Lipo for Witches Chin?

I had lipo on chin and jowl which has left me lumpy, uneven, and indentations fro biopsy needles used. Dr. "filled" with Belotero, but still looks bad. Now he's planning to correct this with a fat graft. He's a wonderful guy, but this needs to be fixed; it's driving me crazy. Is this the best way to go? Thank you so much for any help/advice.

Doctor Answers 4

Lipo for Witches Chin?

Photos would be needed to offer advice for the next step. Liposuction is not a usual choice for "witch's chin."

Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Liposuction for Witch's Chin

Thank you for your question. Liposuction is not the way to fix witch's chin. Witch's chin a typically fixed through a small incision with tissue redraping. Without photos it is difficult to understand if fillers or fat grafting will help your problem.

Lisa M. DiFrancesco, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 34 reviews

Witch's chin

If you have a true witch's chin, then lipo doesn't help that.  The witch's chin needs to have the soft tissue redraped so that the indentation disappears.

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

Contour irregularities with liposuction

Unfortunately, one of the biggest risks with liposuction is minor contour irregularities. Liposuction is not any sort of skin smoothing or tightening procedure. It is very normal to have irregularities and internal scar tissue of the treated areas for 6 months or longer, and they generally improve with time. Massage may help. Skin-tightening procedures, such as lasers, ultrasound, radiofrequency are expensive and also do not reliably improve the situation. Usually the best course of action is patience. The face/chin/neck areas are highly conspicuous so it can be aggravating. I have tried covering things up with fillers, fat, etx, but in my experience it  offers subtle improvements and rarely can make things worse by inciting more trauma to the area. I like to leave these areas alone for 6 months to 1 year and then reassess the situation. Once the tissues are soft and supple, correction may be advised either with a skin-tightening procedure or fillers. 

Hayley Brown, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 90 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.