Lump under chin 2 years post facelift and chin liposuction. What is this and how can I fix it? (Photos)

Question

Hello, I am 2 years post facelift and chin liposuction. I have unevenness or asymmetry under the right side of my chin. It sort of looks like a lump or a left over fat pocket. I am worried that this could be also skin. This asymmetry was present from the first month post op. Unfortunately my plastic surgeon retired 4 months after I had this suregry so I have no one to go back to. Can you please give your opinion on what you think this it is?

Raffy Karamanoukian, MD, FACS · Answer

a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Nima Shemirani, MD · Answer

Hi @Optimistic8708. I understand your concerns. I would recommend an in-person evaluation with a facial plastic surgeon to determine what went wrong.

Best of luck,

Dr. Nima

Daniel Barrett, MD · Answer

Dear Optimistic8708,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

To assess the outcome of a surgical procedure we need to see proper before and after pictures. Hopefully your surgeon gave you a set of before and after pictures before he retired. If not you can still get a copy of your medical record including your before and after pictures because surgeons are obligated to maintain records for a number of years after they retire.

When Doctors retire they’re supposed to give out notices to their patients of how to contact them so look around for some email address or phone number to get a hold of your provider if you do not have before and after pictures.

While you’re at it you may as well get a copy of your operative report.

For a facelift we need a full frontal and full lateral or sideways facial picture.

From what it looks like the chin and neck Liposuction was done aggressively and it doesn’t look like the facelift was a full traditional well done facelift.

With your neck extended there is very little fat and you’re a platysmal bands are  visible.

Was this some type of mini facelift, thread lift or some other alternative type procedure?

What’s your provider abort certified plastic surgeon?

Based on the information provided we can’t really make an assessment.

Typically I tell people that their surgeon is responsible for the outcome of the procedure and the patients are intern responsible for choosing that surgeon.

The surgeon may be retired now but obviously you must’ve had follow up visits so it would be important to know what they had to say at the time and why they were not willing to revise this if it isn’t the way it supposed to be.

My best guess is that this was simply a poorly done facelift but that is a bit presumptuous of me to say.

To get an accurate second opinion I suggest scheduling in person second opinion consultations with other local board-certified plastic surgeons in your community. When doing so it is very helpful if you can bring before and after pictures and a copy of the operative report from your procedure.

Best,

Mats Hagstrom MD

Lump under chin 2 years post facelift and chin liposuction. What is this and how can I fix it? (Photos)

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