What would be the best option to address obvious asymmetry 8 months post chin lipo? (Photos)

Question

Hello! I had submental liposuction nearly 8 months ago and am dealing with persistent asymmetry. One side feels tethered, and it seems like more fat was removed from that side, while the other side is noticeably fuller. During my procedure, which was performed awake by a chin liposuction specialist, a Kenalog flush was administered halfway through. The surgeon then explained that, due to my anatomy, he would need to complete the procedure using excision liposuction. The surgeon offered a revision early on, but I am hesitant to go back under the knife. What is the best way to address persistent asymmetry? If revision is truly the best option, I would consider it, but I would prefer something less invasive if possible.

Carl Truesdale, MD · Answer

At 8 months post-op, what you see is essentially your settled result. Asymmetry that's still present this late won't resolve on its own. It needs active intervention.
Three common causes and their fixes:
Uneven fat removal. The most common cause. One side has more residual fat than the other, creating volume asymmetry. Treatment: small-volume liposuction or Kybella to even out the heavier side. This is the easiest fix and works well in most cases.
Skin envelope retracted unevenly. If your skin contracted more on one side than the other, you might have asymmetric tightness that creates apparent fullness on the looser side. Treatment: RF microneedling or a small skin tightening procedure on the looser side, or in significant cases a corrective neck lift.
Underlying anatomy was asymmetric to begin with. Some patients have naturally asymmetric mandibles or submental compartments. Liposuction unmasks this asymmetry. Treatment depends on the underlying issue, sometimes addressed with implants or selective filler.
What I'd recommend:
Get re-evaluated by your original surgeon if they're competent and you trust them. They have the most context on what was done.
If you don't trust the original outcome, get a second opinion from a surgeon who does neck and chin lipo regularly AND offers revision work. The revision portfolio matters.
Bring your pre-op photos to any consultation. The asymmetry comparison from before-to-after is what guides the plan.
Don't get talked into a full neck lift if the issue is truly just residual fat asymmetry. Targeted secondary liposuction or Kybella is usually the right answer.

What would be the best option to address obvious asymmetry 8 months post chin lipo? (Photos)

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