If I have chin lipo and buccal fat removed, will I have loose skin after? (Photo)

Question

It will be with local anesthesia but I’m still concerned about any lose skin.

Mitchel Goldman, MD · Answer

It is very likely you could have loose skin after these procedures. In my practice, we almost always use a combination approach that combines fat reduction (CoolSculpting, tumescent liposculpture), with Ultherapy or Thermitight to ensure skin is tightened at the same time as fat removal for the best results. I recommend scheduling a consultation with a board-certified cosmetic dermatologist who is an expert in neck rejuvenation for a more comprehensive assessment.  In my practice, we have more than 45 lasers that we use in combination to customize treatment plans for each of our patients.

Randy Wong, MD · Answer

An excellent question.  Based on your photos, the buccal fat removal will slenderize your mid cheek profile, but aggravate jowling due to the relative excess of skin and gravity.  Skin under the chin may also be seen to be looser after liposuction here.  You may have to consider a facelift to balance the relative excess of skin that results after the buccal and neck volume reductions.  Do obtain other opinions from surgeons certified by the American Board of Plastic Surgery.

William Portuese, MD · Answer

More information is needed such as your age, and the extent of the inelasticity of the skin tone in your neck. The skintone is best determined at the time of the examination.  Fat removal can be performed above and below muscle in the neck in addition to a platysma plasty, however there's no skin removal. If there is loose and inelastic skin in the neck, then a lower face and neck lift is required.

Sagar Patel, MD · Answer

These procedures are often performed in combination with each other. This is a nice way to get a "selfie makeover" as they provide some angle definition similar to a filter! The quality of your skin needs to be looked at but without a doubt the biggest factor for loose skin afterwards is age. Hope that helps

Kapil Saigal, MD, FACS · Answer

In younger patients, usually under the age of 45, there is not significant problems with skin laxity and loose skin following submental liposuction however this is very dependent on your anatomy and skin elasticity as well as the collagen content of the skin noted on your physical examination. Likewise buccal fat removal when performed conservatively can result in significant improvement in fullness of the lower third of the face, and is typically not an issue in younger patients but there can be significant hollowing noted in older patients or with aging, particularly in an aggressive excision.
It would be best to discuss these topics and a consultation prior to surgery with your board certified specialist.  Best of luck.

Mats Hagstrom, MD (license on probation) · Answer

It's hard to tell from the pictures alone but I'll give you my best answer with limited information.  The bottom line is this. If someone has loose skin it to start with then their skin will be more loose after removing fat regardless of what technique is used to do so.  The way I assess this is by pushing the skin on the chin area to the side then seeing how long it takes for it to come back in a midline position.  So without an exam I can't give you an accurate idea.  Generally said, if you have a substantial amount of fat then removing some or most of that usually gives an overall better appearance even with skin laxity.  Patients without a lot of weight loss or people who are over the age of 50 generally don't do very well with liposuction.  If you are a weight-loss patient then lower your expectations.  The ideal treatment for you would be a radiofrequency treatment like J plasma in conjunction with liposuction.  This can also be done as an awake procedure. I am a big fan of avoiding general anesthesia for liposuction so that is in your favor.  Good luck with your upcoming procedure. Expect some skin laxity but if the procedure is done correctly overall you should look better.  Best, Mats Hagstrom MD

If I have chin lipo and buccal fat removed, will I have loose skin after? (Photo)

Answers (6)

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