Am I a good candidate for liposuction or something else? (Photo)

Question

My double chin has bothered me my whole life. I got a consultation in 2020 with a plastic surgeon about it and he tried to convince me not to go through with surgery or any procedures for my chin saying I “look fine”. I’m still so unhappy with it 4 years later & it doesn’t matter if I lose weight. What would be the best option for my chin — Chin Lipo? Chin filler? Chin Implant? Something else? I’m 28 year old female. I’ve never had plastic surgery, filler or botox.

Anna Chacon, MD, FAAD · Answer

When considering options for addressing concerns with a double chin, there are several potential treatments available, each with its own benefits and considerations. Here's a brief overview:

Chin Liposuction: This is a surgical procedure that removes excess fat from the chin and neck area. It can be highly effective for individuals with good skin elasticity, as the skin will naturally tighten after fat removal. This might be a suitable option if you are looking for a more permanent solution.

Chin Filler: Dermal fillers can be used to contour and enhance the chin area, potentially improving the appearance of a double chin by creating a more defined jawline. This is a non-surgical option with temporary results, usually lasting several months to a couple of years, depending on the type of filler used.

Chin Implant: A chin implant can provide a more permanent solution by augmenting the chin’s structure, which may help balance facial features and reduce the appearance of a double chin. This is a surgical procedure and may be considered if you desire significant changes

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photograph. To begin with, I would agree that the assessment you received from the plastic surgeon you consulted four years ago remains valid, as your overall facial and neck shape are good.

The contour beneath the chin that is concerning you appears to be largely hereditary in nature and reflects a combination of deeper-seated fatty tissue, the volume of the digastric muscles, and some prominence of the lower poles of the submandibular glands. These features are not addressed effectively with liposuction, and as your chin projection is already good, a chin implant would be unlikely to produce a meaningful improvement for your specific concerns.

An anterior neck lift is specifically designed for situations such as yours, where skin elasticity is good and skin tightening is not required. The procedure involves a small access incision beneath the chin, allowing reduction of the deeper-seated volume, including fatty tissue, partial contouring of the digastric muscles, and adjustment of the lower part of the submandibular glands. As this anatomy is largely hereditary, the changes achieved with an anterior neck lift also tend to be more stable over time.

Eric M. Joseph, MD · Answer

If you have exercise resistant fat in your neck, and if you wish to improve upon your jawline, neck liposuction is an excellent procedure since it can be performed with local anesthetic and minimal inconvenience and downtime. I hope this helps! Sincerely, Dr Joseph

Chet Mays, MD · Answer

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for submental liposuction in order to decrease any fullness to that area. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your neck, listen to your goals, and create a surgical plan that is best for you and your goals!

Tanveer Janjua, MD · Answer

Chin Liposuction and Thermitight
Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
Click on the video link below
Regards
Dr. J

William Portuese, MD · Answer

A full set of facial photographs from all angles in a chin neutral position of going to be required to make a determination about how best to proceed. If you have a recessive chin profile, then consider placement of a chin implant. Liposuction can accomplish removal of the fat deposits above the platysma muscle in the neck. If your fat deposits are located below the muscle, that's going to require a deep neck lift procedure to remove both compartments of fat, which also includes a platysma plasty to significantly improve the jawline.

Darryl J. Blinski, MD · Answer

Based on your one post a photo you know you need superficial liposculpture with end lace effect for under their chin issues. And possibly jawline end delays. Fee $5000-$10,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

People who get a double chin do not have an abnormal fat distribution.
This condition is always associated with a facial, skeletal imbalance with the mandible being small in the relationship with the maxilla.
It’s not the chin itself but rather the body of the mandible that is related with the development of a double chin.
People who develop a double chin, almost universally have an overbite dental occlusion.
This means on profile pictures. The upper lip will have more forward projection than the lower lip.
Advancing the mandible with formal jaw surgery is more than most people are willing to undergo.
It is not a pleasant procedure to recover from.
 Subcutaneous is the problem but is the most common treatment option.
Liposuction can give good improvements and is most likely the only realistic option other than a neck lift which is a better option in older individuals.
Up to about the age of 40 Liposuction is a viable option and once people get to the age of 50 and neck lift a.k.a. facelift is probably a better treatment option.
 The biggest issue with moving forward with Chin and neck Liposuction is that there is a substantial degree of variation in skill for this procedure among providers.
Being board-certified and plastic surgery with year of experience is not sufficient to confirm someone has approach mastery for this kind of work.
If it’s not done correctly, the first time Then it’s very difficult to ever get a good outcome.
Finding sufficiently experienced and talented plastic surgeon is much more difficult than most people realize.
It generally means having multiple in person consultation while carefully scrutinizing lots and lots of before and after pictures.
Bring pictures of yourself taken the plastic surgeons take before and after pictures.
Have someone else take the picture or use the timer in your camera.
Don’t take pictures using mirrors.
We need a quality, frontal picture and quality profile picture taken at correct angles.
Bring those pictures with you to use as reference during the consultation.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics.
In the hands of the right provider you should have access to see more before and after pictures then you have time to look at during the consultation.
Being shown only a handful of examples might be a major red flag that the provider doesn’t have sufficient experience.
 Highly experienced surgeons should have hundreds of before and after pictures to choose from.
Before being able to vet providers properly, you need to get a good understanding of what quality results look like and begin to understand the patient candidacy and how this impacts the potential outcome.
Overall, it’s pretty complex and overall I would say patience are not very good at selecting plastic surgeons.
 There isn’t much you can do regarding your candidacy for surgery so the only variable you have is provider selection period.
There is really no treatment other than Liposuction that is going to give you the potential of a decent outcome.
Understand that Liposuction isn’t treating the underlying primary problem and anytime we select treatment options that don’t address the main problem. Partial improvements are the best you can expect.
I don’t think non-surgical treatments are a good choice for this. Best,
Mats Hagstrom MD.

Am I a good candidate for liposuction or something else? (Photo)

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