Why is my double chin still present after chin lipo? (Photo)

Thank you for your question and sharing your photographs.

I am sorry about the disappointment you had from chin liposuction. However, you need to appreciate that your provider has been adequately careful to avoid giving you you contour irregularities in the hope that the result would be exceedingly what liposuction can do.

The problem you are experiencing is related to volume situated deep to the platysma muscles and not affected by liposuction. It is a combination of 3 different tissue types: Fatty tissue, the anterior belly of the digastric muscles, the lower part of the submandibular glands.

Because you do not have any problems with skin laxity, they can be addressed by removing volume through a deep plane anterior neck lift or short scar neck lift intervention. This does involve however a scar under the chin to produce the changes.

Liposuction removes fat. But a double chin isn't always from fat. It can be from loose skin, loose muscle, or just the shape of your bones such as a small chin or mandible. This could explain why you still see a doubel dhin after your chin liposuction. It is best to discuss your results with your surgeon.

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Before and after photos would be helpful to give you a more insightful response. Have you discussed your concerns with your surgeon? If you have gained weight that could impact your results. Perhaps not enough fat was removed? I encourage you to visit with a board certified plastic surgeon for an evaluation. You can consider further liposuction if indicated. You could also explore Morpheus8 treatments for improvement.

Sometimes the fat that is the problem is deep to the platysma muscle and needs surgery. Other times it is more superficial and liposuction works well. But, you can also do skin and tissue tightening with radiofrequency fat melting that will tighten the neck.