I'm obese, is chin/neck lipo totally off the cards for me? (Photo)

My personal first-hand experience has been that obese patients do exceptionally well with chin and neck Liposuction. Because that area is limited there’s no issue with safety limits in regards to the amount of fat to taken out or the amount of lidocaine used as an awake procedure. It doesn’t require general anesthesia so it’s very safe.

The only single limiting variable in your case or for having an amazing transformation is that you have an under developed mandible that lacks projection and this is why you had a double chin from a young age even would not overweight. so, the primary problem is really more one of skeletal structure and then soft tissue coverage. The combination of liposuction and chin augmentation with a sliding genioplasty or chin implant would do wonders. it’s a little hard to guess how much improvement you could have from only liposuction because your chin is moderately recessive. if it wasn’t for that I would say step to the front of the line and have liposuction you will appreciate the results immensely. As it is based only on the pictures you have shown and the information given it’s a little hard to say how much of an improvement fat removal alone is going to have.

There is also going to be some skin laxity because of obesity that in a perfect world would be addressed with a neck lift as well.

I suggest talking to multiple local board-certified plastic surgeons in your area. Expect that surgeons will have different opinions based on their education and experience. look for a board-certified plastic surgeons who have impressive portfolios with hundreds of before and after pictures they can easily demonstrate results on patience with similar profiles to your own.

Best,

Mats Hagstrom MD