I had a facelift 4 weeks ago but I still got double chin and loose skin under chin? (Photo)

Will my neck and get smaller

Doctor Answers 18

Healing and Recovery After Your Facial Procedure

First and foremost, its best to remain patient. It is still early in to your recovery. The healing process in general can take up to one month for the majority of swelling to subside, incisions to close, sutures to come out, and for bruising to completely go away. 

#Recovery time from a #facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift can easily hidden with “camouflage” make-up which you can learn how to apply.
The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Facelift results

It is really too soon to judge your final results at 4 weeks post op. I know it's frustrating, but for now, be patient. Also, keep in mind that everyone, including 20 year old supermodels, has a double chin when their face is angled down. 


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 33 reviews

Neck position

neck position is everything in this case. Even supermodels have two chins when they look down.

In order to assess, it would help to see standardised pictures with your head and neck in exactly the same position before and after. 

I suspect that we have a combination of head down and early swelling. 

Hope that helps. 

Adam Goodwin

Adam Goodwin, MBBS, FRCS(Plast)
Manchester Plastic Surgeon
5.0 out of 5 stars 18 reviews

I had a facelift 4 weeks ago but I still got double chin and loose skin under chin?

Hello and thank you for your question!

The best option you have is to send us photos prior to the surgery and after the surgery so we can asses and evaluate the technique that your surgeon used and what happened. Sometimes it is best to have a bit of excess skin in some regions that have had a lift, sometimes they have resulted in being too tight and looks unnatural or uneven. 

Please visit a board certified plastic surgeon for further advice and the best, safest results.

Good luck!

Enriquillo Clime Rivera, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 8 reviews

I had a facelift 4 weeks ago but I still got double chin and loose skin under chin?

Hello stc1,

At one month you are still swollen.  It would be expected that you would continue to improve.  There are also limitations to what can be accomplished with any lifting procedure, so seeing before photos would also be helpful.  I would discuss your concerns with your surgeon so he or she can evaluate you and better address your concerns.

I hope this helps and good luck.

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Post-operative Facelift

It is too early to see a final result and you are still swollen.  Try to be patient and discuss your concerns with your surgeon. Take care!

Timothy A. Janiga MD, FACS

Timothy Janiga, MD, FACS
Reno Plastic Surgeon
5.0 out of 5 stars 20 reviews

Post facelift

You are still in the recovery period after your facelift. I would give it more time as the swelling should improve. If it doesn't there is a product called Kybella that could help.

Kristin J. Tarbet MD, FACS
Bellevue Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Loose skin and "double chin"

You don't describe the type of facelift you had.  For example a "mini-lift" would not address those issues and would have been explained in the preoperative discussions.  In the photo provided you also have your neck flexed accentuating the tissue between the tip of the chin and the neck structures.  This would cause a perception of a "double chin" in even the youngest of patients.  Continue your followup allow your swelling to resolve before being concerned about the result.  Best of luck

J. Brad Turner, MD
Lexington Plastic Surgeon
4.9 out of 5 stars 17 reviews

Facelift at 4 weeks

Everyone who pulls down their chin in that position will look like they had a double chin.  At 4 weeks, you are also still swollen. 

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Problems after facelift

Considering you are only 4 weeks out from your facelift, you will still have some swelling, especially under your chin, that will make that area look too full. I don't see any obvious excess skin in that area, so be patient and let the swelling resolve. Discuss your concerns with your surgeon.

Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Andrew Campbell, MD
Milwaukee Facial Plastic Surgeon
4.7 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.