Chino Lipo hasn't worked, what other options would you suggest? (Photos)

Question

I'm under 40, exercise daily, diet well but have always had a double chin, and since the procedure now have loose skin around my jawline. Over the years I've had a variety of procedures (listed below): Kybella Coolsculpting Chin Lipo A 2nd lipo that resulted in a seroma (there is still scar tissue under my chin that you can feel when you pinch under that area) Thermage Profound RF My jawline only looks ok when I'm not talking or my head isn't tiled at an angle. Is there anything I can do?

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

William Portuese, MD · Answer

Liposuction can only remove the fat deposits located above the platysma muscle. From the limited photographs there appears to be Fat deposits most likely below the platysma muscle for which a neck lift procedure would be required. A platysma plasty is also performed after the sub-platysmal fat is removed. If you're under 40 years of age, there should not be a excess skin present, therefore skin removal would be unnecessary.

Mats Hagstrom, MD (license on probation) · Answer

It seems to me like you’ve been over treated with that many fat removal procedures. I don’t believe it fat was the primary problem in the first place. Most likely all of your problems stem from an under developed mandible that is small and may lack forward projection in comparison to your maxilla.

Your picture is sufficient to assess the relationship between your mandible and Maxilla.

I suggest having in person consultations with local board-certified plastic surgeons. If you don’t get the assessment or answers you need from one provider then have a few more consultations.

More of the same isn’t going to do the job for you.

Best,

Mats Hagstrom MD

Chino Lipo hasn't worked, what other options would you suggest? (Photos)

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Chino Lipo hasn't worked, what other options would you suggest? (Photos)

Answers (3)

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Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.