2 weeks post-op chin liposuction. Unhappy, still have double chin.

Question

2 weeks recovery. I wear my compression strap all day and night. Even to work! 24/7. I still have a double chin. I am so disappointed. Can I use a facial toning device?

Michael P. Morrissette, DDS, FACS · Answer

I think that 2 weeks is much too early to determine your final results. There is swelling that needs time to resolve. Follow the advice of your surgeon and allow more time. Most patients show significant improvement at one month and by two months you can assess your results. In some cases, revision liposuction is needed along with a minimally invasive skin tightening such as Thermi or Inmode Facetite. In severe cases, excess fat exists beneath the muscle and can only be addressed with a necklift and platysmaplasty. Good luck

Jason Emer, MD · Answer

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Daniel Barrett, MD · Answer

Dear PDODGP,liposuction often causes swelling which can last for a longer period of time. 2 weeks after a liposuction you can expect to have swelling in that area. I would suggest you to follow your surgeon's instructions and ask your plastic surgeon should you use facial toning device.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Paul J. Leahy, MD · Answer

Do not despair. You are WAY TOO EARLY in the recovery process to judge the results. This takes a minimum of 3 months to START to see the outcome. I really think this gets better even up to 9 months later. Hang in there, and follow your surgeon's recommendations. Best wishes.

2 weeks post-op chin liposuction. Unhappy, still have double chin.

Answers (4)

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