Should I still have a crooked smile and thickness under my chin 4 weeks after Neck Lift and Liposuction under the chin?

It is too soon to tell what your final results will be. You most likely have swelling, which can last 3-6 months after your procedure. To speed up healing, you can try adding hyperbaric oxygen, lymphatic massage, venus legacy or exilis radiofrequency treatments. To improve final results, we will often do a kybella and ultherapy about 4-6 weeks after neck liposuction to get more of an outcome. See an expert. Best, Dr. Emer

Thank you for your question.  While it is difficult to assess exactly what is occurring without a photo, it sounds as if thickness is within the normal limits of healing.  After a necklift and liposuction, you will have quite a bit of swelling under the chin and around the neck.  This is secondary to the surgery itself and also because of any sutures which are dissolving under the skin.  With time, this swelling and thickness should soften and resolve. Be sure to discuss your concern with your surgeon, as only he/she knows exactly what happened during your procedure. I hope that this helps!-David Gilpin