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

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

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28 Doctor Answers | Asked by Eva S in Seattle, WA

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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

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

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

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.

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.

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.

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.

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

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Salt Lake City Facial Plastic Surgeon

www.drjohnbitner.com

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.

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