I want chin lipo. But my neck has been sore from doing chin exercises, can I still do the procedure?

Question

I tried chin exercises specifically chin ups, and I ended up overworking the platysma muscle/ chin muscles. I stopped 6 months ago, and The muscles have been slightly sore/tight ever since. Can I still do the procedure? Or should I get physical therapy, and try to get rid of the tightness/ soreness first. I want the procedure to get rid of my double chin.

Benjamin Caughlin, MD, FACS · Answer

Yes you can go ahead with this procedure.The muscles of the neck and tongue in conjunction with the only free floating bone in the body (the hyoid bone) are the limitations of what you are trying to obtain so it was worth a shot trying to tighten them. After palpating that bone and those muscles you could get a better idea of what can be obtained.This area can have persistent fat in even very thin patients. So it is all about having fat in the right places. Sometimes we even move this fat to another area to help define the jawline or cheekbones. If you are not interested in moving the fat then we can use fillers such as restylane of juvederm to give some definition along with sculpting the jawline and neck. We would need to do a good physical exam on you to determine exactly but we typically remove that layer of fat beneath the skin and allow the skin to fibrose to the muscle of the neck.  It is not uncommon to combine this procedure with other fat sculpting techniques such as buccal fat removal. 
Hope this helps.
Best of luck,
DrC

Raymond E. Lee, MD · Answer

Chin lipo removes the subcutaneous "skin" fat that lies over the platysma muscle of the neck. Your sore neck muscles should have no bearing on the surgery.  That said you should be evaluated by a professional to make sure that your neck and spine are ok and that there is not any serious underlying injury.  6 months is a long time to feel sore.  If you are a candidate for chin lipo then it should not interfere. See an experienced board certified surgeon to see if chin lipo can help you or of you need something more like a neck lift in  addition.

Jonathan Kulbersh, MD · Answer

This is best answered with an in-person consultation, but yes, you should be able to have liposuction. Neck liposuction is a great option for patients with good skin elasticity and excess fat in the neck and around the jawline. This will remove excess fat and stimulate the skin to contract over time which will improve angulation and definition along the jawline. I recommend seeing an expert for a consultation who can go over this procedure to determine if it will achieve your desired results and the cost of the procedure. I hope this helps!

Manish H. Shah, MD, FACS · Answer

Hello,Thanks for your question. If you have excess fat of the neck, you may be a good candidate for neck liposuction. The soreness from the chin won't stop you from getting a good result by a good surgeon. Do your homework and pick a board-certified plastic surgeon or facial plastic surgeon to perform your procedure. They will examine you to make sure there isn't something else going on to account for the ongoing soreness.Good luck,Dr. Shah

James Shire, MD · Answer

The chin or neck exercises will not, and can not improve the neck contour, or eliminate bands or sagging, or get rid of a double chin. Dieting and being in good  health can improve a heavy or double chin. The soreness or  the exercises would not interfere with liposuction, and it may be an option. Please consult with an experience facial plastic surgeon to discuss your options.

Raja Mohan, MD · Answer

This is a difficult question to answer without seeing photos. If you do have excess submental fat then yes, liposuction can work for that. Your neck muscles should also be examined to see if there is any laxity. I recommend seeing a board certified surgeon for consultation to determine what is best for you.
Hope this helps.

William Portuese, MD · Answer

Chin liposuction removes fat above the platysma muscle, while a neck lift involves removal of fat above and below the platysma muscle in addition to a platysma plasty.  For patients that are under 50 years of age, no skin removal is required.  For more information and many before and after examples, please see link and the video below

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