2 weeks post-op tumescent lipo on neck. Doctor removed 70ml of fat, so I had a large, genetic double chin. (Photos)

Question

I know I still have swelling, but it's so uneven and ropey-like. My doctor says NO massage...is he wrong? I hope the front is swelling of the omohyoids/sternohyoids/mylohyoids or something, but the side, jowl swelling - could this be fat? I'm really scared this is permanent as my Dr. said NOT to massage and to stop wearing the compression garment, yet I see SO MANY Dr. responses who say YES to massage, etc. My follow up with him is in 2 1/2 wks. I'm 46.

Andrew T. Lyos, MD, FACS · Answer

Contour irregularities may occur following liposuction and are more common after liposuction in areas where the skin is thin such as the face and neck. Areas with laxity of the skin are also more prone to develop irregularities due to the loss of elasticity and inability to “bounce back”. 	Skin irregularities may be temporary or permanent. In the weeks following liposuction of the neck, postoperative swelling, poorly fitting compressive garments or dressings, blood collections (hematomas), or fluid collections (seromas) may cause irregularities. I initially recommend conservative treatment, consisting of message, compression, and warm compresses. Ultrasound therapy or micro Kenalog treatment may be required. Improvement should occur within 2 to 3 months.	Liposuction which has not been performed uniformly my result in irregularities due to areas of over or under treatment. If conservative treatment does not correct the irregularity. Surgical correction may be necessary. Revision of the liposuction or fat injection may be required. I generally recommend waiting at least 6 months prior to performing a second procedure. 	Close follow-up with your Plastic Surgeon is essential for a successful outcome. Best regards,	Andrew Lyos MD, FACS	Houston Texas

Daniel Thomas, MD · Answer

Two weeks is very early in the healing process. It is very common after chin and neck liposuction to have harder and irregular areas that soften and smooth out over time. To answer your inquiry about the side, jowl swelling, photos taken preoperatively would need to be viewed. As for massage, there are differing approaches that are used. I would advise you to follow your plastic surgeon's advice because it would best align with his experience and technique.

Jonathan Kulbersh, MD · Answer

Keep in mind that it takes 6 months to see the full results of face liposuction. It is perfectly normal for you to be experiencing different degrees of swelling throughout your healing process. Swelling can be asymmetrical and feel lumpy at times. Be patient, and the swelling should resolve and any loose skin should tighten up on its own.    If you are still concerned, I recommend following up with the surgeon who performed our procedure
I hope this helps!

2 weeks post-op tumescent lipo on neck. Doctor removed 70ml of fat, so I had a large, genetic double chin. (Photos)

Answers (3)

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.

2 weeks post-op tumescent lipo on neck. Doctor removed 70ml of fat, so I had a large, genetic double chin. (Photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.