Does It Look Like I Will Have Sagging Skin After Fat Removal? (photo)

I had dermabrasion and fat removal of my neck and under chin 5 days ago. I went in for lipo, but when I woke up from the anesthesia, the dr told me he didn't do lipo after all, he thought it would look uneven, so he cut out the fat. I've never heard of this before. I know it has only been 5 days, but it does look like I will be left with loose skin? I'm worried he made it worse than it was before the surgery. I wore a compression garment for 3 days after the surgery, now I am only wearing it at night.

Doctor Answers 6

1 Week after Fat Removal under Chin

   1 week after a neck surgery of this nature, swelling can be quite impressive.  Give yourself a few months.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Loose Skin after neck surgery

Removing fat by excision, called submental lipectomy, can be preferable to liposuction. especially if there is muscle separation or laxity. It appears that you have normal postoperative swelling. I advise my patients to wear a chin strap to help with this in the early postoperative period. You may want to ask your doctor about that. In any case it is way to early to see the final result, so have faith and be patient. Good luck

Johan E. Brahme, MD
San Diego Plastic Surgeon
4.3 out of 5 stars 20 reviews

Submental liposuction vs corset platysmaplasty vs. platysmaplasty plus neck lift

Liposuction alone is great for patients who have tight skin but excess fat.

In patients who have either loose deep muscles or a large amount of deep fat, it is best to perform a tightening procedure on the platysma.

In patients with looseness of the skin along with some of the other problems above, the best results are obtained with a neck lift, platysmal tightening and liposuction combined.  Often a facelift is advisable as well.

In your case, there appears to be swelling and bruising, but some jowl tissue and a poor neck angle.  These problems are not typically resolved by liposuction or direct fat removal alone, but require some of the steps above.

As many of the panelists have recommended, of course, it is best to wait until all the healing is done and then assess.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Sagging neck skin

Early post-op from neck surgery will often give the illusion of laxity especially due to swelling. Often this gets better with time.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Loose skin after fat removal?

After surgery, swelling can make it appear that there is skin laxity- it is much to early to tell, give it a few more weeks & you will know better. Good luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 106 reviews

Does It Look Like I Will Have Sagging Skin After Fat Removal?

Very early too be definitive if the skin is sagging best to allow healing over the next 3 months to decide f further surgery is needed. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.