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For Just Fat Under the Chin - Lipo or Face Lift?

asked 3 years ago by anon
Latest answer by Robert L. Kraft, MD
Question viewed 4,571 times
Tags: comparison

I have excess fat hanging beneath my chin and I want it removed. Is liposuction superior to a facelift for this purpose?

28 answers to For Just Fat Under the Chin - Lipo or Face Lift?

+6

Chin Liposuction

If your main concern is only the fat under the chin, liposuction would be the most logical discussion point. You may also need to work on the lower face to maintain the balance of the face, and create natural looking results.
Kris M. Reddy, MD, FACS

West Palm Beach Plastic Surgeon
+3

It depends on your anatomy

Submental liposuction (liposuction underneath the chin) is a great option if: the primary problem with your neck is excess fat your skin quality is very good there are no other issues that need to be addressed (jowling, poor jawline definition, etc) A necklift is a good option if: you have too much loose skin in your neck your jawline is poorly defined the muscles of your neck need to be tightened or redraped An experienced Board Certified Plastic Surgeon can help you with this decision once... more
Shahram Salemy, MD

Seattle Plastic Surgeon
+3

It's all about the skin!

The choice between liposuction and a facelift (or cheek and neck lift) depends on the nature and quality of the skin in your neck and the laxity of the muscles. Basically, most people beyond their mid-40's don't have great elasticity anymore in their necks and would be better with open surgery which removes the fat, tightens the muscles, and removes the extra skin behind the ears. Liposuction only will work well when your skin would shrink well (good elasticity) and when the muscles aren't... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

Neck contouring through liposuction or neck lift

Liposuction of the chin and neck can often produce spectacular results in individuals with localized fat deposits with youthful skin. This technique has the advantage of limited incisions, short operative time, and a quick recovery. Liposuction relies on youthful skin with good skin elasticity which snaps back after removal of the fat deposits. Post-operative compression is essential for a smooth appearance. Liposuction, unfortunately, does not correct deeper fat pockets, loose skin, jowls,... more
Andrew Lyos, MD

Houston Plastic Surgeon

lyosmd.com

+2

Liposuction vs. Facelift

There are advantages of each procedure and impossible to recommend one vs. the other without an exam. Generally if you have good skin tone, then Liposuction alone may be a good option. But even in some patients with loose skin, a good result can be obtained with liposuction. But in most cases, a Facelift will give a better result. Best to discuss this with your surgeon after an exam.
Dean Fardo, MD

Atlanta Plastic Surgeon
+2

Neck liposuction vs facelift for submental fat and excess skin

This is a very tough question. One has to examine the laxity and elasticity of the neck skin and how much excess fat that is present. A neck lift/ facelift almost always leads to a great improvement for the neck. Liposuction requires minimal to moderate excess skin to the neck and good elasticity to obtain a good result.
Richard Greco, MD

Savannah Plastic Surgeon
+1

Chin lipo for just fat

If all you have is fat under the chin, you would not need a facelift, which is designed for wrinkled, excess, or sagging chin and facial musculature. Chin liposuction works beautifully in patients with localized fat deposits under the chin with low cost and speedy recovery. If you have signs of facial aging, then a facelift should not be considered right now.
Robert L. Kraft, MD

New York Plastic Surgeon

www.foresthillsplasticsurgery.com

+1

How about Both?

For a younger person (30's and sometimes early 40's) with excellent skin elasticity, liposuction is an great option for excess fat in the jowls.  Once you get into your 40's and 50's, skin elasticity decreases and liposuction will often leave you with sagging, empty skin.  Think deflated balloon look.  This is true whether liposuction is done with a laser or any other device.  Remember, it's not the tool but the skin properties.  In my... more
John Bitner, MD

Salt Lake City Facial Plastic Surgeon
+1

Liposuction or Facelift?

The answer depends on several factors including your age, skin tone, and presence/absence of changes to the platysma muscle.  Often, what is perceived by the patient as fat under the chin is a multifactorial problem that is more associated with the changes of aging than fat excess. Neck liposuction would be more typically performed on a 30 something year old patient and a Face/Neck-Lift would be more typical in an individual age 50 and up. 
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

For just fat under chin Laser Liposuction is your best option

If you only have fat under your chin with no significant neck skin laxity or Platysma Muscle Banding, then Laser Liposuction is your best option. Since the area of fat under then chin is small and thin skinned, the tiny laser fiber melts the fat and allows very small cannulae or tubes to be used to remove the liquefied fat. Smaller instrumentation is preferable under the chin and on the neck in an effort to leave smooth skin after the procedure. The Laser Liposuction using... more
Brooke R. Seckel, MD

Boston Plastic Surgeon
+1

Laxity of Platysma Contributes to Poor Neck Contour

Liposuction can be very helpful for this problem if it is only fat that is causing the sagging. I find in my practice that in addition to fat, laxity of the platysma muscle also contributes to the poor neck contour. In the appropriate case a mini neck lift can deal with the fat and the lax muscle together and can really make a significant improvement in the neck line. Of course in the older patient a traditional facelift is often required to give the most comprehensive result. more
Thomas Buonassisi, MD

Vancouver Facial Plastic Surgeon
+1

Liposuction of the chin vs. a face lift

If your issue is excess fat, then most likely, chin liposuction under local anesthetic will do.  If you have an excessive amount of fat and/or lax skin about the neck and/or jowls, you should consider a facelift.  There is no substitute for a consultation (or two) in order to get the answer you need. The answers are individual to the patient.  
Allan J. Parungao, MD

Oak Brook Plastic Surgeon
+1

Fat alone? Then Lipo is OK.

Hello, If the skin is tight and there is no muscular laxity, lipo will work well under the chin. Most successful lipo under the chin is in younger patients with solely fatty problems.   Best Regards, John Di Saia MD
John P. Di Saia, MD

Orange Plastic Surgeon
+1

Chin liposuction can be an excellent option

The shape of the neck has several components, skin, fat and underlying muscular shape.  If the problem is excess fat with good skin elasticity muscular shape then liposuction can be a wonderful option.  If there are problems with the shape of the underlying skeleton or significant loss of skin elasticity a neck lift or facelift may be a better option.
York Jay Yates, MD

Salt Lake City Plastic Surgeon
+1

Liposuction is the answer

For fat under the chin in the absence of any facial laxity, liposuction is the answer to sculpting the chin.  Facelifts are for repositioning loose skin on the cheeks and lower face as well as rejuvenating the neck but is a much larger procedure that you need for just neck fat.   Liposuction reduces neck fat and helps to sculpt the chin and neck. You should arrange for a consultation with a qualified cosmetic surgeon who can provide you with the correct procedure to meet... more
Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon
+1

If your only complaint is with your chin then just treat the chin.

If your only complaint is with your chin then just treat the chin.  I typically use SmartLipo to do this, but not everyone is an ideal candidate.  Talk to someone that offers neck lifts, as well as SmartLipo and conventional liposuction to see what will give you the best results.  If you speak to someone that only performs conventional, tumescent liposuction then guess what they will suggest for you?
Richard H. Fryer, MD

Salt Lake City Plastic Surgeon
+1

Excessive fat under chin must be removed

Depending of the volume of fat + age, liposuction with skin tightening such as Smartlifting can be performed together.  In older patients, examintation for cording must be assessed as this may need tretment as well. Removing it early in life is better as its removal will prevent the early streching of the center neck skin if left.
David A. F. Ellis, MD

Toronto Facial Plastic Surgeon
+1

Fat under chin

Fat under the chin is handled in a case by case basis.  In some patients, the fat is more ammenable to liposuction (typically patients with less fibrous fat).  In other patients, direct excision of fat is a better option.  Fat can be located in different portions of the neck, and in some circumstances, removal of fat in deeper portions of the neck (called subplatysmal fat) can be beneficial in creating a more sculpted jawline.  
Anil R. Shah, MD

Chicago Facial Plastic Surgeon
+1

Liposuction should nicely correct fat under the chin

Liposuction is THE procedure to remove and sculpt fat under the chin. It is a short procedure which is very well tolerated. The recovery requires wearing a support strap to keep the skin against the chin to promote adherence. Every surgeon has his preferred technique, I prefer the VASER Liposuction / Liposelection which I believe is associated with less swelling, less bruising and better skin shrinking. Dr. Aldea
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Liposuction of the chin is easy and safe.

If the problem with you neck is fat, and only fat, liposuction will yield dramatic results.  Most patients are done under local or local with a bit of sedation.  The procedue takes about 20 minutes.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Liposuction is an a technique to address localized fat under the chin

Liposuction is a technique to address localized fat under the chin. The two most important determinants for a successful result are the quality of the skin and patient compliance. Your best bet is to work with a board-certified plastic surgeon with a great deal of experience with liposuction, facelift, and neck lifts. They will be able to evaluate your skin and to determine if you have enough elasticity for the skin to contract after the removal of the underlying fat. If you have good... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Fat under the chin may be helped with liposuction

If the fat is just under skin, and not onto the neck, liposuction is perfect.  Sometimes, as little as a tablespoon of fat can make a difference.  If the fat is onto the neck and the skin is taut, liposuction alone may be effective.  If the fat is onto the neck and the skin/muscle over it is loose, a necklift or facelift may indeed be required to treat the skin/muscle after the fat is treated by liposuction. 
Randy J. Buckspan, MD

Austin Plastic Surgeon
+1

Neck Liposuction for double chin

Neck liposuction is a surgical procedure that works very well for removal of fullness under the chin that is usually caused by fat. The result depends on the elasticity of the skin. As a general rule, individuals after the age of 45 begin to lose much of the elasticity in their skin; removing fat alone in these individuals would then cause the skin to hang under the chin since it does not have the ability to "spring back". These individuals would need a necklift in addition to... more
Mike Majmundar, MD

Atlanta Facial Plastic Surgeon
+1

Chin lipo depends on the skin

Lipo of the chin works amazingly well in the appropriate candidate. This is usually a youger patient who has a tight, fatty bulge and good skin quality. If the skin is loose, lipo might still work, but there is a risk that the skin will not tighten to your satisfaction. A skin tightening can be performed at the same time or as a separate stage if you wish. An experienced palstic surgeon can examine your neck and present your best option.
David Shuter, MD

Jupiter Plastic Surgeon
+1

Excess fat under the chin

If you just have excess fat and reasonably good skin tone, you probably only need liposuction of the chin.  If the skin is loose, then you probably need a skin tightening procedure as well.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Fat under the chin is best treated first with liposuction

Liposuction takes care of the fat under the chin and is so easy to undergo under local anesthesia only and for about $2500. You can later do a neck tuck if you require it but the first step is liposuction in most cases.
David Hansen, MD

Beverly Hills Dermatologic Surgeon
+1

For fat under chin and tight skin, go with liposuction.

Hi! It depends on your anatomy, which is related to age.  In general, if you are 50 years old or less, liposuction of the chin and neck may solve your problem, and is much less surgery. If you are over 50, you may have too much loose skin and need a facelift, or at least a neck lift.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Depends on the anatomy

Liposuction will work in the neck when there is minimal fat deposit and good skin tone with minimal excess skin. In cases with saggy skin, jowls, and neck band, a lower face lift will be needed.
Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

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