Do I need chin lipo revision? If so, how do I ask without offending my doctor? (photos)

Question

I’m 9 months out from neck liposuction and one side seems significantly fuller than the other. Obviously I didn’t expect perfect symmetry but I feel like this is too much of a variance. That side was fuller during the healing process so I assumed it was just swelling but it appears to be leftover fat. Would this warrant a revision and how do I ask my surgeon without offending him? I’ve included a photo looking upward at my chin but you can see the excess hanging down from the front as well.

Daniel Barrett, MD · Answer

Dear emmam47,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

YES, but best to ask your chosen surgeon if he is happy with your results. Then show the areas of concern, I might offer KyBella injections to that area now, you waited to long for this easy remedy. I woud charge you my costs for revision lipo ($1,200) or KyBella ($700).

Mats Hagstrom, MD (license on probation) · Answer

The human face is quite asymmetric.
All people have substantial facial asymmetry as a baseline.
To make an assessment on the outcome of an operation we always have to see before and after pictures.
If you don’t have a proper before and after pictures and ask your surgeon to forward the ones they took.
Most likely they asymmetry was there before surgery. To measure or assess the outcome of liposuction gently pressed against your skin with your fingers pushing very gently to feel the thickness of the fat layer.
Do that on both sides going back-and-forth and feel if the fat thickness is different.
If you look in the mirror and see a symmetry it’s more likely that it’s based on your bone structure and was there before the procedure.
A lot of people look at their face critically after having cosmetic surgery anyway they didn’t before the procedure.
During embryological development both sides of the face develop independently from each other and eventually fused in the midline.
The degree of facial asymmetry on most people is significant.
Consider reposting showing proper before and after pictures or follow up with your provider and discuss your concerns with him or her.
To assess the outcome of liposuction you need to focus on the fat layer and not the shape of your face.
The goal of liposuction is the remove fat evenly and effectively.
It’s not a good idea to try to deal with liposuction asymmetrically to compensate for baseline anatomic asymmetry.
It’s possible that your fat thickness is different on one side than the other. You need to actually assess the fat thickness not the appearance.
Best,
Mats Hagstrom MD

Do I need chin lipo revision? If so, how do I ask without offending my doctor? (photos)

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Do I need chin lipo revision? If so, how do I ask without offending my doctor? (photos)

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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.