Kybella post submental lipo? (Photo)

Almost 100% of individuals seeking chin and neck Liposuction have a facial skeletal imbalance. these individuals universally have a dental occlusion overbite with a Mandible that is short, small, or lacking in a forward projection.
On profile pictures the upper lip will have more forward projection than the lower lip. This facial anatomy also contributes to a loss of jawline definition, premature, jowl formation, and early formation of marionette lines.
Individuals who have well-defined jaw lines tend to have a more projecting mandible
It’s important to assess the relationship between the mandible, and the maxilla, by looking at dental occlusion rather than projection of the chin. It’s definitely possible to have a Mandible. That’s lacking in a forward projection leading to an overbite occlusion while still having quite prominent projecting pointed chin.
Most people seeking this procedure do not have an abnormal subcutaneous fat distribution.
Addressing the fundamental primary problem is often complex and beyond what people want to go through. Therefore, both patients and providers often look for easier solutions, which are usually aimed at soft tissue treatments, even though soft tissues are generally not the underlying cause.And assessment for the amount of subcutaneous fat either before or after liposuction, requires an examination and should not be done and pictures alone, because so many other variables, contributes to contour in this area.
If Liposuction is the gold standard for removing subcutaneous fat, it was recommended by your provider then it is also the gold standard for Revision Work removing more fat, if indicated.
Delegating the responsibility of touchup procedures to someone else in the office such as a nurse injector is probably not ideal.
I don’t want to speak poorly of anyone involved in your care.
The main point is that each persons candidacy for the procedure including what can be acheived is going to be based on having a clear understanding of what the underlying problem or ideology is. If there’s a substantial amount of subcutaneous, fat and bone structure is fairly good, then patients should expect high-quality outcomes. For individuals who don’t have much subcutaneous, fat and the underline platysma muscle drapes the neck in an oblique fashion, because of issues related to the shape of the Mandible then results will inherently be limited by Liposuction alone.
If you have not done, so already, I suggest having an in person follow up with your plastic surgeon.
Best,
Mats Hagstrom, MD