Will chin liposuction help or will I need skin tightening as well?

Question

I did two sessions of kybella last year and then also lost 45 pounds. My chin area has fat and a little loose skin. Hopefully I can upload photos. I’m looking into chin liposuction but my question is, will that help or will I also need some type of skin tightening as well? I was hoping not to go the neck lift route. Have been told about procedures such as facetite and renuvion but am worried they don’t work for everyone?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Michael P. Morrissette, DDS, FACS · Answer

When there is significant skin excess, a necklift is often necessary. In your case, liposuction alone will not provide a significant improvement. The double chin is accentuated by a very deep mentolabial crease. In order to get a nice result without the necklift, I would recommend some degree of liposuction with a platysmaplasty and moving a portion of the deep fat into the crease to give you a smooth neckline and eliminate that crease. This is called a pedicled flap. It works nicely in cases with a deep crease. In addition, any type of skin tightening procedure with Facetite or Renuvion would be beneficial.

Eric M. Joseph, MD · Answer

If you pinch the area under your chin from jawbone to jawbone, is it skin on skin, or can you pinch an inch of fat? Neck liposuction after previous Kybella is a bit challenging due to scar issue, but this may be considered if there is excess fat. If there is not excessive fat, I would not recommend a minimally invasive procedure. Thank you so much for your question. Sincerely, Dr. Joseph

Ran Y. Rubinstein, MD · Answer

Based on the photos, your weight, and having suboptimal results from your Kybella treatments, I don't think liposuction will give you the results you are looking for.  There are two things that should be addressed surgically:
1.  Laxity in the skin:  I think a neck lift would be a better option as the extra skin can be re draped.  Liposuction, even laser liposuction, will leave you with a lot of loose skin.
2.  Deep neck fat the equivalent of visceral fat in the belly:  There is fat that is deep to the platysma muscle that can't be reached with liposuction and Kybella.  Only a deep plane neck lift with contouring of those deeper fat layers can reduce the volume excess.
In summary, although you are not ready for surgery, i would not waste your money on liposuction and rather do it right when you are prepared for the more invasive approach.
Good luck in your search.

Anna Chacon, MD, FAAD · Answer

Thank you for providing detailed information about your situation. Given your history and concerns, here are some considerations and advice regarding chin liposuction and skin tightening:

Chin Liposuction
Chin liposuction can be effective in removing excess fat from the chin area, which can significantly improve the contour and appearance of your jawline. However, because you've mentioned that you have some loose skin, liposuction alone might not fully address your concerns.

Skin Tightening
After significant weight loss and procedures like Kybella, loose skin can be a common issue. Here are a few non-surgical skin tightening options that could complement chin liposuction:

1. **FaceTite**: This minimally invasive procedure uses radiofrequency energy to tighten the skin and stimulate collagen production. It can be effective for mild to moderate skin laxity.

2. **Renuvion (J-Plasma)**: This technology combines helium plasma and radiofrequency energy to tighten the skin. It’s known for providing more dramatic results compared to other non-surgical options, but individual results can vary.

Considerations
- **Degree of Skin Laxity**: Mild to moderate skin laxity can often be improved with non-surgical treatments like FaceTite or Renuvion. However, if the skin laxity is more severe, these might not provide the desired results.
- **Personal Goals and Expectations**: It’s crucial to have realistic expectations. Non-surgical treatments can improve skin tightness, but they might not offer the same results as more invasive procedures like a neck lift.
- **Consultation with a Specialist**: The best way to determine the most appropriate treatment plan is to consult with a board-certified plastic surgeon or dermatologist who can assess your skin quality and provide personalized recommendations.

Steps to Take
1. **Schedule a Consultation**: Meet with a specialist who can evaluate your specific case. They can offer insights into whether chin liposuction alone would suffice or if combining it with a skin-tightening procedure would yield better results.
2. **Discuss Options**: During your consultation, discuss all available options, including the potential benefits and limitations of each procedure.
3. **Consider a Combination Approach**: Often, a combination of procedures can provide more comprehensive results. For example, combining chin liposuction with a minimally invasive skin-tightening treatment might offer the best balance between effectiveness and recovery time.

While chin liposuction can help reduce fat, addressing loose skin often requires additional treatments. Given your concern about avoiding a neck lift, exploring options like FaceTite or Renuvion could be a viable path. However, an in-person consultation with a qualified specialist will be essential in determining the best approach for your specific needs.

Feel free to ask any further questions or provide more details if necessary. Your specialist will be your best resource for making an informed decision that aligns with your aesthetic goals.

Burak Pasinlioglu, MD, FEBOPRAS · Answer

Hello, thank you for the photo. As can be seen from the photos, there is some excess fat and sagging skin. I do not recommend liposuction in this case. Using Facetite or a tightening device that includes radio frequency provides better results. However, if you really want a good result, neck lift surgery will actually give a better result at this stage. Tightening devices are never as effective as tightening surgeries. It takes longer to see the result and may not give an ideal result. Your decision is also important at this point. If you are definitely not considering neck lift surgery, chin liposuction and a tightening device together can be tried to tighten the skin. However, as I said, you may not get the result that a neck lift surgery gives.

William Portuese, MD · Answer

Your photographs demonstrate fat deposits located both above and below the plasma muscle in your neck. This is going to require a neck lift procedure. It's very important to understand that liposuction alone can only remove the fat compartment above the platysma muscle, which will only give you minimal benefit. If you have loose skin, due to the 80 pound weight loss you're gonna need some type of surgical skin tightening procedure

Darryl J. Blinski, MD · Answer

Based on your post of photos under chin, Lipo with J plasma treatment and mini neck lift are indicated . fee five thousand to ten thousand dollars . best of virtual consult with .