Double-chin and jawline contouring in the late twenties

BOARD-CERTIFIED PLASTIC SURGEON | RITZ TOWER, 111 E 57TH ST
Sculpted jawline definition and personalized submental contouring by board-certified plastic surgeon Darren M. Smith, MD, FACS.

Chin liposuction removes selected fat beneath the chin to reveal a more defined jawline. The right treatment depends on what creates the fullness: superficial fat, loose skin, deeper neck anatomy, or chin projection. Dr. Smith examines each before recommending a plan.
BEFORE & AFTER PHOTOGRAPHS
Explore photographs from our chin gallery. Individual results vary.
















Review each patient's treatment details, including whether FaceTite was added. Individual results vary.
PATIENT EXPERIENCE
A patient who is also a surgeon shares their experience following revision chin and jawline liposuction with Dr. Smith.
Your consultation is a chance to discuss your goals and the approach that fits your anatomy.
Plan your consultationIndividual results vary.
Two people with similar profiles may need different operations. Dr. Smith evaluates the skin, superficial fat, and platysma muscle with the structures beneath it. He also assesses the bony support of the chin and jaw.
When fullness comes mainly from fat above the platysma and the skin can redrape, micro-cannula chin liposuction alone may be appropriate. The aim is a balanced transition between chin and neck, with enough tissue preserved for a smooth contour.
Chin liposuction with BodyTite radiofrequency tightening may address both concerns. BodyTite applies bipolar radiofrequency energy to support soft-tissue contraction and remodeling. It cannot remove substantial excess skin or replace every surgical lift. FaceTite and AccuTite are related facial treatment options. Dr. Smith selects the appropriate approach for your anatomy.
Prominent platysma bands or fullness beneath the muscle require a different assessment. A neck lift or platysmaplasty may be appropriate. Removing superficial fat alone will not correct these deeper structures, and deep fullness is not always fat.
A recessed chin can make the neck look fuller. Structural chin augmentation, sometimes combined with fat removal, may provide better balance. Suction cannot create the forward projection of bone.
Your consultation covers health conditions, medications, nicotine use, weight stability, and your goals. Age alone does not determine candidacy. This is a contouring procedure, not a weight-loss treatment. You should understand what the proposed treatment can improve, its limitations, and the option of choosing no treatment.
Your visit begins at our Ritz Tower office. Dr. Smith reviews your goals, takes photographs, and marks the treatment area while you are upright. The team confirms your anesthesia plan and postoperative arrangements.
Local anesthetic in tumescent fluid numbs the area and helps limit bleeding. Oral medication helps you relax. If you choose IV twilight sedation, a board-certified physician anesthesiologist provides your anesthesia care.
Dr. Smith uses power-assisted and fine micro-cannula contouring to remove selected superficial fat beneath the chin and along the underside of the jaw. He preserves tissue where further removal could create hollows or unevenness. When selected as an addition to your treatment plan, VASER ultrasound loosens fat before aspiration.
When BodyTite is selected, controlled bipolar radiofrequency energy treats selected areas of laxity. VASER and BodyTite are separately priced options, recommended according to your anatomy and goals. Adding these steps or treating additional areas may extend the procedure beyond the usual 45 to 60 minutes for chin-only treatment.
Afterward, a compression collar supports the treated area. Recovery nursing provides monitoring and reviews your written instructions before discharge. Arrange an adult escort home and follow instructions about supervision after sedation. Your first postoperative visit is generally at one week.
Small incisions still produce scars. Placement within natural creases helps conceal them, and visibility usually decreases as healing progresses. Your team explains incision care and scar protection.
Returning to work and looking fully recovered are different milestones. Use this calendar for planning; your individual instructions take priority, especially after combined procedures.
| Stage | What to expect |
|---|---|
| Days 1 to 3 | Expect swelling, tenderness, bruising, and possible temporary numbness. Rest with your head elevated as directed and take gentle walks. Wear the collar continuously for 48 hours, then at night for five nights. Keep your schedule light after sedation. |
| Days 4 to 7 | Many patients manage desk work or Zoom meetings within 3 to 5 days, although swelling may affect camera comfort. Continue nighttime compression. Allow more time for public-facing work. At the one-week visit, Dr. Smith checks healing and removes the under-chin suture when present. |
| Weeks 2 to 4 | Bruising and swelling generally improve; firmness or uneven swelling can persist. Light exercise usually begins at one week. Full exercise after chin-only treatment generally resumes at two weeks with clearance. Combined procedures may change these restrictions. |
| Months 2 to 3 | Definition becomes clearer as swelling and firmness settle. Final assessment commonly takes 3 to 6 months, and scars continue to mature. |
Contact the team promptly for increasing pain, spreading redness, fever, drainage, or rapidly worsening swelling. Difficulty breathing or swallowing requires urgent medical attention.
At Dr. Smith's practice, chin liposuction starts at $6,500. Adding VASER costs $2,000, adding BodyTite radiofrequency tightening costs $2,000, and adding both costs $3,000. These options are selected according to your anatomy and treatment goals. Final pricing is confirmed following clinical examination and treatment planning.
| Treatment plan | Starting surgical investment |
|---|---|
| Chin liposuction | From $6,500 |
| Chin liposuction with VASER | From $8,500, including the $2,000 VASER addition |
| Chin liposuction with BodyTite radiofrequency tightening | From $8,500, including the $2,000 BodyTite addition |
| Chin liposuction with VASER and BodyTite | From $9,500, including the $3,000 combined addition |
These starting quotes include the surgeon's fee, accredited surgical suite, local anesthesia with oral relaxation, and postoperative visits. Additional procedures or treatment areas require an individualized quote.
Requested IV twilight sedation changes the quote and involves a board-certified physician anesthesiologist. A local-only procedure does not automatically involve an anesthesiologist. Your written quote should identify any separately priced garments, medications, tests, or additional services.
A sampling of published NYC prices shows figures ranging from $4,000 to $9,000 or more. Treatment scope and fee inclusions vary. Compare the complete written quote, including anesthesia, facility fees, and postoperative visits.
The $500 consultation fee is collected at booking and applied 100% toward your surgical procedure. Call 212.633.0627 for a preliminary estimate.
Dr. Smith coauthored “The Aging Neck” in Operative Plastic Surgery, second edition, published by Oxford University Press in 2019. The chapter examines skin, superficial and deeper fat, and the platysma: structures that help determine whether fat removal, tightening, or lifting fits a patient's concerns. Explore his facial anatomy and neck surgery publications.
His training includes an aesthetic surgery fellowship at Manhattan Eye, Ear & Throat Hospital and a craniofacial surgery fellowship. His professional leadership includes the 2025-2026 presidency of the New York Regional Society of Plastic Surgeons.
Dr. Smith is a co-inventor on U.S. Patent 7,953,260 B2, concerning prediction of facial soft-tissue movement in response to movement of underlying bone.
He has contributed expert commentary to goop's reporting on facelift techniques. Read his facial aesthetics interviews and coverage.
Numbing injections can sting briefly. Once the anesthetic takes effect, you may feel pressure or movement; tell the team if anything hurts. Oral relaxation helps anxiety but does not replace local anesthesia. Soreness, tightness, and tenderness are common afterward. Follow your prescribed pain-control plan and report worsening pain.
Planning identifies the correct tissue layer and how much fat to preserve. Fine cannulas, controlled removal, and attention to transitions help reduce contour irregularities. Compression and follow-up support recovery, but no technique eliminates the risk. Early firmness can reflect healing; persistent dents, asymmetry, or lumps need examination. Massage should follow your surgeon's instructions.
It can reveal laxity that was less apparent before fat removal. Elastic skin may redrape; skin with limited elasticity may remain loose. Dr. Smith discusses whether BodyTite or a neck lift would better address your goals. Neither suction nor radiofrequency guarantees complete tightening.
Published NYC prices include approximately $1,200 to $1,800 per Kybella session. At $1,500 per session, an illustrative two- to four-session course totals $3,000 to $6,000, with higher costs if more treatment is needed. Vial requirements and session counts vary. Each session can cause substantial swelling and another period of social downtime.
For appropriate candidates, a single 45- to 60-minute micro-cannula procedure combines direct fat removal and contouring in one planned operation and recovery. Weigh its $6,500 starting fee against the complete nonsurgical course, likely improvement, risks, and time away from normal activities. Adding VASER or BodyTite changes the price and may extend treatment time.
CoolSculpting gradually reduces selected fat through controlled cooling; compare the cost of all recommended cycles and repeat treatments. Rarely, treated fat enlarges and may require surgery. Kybella risks include swallowing difficulty and nerve injury affecting the smile. None of these treatments corrects every cause of neck fullness, and the lowest initial price may not identify the best treatment for your anatomy.
Risks include bleeding, infection, fluid collections, scarring, altered sensation, asymmetry, contour irregularities, and nerve or anesthesia complications. Energy-assisted treatment adds a risk of burns. Removed fat cells do not regenerate, but remaining cells can enlarge with weight gain, and skin continues to age. Stable weight helps preserve your contour. Dr. Smith reviews your individual risks and realistic expectations before you decide.
Visit us at the Ritz Tower, 111 East 57th Street, New York, NY 10022, or call 212.633.0627.
YOUR NEXT CHAPTER
Discuss your priorities, ask questions and explore treatment options with our team.
Our practice is located at the Ritz Tower, 111 East 57th Street in Midtown Manhattan. We welcome patients from the five boroughs and the surrounding tri-state area. If you are traveling for care, explore our guide for out-of-town patients.
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