Unsure what the lump under my chin is - Is it lipo that I need, or something else? (Photos)

Thank you for sharing your concerns and photos. It’s understandable to feel frustrated when multiple providers have been uncertain about the cause of a lump under your chin.

From your description and the image, there are several possibilities for what you’re feeling:

Submental fat: Sometimes the area under the chin can retain fat despite weight loss.

Skin laxity: Loose skin or mild sagging can appear as a “lump” even without excess fat.

Lymph nodes or other soft tissue: Occasionally, palpable lymph nodes or small cysts can give a similar appearance.

Non-invasive measures like Gua Sha, Botox, or jawline fillers can sometimes improve contour but won’t remove fat or skin tissue, which is why you may still notice the prominence.

Next Steps for Clarity:

Clinical evaluation: A physical exam by a board-certified provider experienced in facial anatomy is essential to palpate and assess the tissue.

Imaging: An ultrasound or CT scan of the submental area can often determine whether it’s fat, skin redundancy, or a lymph node. This is the safest way to guide treatment.

Treatment options:

If it’s fat, procedures like liposuction, Kybella, or CoolSculpting may help.
If it’s loose skin, skin-tightening treatments or minor excisional procedures may be more effective.
If it’s a lymph node or other structure, further workup may be needed.

The key is identifying the exact tissue type before committing to a procedure, so your treatment can be precise and effective.