Botched chin lipo (1 year post) - how can this be fixed? (Photos)

Question

I had chin/neck lipo over a year ago,irregularities began to form very quickly after my procedure. What surgery is the best option to correct it? There is a line from what I believe is from the cannula itself and a pocket of fat that was missed. Thanks

Mehmet Ozdemir, MD · Answer

Based on your photos, the contour irregularities may be due to residual fat, scar tissue, or postoperative fibrosis. Since you are more than a year from surgery, these changes are unlikely to improve significantly on their own. Revision treatment may include targeted liposuction, scar release, fat grafting, or a combination of techniques, depending on the underlying cause. An in-person evaluation by an experienced facial plastic surgeon is recommended.

William Portuese, MD · Answer

A full set of facial and neck, photographs, and your age are gonna be required to make a determination about how best to proceed. Depending upon your anatomy, you may have Fat deposits located below the plasma muscle, above the platysma muscle, a short chin, hypertrophic muscles in the neck, and loose skin.

Anna Chacon, MD, FAAD · Answer

As a dermatologist, I see this type of concern after chin/neck liposuction more often than patients expect—and the good news is that it can be improved.

From your description, there are likely two separate issues:

- The “line” is very consistent with a cannula track and fibrous scar adhesion
- The fullness/pocket is likely residual fat that wasn’t fully contoured

At one year out, this is no longer swelling—it’s structural, so treatment needs to address that.

In terms of correction, the most effective options are:

- Minor irregularities: Sometimes improved with subcision (to release the scar) combined with a small amount of filler or fat grafting to smooth the depression
- Residual fat pocket: May require targeted revision liposuction, but this has to be done very conservatively because the area is already scarred
- More significant contour issues: Often best treated with an open submental revision (submentoplasty) where the surgeon can directly release scar tissue and precisely contour the fat

Non-surgical treatments alone are usually limited at this stage.

The key point is that this is a revision case, not a primary one—so choosing someone experienced in secondary neck contouring is critical. A careful, conservative approach typically gives the most natural improvement.

Mats Hagstrom, MD (license on probation) · Answer

Delivering consistent quality Liposuction results is more difficult than most people realize.
Correcting poorly, and Liposuction is very difficult and often can’t be improved or can only be slightly improved.
Any attempt at correcting the outcome can also make things worse unless you’re in the hands of someone who is very talented 
 Liposuction.
To make a quality assessment we need proper before and after pictures.
If you don’t have before, and after pictures and ask yoursurgeon to forward the pictures they took.
 It may not be possible to improve your outcome.
It looks like you were over treated and the treatment was uneven.
Fat transfer typically work if too much fat was removed.
This leaves revision Liposuction as the only real option. if too much fat was removed during the first procedure than taking more fat and attempt to make it more even may not make it look much 
.
I wish I could be more optimistic, but revision Liposuction procedures often don’t do very much and may not be worth the financial outlay. For those considering Liposuction, I cannot stress the importance of provider selection.
Bring pictures of yourself to use as a reference during in person consultation, avoid virtual consultations whenever possible. 
During the consultation, ask providers to open up their portfolio and show you their entire collection of before, and after pictures who have similar characteristics toyourself.
This means the person should be approximately the same age, have the same amount of fat and the same type of skin laxity. 
Experience surgeons should’ve performed hundreds or preferably thousands of Liposuction procedures and should have no difficulty showing you the outcomes of at least 20 previous patients.
Being shown one
or two examples is insufficient to get a clear understanding of what average results look like in the hands of each provider.
 In the end provider selection is by far the most important variable and is what determines if the outcome becomes an undesirable permanent problem or desirable improvement in your facial or body aesthetic.
Best,
Mats Hagstrom MD.
This response was dictated. My apologies for potential grammatical errors.

Botched chin lipo (1 year post) - how can this be fixed? (Photos)

Answers (4)

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