Unhappy with chin lipo results - any thoughts on what should be done? (Photo)

Question

I got chin liposuction in November of 2019 and I noticed that I still have a little pouch behind of my chin and one side looks nicer than the other. The doctor said that he recommends me doing another chin liposuction procedure but I would like other thoughts on what should be done.

Gurkan Kayabasoglu, MD · Answer

And unfortunately, another patient who is unhappy with the weight of chin liposuction. I explain this to my colleagues many times in all congresses. Liposuction of this area is a very inadequate application. We use the submentoplasty technique we have developed for this area. Thus, we have the chance to redraping the skin and we have the chance to remove the deep fat. Because liposuction is performed blindly, it only removes superficial fats, does not touch the deeper areas and creates irregularities in the skin. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Raffy Karamanoukian, MD, FACS · Answer

A non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Omar Lazos, MD · Answer

Since your first procedure was years ago and it's no longer inflammation, I agree that the best option to smooth out the area is to undergo a second round of chin lipo.

Daniel Barrett, MD · Answer

Dear BreaBane,
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

Trang Vo-Nguyen, MD · Answer

You look great in your pictures! The residual fullness is very minimal. However, if you wish to smooth out the submental area, as seen in your first picture, your doctor's recommendation is not unreasonable. Another option you can discuss with your surgeon is to try Kybella injection.

William Portuese, MD · Answer

Fat deposits in the neck are usually located both above and below the platysma muscle in the neck. Liposuction can only remove fat deposits above the muscle. A surgical neck lift is required to remove fat deposits below the platysma muscle which also includes a platysma plasty to significantly improve the jawline. No skin removal is required.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment on the outcome of a cosmetic procedure we need to see proper before and after pictures. If you don’t have before and after pictures then ask your surgeon to forward the ones they took. We also do not Make assessments of outcomes with a facial expressions. Contracting facial muscles does not create a neutral appearance and is somewhat irrelevant regarding plastic surgery outcomes. Muscle pull can always create desirable or undesirable contour changes on the face.
The chin and neck is made up of many layers of tissue and fat is only one layer. Manipulating fat can only do so much and without addressing bone, platysma muscle, sublittoral muscle and fat liposuction alone has inherent limitations. Some people are better candidates for liposuction results than others likewise some providers are better at these procedures than their counterparts. 
Try reposting with proper before and after pictures. If you want a proper second opinion consultation then schedule those as in person consultations bringing with you before and after pictures and a copy of your previous operative report which is also available from your prior provider.
Best,
Mats Hagstrom MD