the skin is completely healed;
• exclude aggressive cosmetic procedures;
• use protection against ultraviolet rays;
• for 2 weeks, refrain from baths, saunas and solariums;
• give up facial massage for 2 months.

Before and after: how to remove a double chin and correct facial asymmetry?

Eyebrows drooped into my eyes. Poor oval face. Crooked smile. Lena decided to undergo Botox, fillers and show her problem areas close-up. And it’s still unclear what was more difficult.

Lately I’ve been sad to look in the mirror and even sadder to select my portraits for articles. 9 out of 10 go in the trash because “no one should see it.”

I’m only (already?) 31 years old, but in the mirror I look tired and tired. Ten hours of sleep on weekends doesn't help. It wasn't like this before.

But even worse is what I see in the photo. In profile and three-quarter shots I have a double chin. (True, this is not news; it happened at both 15 and 18 years old.) It doesn’t disappear, even if I lose so much weight that everyone around me wants to feed me. It is usually not visible from the front, only from the side. This is a special kind of meanness: you look in the mirror - it’s beautiful. You open a photo and you feel sick from how you look from the outside.

Yes, you can only shoot from the front. But from the front, the face is a bit crooked because it is asymmetrical :) The smile is shifted to the left side. Smiling is bad. Don't smile either. Previously, asymmetry was not so disturbing. Apparently, now a tired look has been applied to her like a filter. All together: a sad, distorted face with a roll under the chin.

I started talking to cosmetologists. I was advised Thermage, threads, SMAS lifting, injections. I left the office in doubt - should I do it, should I not do it? If you do, then what exactly? There was something about all the recommendations that confused me. At one of the clinics I was offered Zeltiq. The cosmetologist, a very young girl, brought the attachment of the device to check if it suited me. I attached it this way and that way. She frowned. I went to another cosmetologist. They applied and frowned together. As you understand, I did not return to that clinic.

Then I remembered how my peer, makeup artist Seryozha Naumov, removed his tired look with the help of Botox and fillers (they did an amazing job) at the Tori clinic. And I signed up for a consultation.

The Most Terrifying Confession

“What’s bothering you?” asks the cosmetologist, her name is Zaira Abdulaeva.

“Which is disturbing,” I echo. I do not even know where to start. Maybe from the double chin?

Plastic surgeons call the cause of this... um, flaw?... micrognathia - a deficiency of bone tissue in the chin area.

Frankly, it took me courage to show the problem areas in full screen, oh my god. It would be nice to have age spots, wrinkles, protruding ears. But this is a double chin, I will drown in an ocean of shame!

True, Zaira says that it can only be called a double chin conditionally (it’s already easier). This is a feature of the bone structure: the position of the hyoid bone and mild micrognathia. Plus, I unconsciously tuck my chin when talking, which makes it seem even shorter (hypertonicity of the mentalis muscle).

The Zeltiq device has nothing to work with here. The problem is not fat tissue. It is no more than that of any person of normal build. To a greater extent, there are questions about posture.

Zaira: “The oval of the face greatly depends on posture. If I slouch, I will also have a double chin effect. When you straighten up and lower your shoulders, it’s a different matter. Therefore, control is mandatory. It’s not easy at first, but then it becomes automatic. But this will protect you from improper distribution of muscle load - and from premature ptosis, jowls, swelling and a double chin (real).

Say “Y-y-y” and tense your neck.”

Do you see the strand on the side, like a cable? The subcutaneous muscle of the neck is hypertonic. At one end it is attached to the second rib, at the other it is woven into the skin of the lower third of the face and the muscle that depresses the angle of the mouth. When the platysma is overstressed, it pulls the face down, forming jowls and ptosis. If you remove the tension with botulinum toxin, the oval will be clearer.

This is my second point of concern - looking tired. The feeling that the “up” vector has changed to a “down” vector.

The eyebrows seem to have lowered and hang over the eyes. Earlier:

Now:

I also complain to Zaira about the asymmetry. Eyebrows and cheekbones are at different levels, I smile stronger at one corner of my mouth than at the other. The right and left sides of my face are like the worst synchronized swimmers in the world. They don’t hear the music, they perform the elements each in their own ri - Zaira.

Do you see the wave above the eyebrows? It should not be. This suggests that the orbicularis oculi muscle is overstrained and “pulling” the eyebrows. If you relax it, your eyebrows will rise.

It seems that no one has ever studied my face as carefully as Zaira. I frowned for half an hour, squinted, wrinkled my nose and told how “the cuckoo sewed a hood for the cuckoo” (it became known that tongue twisters are not my strong point :). Thus, Zaira studied the facial activity of the muscles and compared it on the right and left sides of the face. Do you know what it turns out a person needs to be happy? So that they tell him about the condition of each muscle. Which ones are overstressed, how they distort their appearance, what hypertonicity can lead to in the future.

When I left the office, I wanted to write to a friend on WhatsApp and generally share my happiness with the whole world. How lucky is it that nothing has been done yet? That's the whole point. And, if you want, a sign of the right cosmetologist. It hasn't started working yet, but you already know it's going to be awesome.

Brief action plan

You will have to come to the clinic twice for injections, and drop by once to check how the Botox has worked.

The first stage - injecting botulinum toxin

• Where? In the muscles of the upper and lower thirds of the face, the back of the nose and its base.
• For what ? Relieve muscle hypertonicity, minimize the number of fillers at the second stage. In addition, the filler will lie unsightly in the chin area if I press it in as usual.
• Expected effect? A more symmetrical, narrow, toned face. Open eyes, raised eyebrows.

Second stage – fillers and lipolytic (after two weeks)

• Where ? Fillers in the chin area and middle third of the face (not to be confused with cheekbone augmentation), lipolytic in the area of ​​the double chin.
• Expected effect ? Lifting and clear contour of the lower jaw.

How it was?

Zaira asks me to frown and smile while she makes the markings. I, like an obedient trained cat, do it.

How many points can you count?

The correct answer is 39.

Injections into the neck do not hurt.

It's unpleasant here :)

But here it’s very unpleasant :)) Eyebrows turned out to be the most painful place.

Here you can see how I unconsciously tuck my chin, making it seem even shorter.

Do you want to ask why they did the injection at the base of the nose? There's a muscle that controls the tip of the nose. For some, when smiling and talking, it lowers (the same tongue twister test about the cuckoo). No, I won’t become a snub-nosed person. But the tip will stop dancing and visually widen the nose.

We discuss with Zaira how long the botulinum toxin will last (individually, but on average - 4-6 months). I shake my cat’s whisker: “It is advisable that the neurotoxin be injected by the same doctor. This is important for selecting the dosage. For example, you are the primary patient. Naturally, I start with a small amount so as not to overdo it. Everyone has different susceptibility to the drug and metabolic rate. Imagine that the next time you say: “The effect lasted for three months.” So I'll increase the dosage to make it last longer. Going to a new doctor every time is like playing the same game from the beginning level.”

Next stage . To correct the chin we use two types of fillers – Juvederm Volux and Voluma.

“Volux is designed specifically for the lower jaw and chin. It is dense, so it better defines a clear shape. Where you need smoothness and softness of lines, Voluma is good,” explains Zaira, but I don’t understand it too much yet. I hope to figure it out along the way.

All drugs contain lidocaine, so administration should be painless. I confirm: it is even easier to tolerate than botulinum toxin. Feels like dental anesthesia. But, fortunately, the burr is mild and does not last long (an hour?).

I expect that now Zaira will begin to sculpt her chin, as if from clay. It turns out not. After the third injection, she hands me a mirror.

And I see - a chin!!! Stretched out, sharpened. Anticipating events: this is the only time (well, almost) that I noticed changes. Now it seems to me that he has always been like this.

But Zaira says we are not done with him. It is necessary to trim the sides so that the chin does not look like Hottabych’s protruding beard. Now it’s clear why Voluma is used to correct the shape of the face. I have it smooth, rounded, and it will remain that way.

The filler lasts longer than botulinum toxin (about a year). I ask Zaira: what will my face look like in six months? :) When my facial expressions return and my chin remains in place.

“The changes are not obvious. Firstly, facial activity remains reduced for some time even after the botulinum toxin wears off (muscle memory effect). Secondly, the filler does not dissolve instantly. In six months, its volume will be proportionately reduced,” Zaira.

There are, one might say, trifles left. Injections of Voluma filler into the middle third of the face (for a lifting frame and correction of asymmetry) plus one injection of Mesoscalpt lipolytic in the area of ​​the double chin.

I say goodbye to my favorite heart-shaped expanders. I squeezed them when it was, ummm, unpleasant. There are only a couple of injections left, they won't be useful anymore.

They say that after injections there are bruises and swelling. It worked out for me. Count for yourself: 50+ injections and one small bruise from the lipolytic under the chin (where it is not visible).

Results:

BEFORE
AND AFTER

I once injected botulinum toxin into my forehead, but I didn’t think that it could be used for complete beauty. The effect was noticeable as soon as I got home. The face is narrower, the cheekbones are more pronounced, the corners of the lips are raised.

But I had to get used to the physical sensations. For ten days it seemed to me that I had poor control over my face. Again, it can probably be compared to the remains of anesthesia after a dentist. Talking and eating is a little awkward. Therefore, at presentations, I preferred not to give speeches, but to smile silently.

Moreover, I unexpectedly liked smiling!

I can’t say that I was shy before. But, yes, I didn’t think my smile was very beautiful, and I tried not to show my teeth. Now she is almost si-mm-three-chna-ya. I feel more relaxed. Bliss.

The same Waso presentation where I tried to smile more than talk-)

I didn’t fully understand the meaning of the injection in the nose, but I trusted Zaira. The effect is wow! How can I describe it more precisely? The nose does not expand when I smile and does not speak in parallel with the mouth. I would never have thought how much this affects the perception of a face. It turns out - very much.

BEFORE

AND AFTER

I only believe that my chin has lengthened when I look at photographs.

BEFORE…

AFTER!

When I look in the mirror, for the life of me, my chin is the same as usual. Well, yes, the oval of the face has become better.

BEFORE AFTER BEFORE… AFTER

I am grateful to Zaira for the fact that I now look like in the “after” photographs and not the “before”.

BEFORE

AFTER

By the way, about photographs: the filming process is emotionally easier and takes less time. 5-6 frames – taken. And then it’s not scary to go into the source folder!

Even if you do not plan to undergo cosmetic procedures, I advise you to go to Zaira Abdualaeva for a consultation. I guarantee more impressions than from Dune and Squid.

Clinic : Tori, 3rd Donskoy pr-d, 1.

Tel..

Prices:

• Consultation – 2100 rub.
• Neurotoxin injections “Dysport” – 200 rubles. (1 unit).
• Juvederm Voluma filler injections – RUB 25,850. (1 ml)
• Juvederm Volux filler injections – RUB 30,450. (1 ml).
• Injection of lipolytic “Mesoscalpt” – RUB 19,300.

Contraindications to chin contouring

Chin contouring cannot be performed immediately after deep peeling, laser resurfacing, microdermabrasion, and so on; it is necessary to maintain a two-week interval. Contraindications to the procedure are:

• pregnancy and lactation;
• exacerbation of chronic diseases;
• acute bacterial and infectious diseases;
• disruption of the circulatory system;
• wounds, rashes and acne in the correction area;
• diabetes;
• tendency to form hypertrophic scars;
• presence of implants in the chin.

Reasons for non-ideal chin parameters

Hereditary deficiency of chin bone tissue, poorly developed lower jaw, malocclusion, trauma, jaw surgery.

Micrognathia is the medical name for a small chin; it greatly changes the appearance, makes the oval of the face unclear, contributes to the formation of a fold of the double chin and the early appearance of wrinkles.

The problem of a small chin can be corrected with plastic surgery or cosmetic procedures if the defect is not obvious. Main indications for plastic surgery:

• congenital defect, underdeveloped jaw;
• sunken chin due to malocclusion;
• the desire to change the oval of the face, to give masculinity.

What procedures can be combined with chin contouring?

The chin contouring procedure can be combined with thread lifting, as well as with facial and lip contouring.

Stories from our patients:

Elena24.12.2021

I want to thank the wonderful surgeon Tatyana Aleksandrovna Ivanchenkova for my new body! Simply delighted with the changed proportions, new me! The operation took place on November 11, 2021, lasted 5 hours, a large volume including mini-abdomino, legs, arms, back, sides, lipofilling, and in addition, repeated mammoplasty of the breast, which was performed by Tatyana Alexandrovna’s colleague, the highly respected Valery Grigorievich Yakimets. I liked Tatyana Aleksandrovna from the first consultation: confident, calm, her vision of the desired result coincided 100% with mine, so I didn’t even consider other surgeons. The clinic has a well-coordinated team, a real team, I especially want to thank the administrator and main organizer of the processes, Alexandra, who resolved all my questions as quickly and competently as possible. The operation itself took place in one of the best clinics in Moscow at the moment, K+31. This is a well-equipped hospital complex with attentive medical staff. Postoperative rehabilitation went quickly, under the strict control and examinations of Tatyana Alexandrovna. I liked her sense of humor, which was always appropriate and supportive. Tatyana Aleksandrovna is an “old school” surgeon, very experienced, so I didn’t feel fear or anxiety, there was trust, which justified itself. 20-year-old girls (I'm 42!) can envy such a waist, belly and hips. I wish every woman to experience the same emotions after the Transfiguration in the hands of Tatyana Alexandrovna Ivanchenkova!

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Irina Shevchenko05/03/2021

To the best plastic surgeon in Russia!!!!!!!!!!!!!!!!!!!!!!!! I would like to express my deep gratitude to Valery Grigorievich for his professionalism and my beautiful face. She had surgery on September 31, 2020, at the height of Covid19 restrictions. The clinic complies with all the necessary requirements for conducting surgery during Covid19. The operation was VERY SUCCESSFUL. Coming out of anesthesia was easy and not noticeable. My face is getting better and better every day and every month. Also, many thanks to the entire Estet Clinic team, everyone is in their place and all great professionals. Highly recommend!!!!!!

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Yulia29.01.2021

Many thanks to the wonderful doctor Valery Grigorievich! I had rejuvenation surgery in 2016. Several years have passed, nothing has changed, only everything has gotten better! Especially the neck, you have no equal in this! There is no need to wait for quick rehabilitation and quick results! Everything will be great, but in a year... At least in my case, everything is individual! But, you are the best! I hope to meet you again, health permitting!

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