54 Year Old, Am I Too Old for Lipo on my Chin? (photo)

Question

I am 54  healthy but I hate my double chin. Am I too old for lipo on my chin , because I really don't think I need a face lift

Kenneth D. Steinsapir, MD · Answer

Age is not the issue. However, I agree with others that what you really need is a lower facelift. Fat is golden. Simply removing facial fat without tightening the facial musculature, the corner stone of modern facelifts will simply reveal the lax muscles of the lower face. For this reason, I would counsel you to consider a properly individualized lower face and neck lift. Performing facial liposuction perhaps with a midline platysmaplasty will provide some degree of improvement but it lacks the power of a facelift. Ultimately this will be a personal decision for you between you and your cosmetic surgeon.

Ali Sajjadian, MD, FACS · Answer

Hello,

	when the chin skin is excessive and very lax, a neck lift would be indicated. Also some type of skin tightening can be very helpful.

	In patients where the laxity is minimal and the skin has good elasticity, liposuction can make a great improvement.

	Hope this was helpful.

Ellen A. Mahony, MD · Answer

Hello Pat,Nobody is really too old for anything but the real question is:  will lipo of your neck meet your expectations??  If you're looking for more definition of your neck and jaw line, liposuction will not deliver the results because the laxity of the visible underlying musculature of your neck is evident and will not change.Although there may be a little bit of fatty tissue in that area, the majority of what shows up in your photos is a combination of loose, lax skin and muscle.  At 54 the biggest bang for the buck would be a lift which would address all three issues and provides a long lasting result.Good luck!Thanks for asking!  Dr Ellen

Kenneth Hughes, MD · Answer

The chin liposuction will be ineffective to improve the double chin. A neck lift or a lower face and neck lift will give a much better result. Find a plastic surgeon with ELITE credentials who performs hundreds of facelifts, necklifts, and facial procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Theda C. Kontis, MD · Answer

Just liposuction of the neck requires tighter skin that will 'snap back" after surgery. As we age, the neck muscles separate into bands that must be surgically repaired. Reconstructing this 'sling" in the neck and tightening the jowls is a facelift--essentially a lower face and neck lift. As a general rule, younger patients with good skin elasticity can benefit from just liposuction. Aging necks usually require a more aggressive surgery like a facelift.

Tom J. Pousti, MD · Answer

Thank you for the question. Your age is absolutely not an absolute contraindication to liposuction surgery; assuming you are in good health and a good candidate for the procedure you may have an excellent outcome with the procedure. Generally speaking, the ideal patient for liposuction surgery is a patient who has isolated areas of diet and exercise resistant adipose tissue with good quality overlying skin elasticity.

You may find the attached link, dedicated to liposuction surgery concerns, helpful to you as you learn more. Best wishes.

You may find the attached link, dedicated to liposuction surgery concerns, helpful to you as you learn more. Best wishes.

Bruce E. Katz, MD · Answer

Smartlipo of the chin will help to get a more defined jawline. If you have small fat pockets then you are a good candidate for submental lipo. Please consult with your surgeon in order to find if this is the right procedure for you.

Shain A. Cuber, MD · Answer

The determining factor in whether you can have liposuction is how loose your neck skin is. If it is really loose, then a lift will be required. If the skin snaps back after pulling on it, then liposuction will work well for you. Typically, at age 54 you will need some type of lift to go along with fat removal for the best result. Make sure you set up an appointment with a plastic surgeon who performs a lot of these procedures to get the best opinion.

Dan Mills, MD · Answer

You are 54 Years Young! It’s never too late to look your best at every age. I would suggest that you not get too attached to a particular treatment-keep an open mind about what treatment might be the best, and go into your consultation instead with specific information about what you want to accomplish. This way you will give your plastic surgeon an opportunity to go through all of your options. An important consideration for any treatment is the flexibility you have in regards to cost, recovery and complexity of the treatment. All of that is valuable information for your surgeon to help you choose the best option for your goals, pocket book and lifestyle. I would need to examine you in person to give you my thoughts on what might best meet your needs. While a “facelift” can feel daunting or something for an older, more wrinkly patient, it is actually a treatment to tighten the neck and lower face. Don’t be afraid to look at this option-I think you would be very happy with the outcome to address the lack of definition in your neck. I have also had some good results with a combination of liposuction and Ultherapy to help tighten the skin.

Robert J. Carpenter, MD · Answer

As we age, our facial fat changes. We tend to lose the "baby fat" just under our skin, resulting in deflation and loose skin. On the other hand, deeper fat pockets (like the one under the jaw) increase, resulting in fullness under the jawline that blunts the normal contour of the neck. Liposuction can definitely improve the fatty fullness, but some form of skin tightening may be needed to smooth the loose skin. This can be done by surgically removing the skin, as in a neck lift, or by laser tightening of the skin, as with Precision Liposuction. In addition, a chin implant can dramatically improve the appearance of the neck in those patients with a lack of natural chin projection. The right procedure for you may include any or all of these things, depending on your exam.

54 Year Old, Am I Too Old for Lipo on my Chin? (photo)

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