Chin Lipo vs Neck Lift (Photo)

Question

Wondering which procedure would be better for removing hereditary submental fat. Adult female, 41yo, 5'2, 125lbs. No loose skin (barely even any fine lines on my face) and often told I look much younger than my age. Have had this submental fat even in my 20s at the weight of 100lbs.

Eric M. Joseph, MD · Answer

If the bulge underneath your chin is simply exercise resistant fat that you've had forever, indeed, neck liposuction may be considered for achieving an improvement in the appearance of your jawline. An examination is necessary to ensure that you do not have droopy submandibular salivary glands. I hope this helps! Sincerely, Dr Joseph

Jose Perez-Gurri, MD, FACS · Answer

Hi. I would encourage you to look at liposuction of the neck and submental regions (directly underneath your chin. I feel you would get the best results at this time. You can always have a neck lift in the future. A neck lift is much more invasive and IMHO not warranted at this time based on your photos. Good luck.

Lexie Wang, MD · Answer

Both options are good. The neck lipo will be faster/cheaper/easier recovery, the necklift will give you the more dramatic result and will last longer too.

Anna Chacon, MD, FAAD · Answer

Thank you for your question! For hereditary submental fat, also known as a double chin, there are a few effective options to consider given your profile.

Kybella: This is an injectable treatment that uses deoxycholic acid to break down fat cells under the chin. It’s a non-surgical option that can yield significant results with minimal downtime. Multiple sessions may be needed, but many patients appreciate the gradual improvement.

Liposuction: If you prefer a more immediate and defined outcome, submental liposuction is a surgical option that can effectively remove excess fat. Since you mentioned you have no loose skin, you might be a good candidate for this procedure.

CoolSculpting: This non-invasive fat-freezing technique can also target submental fat and may work well for your situation. It's effective for those who want a non-surgical option but might require multiple sessions.

Each option has its benefits and considerations, so it would be beneficial to discuss your specific goals and preferences in detail.

William Portuese, MD · Answer

The photographs presented are rather limited, but it does appear that you have fat deposits located both above and below the platytsma muscle in your neck. Liposuction can only accomplish fat removal above the muscle, while a surgical neck lift removes the fat deposits above the muscle with liposuction and below the muscle with surgical extraction. The fat deposits below the muscle are genetic which creates that fullness, even at your ideal body weight. A platysma plasty is also performed at the same time to improve your jawline.

Darryl J. Blinski, MD · Answer

Based on your posted photos, I would recommend a combination of therapies. Using chin liposuction and a mini neck lift with Endo for skin tightening and sculpturing complete jawline under chin area. Fee $8000-$15,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

Liposuction versus neck lift.
It may be helpful to clarify some terminology.
A neck lift, and a facelift is often considered the same procedure.
There are versions of a neck lift where the incisions are under the chin and in this case, the neck lift is different.
If the incision is around the ear, then it is in essence a facelift.
As patient get older, their candidacy for Liposuction goes down and their candidacy for a facelift increases.
There’s no absolute number but I would say at age 50 most patients are not good candidates for Liposuction and begin to be much better candidates for a facelift.
 Patients in their 20s and 30s should generally not get facelift surgery though there are exceptions.
A facelift addresses, skin laxity, subcutaneous, fat, and dit my muscle.
Liposuction only addresses subcutaneous fat.
Individuals who have a double chin typically do not have an abnormal fat distribution.
The double chin is almost always exclusively related to the shape and size of the mandible.
Liposuction may be appropriate, but understand a well-done neck lift a.k.a. facelift would probably give you a better result, but with the drawbacks of the procedure.
That said, delivering consistent quality Liposuction is more difficult than most people realize.
Only exceptional plastic surgeons deliver exceptional outcomes.
Average plastic surgeons deliver average outcomes.
Average Liposuction results may look undesirable.
Doing this procedure well is much more difficult than most people realize.
Some plastic surgeons think Liposuction is a simplistic procedure, which it is not.
Provider selection is probably more important than what procedure you choose.
To find the right provider, I suggest having multiple in person consultations.
During each consultation, ask each provider to open up their portfolio And show you their entire collection of before and after pictures of previous patients who had similar facial characteristics to your own.
Bring a set of printed proper facial pictures to use as reference during the consultation.
Highly experienced providers should have more before and after pictures than you have time to look at during the consultation.
Make sure they’re showing you examples of patients who have very similar facial characteristics to your own.
 Being just a handful of examples or examples of patients who don’t have similar characteristics to your own, may be a red flag to continue your search.
There’s not a correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider for your needs.
The biggest mistake I see patients make is having only one consultation and then scheduling surgery.
 Poor done Liposuction can be permanently disfiguring.
Best,
Mats Hagstrom MD.
This response was dictated. My apologies for potential grammatical errors.

Chin Lipo vs Neck Lift (Photo)

Answers (7)

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